Understanding Sports Hernia and Athletic Pubalgia
The pubic attachments, meaning the structures of the body coming from the abdomen and the legs, centrally all attach to the pubic bone. The Rectus, Adductor, Pectineus, Conjoint Tendon, and Inguinal Ligament have fibers which interdigitate (create a crossing pattern like that seen in wicker furniture) and form a sheath. This sheath is attached, rather powerfully, to the pubic bone. It is a critical component of the body’s mechanics. When it becomes detached from the pubis, the entire mechanic structure becomes unstable, requiring other structures to compensate. A with many other pathologic processes, a domino effect occurs in the human body.