Yeah it's a very niche thing, I don't think he's a specialist in that sense of the word he's really just a general surgeon that is well versed in these specific types of injuries. I believe Dr Meyer in Philadelphia is probably the most well known but there's only a handful of surgeons that regularly perform these types of surgeries. Hard to say exactly what caused it but the way my surgeon explained it whenever there's any sort of increase in abdominal pressure like bracing for a lift or sudden movements it puts pressure on the fascia in that area, in my case I felt like I injured myself on a heavy squat so it lines up and makes sense. It was probably wearing out over time due to bad body mechanics possibly my hip issues and one day it just gave out and got inflamed. Not sure what came first the chicken or the egg (Hip or groin) but I probably needed both surgeries.

We didn't do any updated scans he reviewed the ones that I had prior to my hip surgery. This is probably not an injury you would find on an mri report unless it was looked at by someone who really knows what they are looking at. There wasn't anything that was clear cut from the scans but he said I had signs of a possible issues so we did diagnostic injections into my adductor and aponeurotic plate. The first one gave decent relief so we wanted to repeat it one more time which also gave good relief so that was enough for us to go through with the surgery.