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Groin pain is prevalent in athletes who play field sports that involve repetitive agility and kicking (eg, soccer, rugby and Australian Rules football). It is prone to recurrence and chronicity, thus can be challenging to overcome. A recent review found that men are 2.5 times more likely to sustain a groin injury than women when participating in the same sport.1 This observation is probably attributable to various factors. Contrasting training and/or match workloads could potentially exist between male and female athletes. Hormonal differences may be relevant too. While acknowledging these factors, we suggest that the higher risk of groin injury for male compared with female athletes may also be attributable to sex-related differences in groin anatomy as well as pelvic and hip joint morphology.
The confluence of aponeurotic tissues across the anterior surface of the pubic symphysis, comprising fibres from the adductor and abdominal musculature, is a potential site of pathology in athletes with groin pain. Schilders2 dissected 16 embalmed cadavers (8 males and 8 females) and observed a sex-related difference in the …