Clinical recovery of two hip adductor longus ruptures: a case-report of a soccer player

BMC Research Notes

Per Hölmich¹  Michael Bachmann Nielsen³  Jesper Petersen¹  Kristian Thorborg² 

[1] Arthroscopic Centre Amager, Copenhagen University Hospital, Hvidovre, Denmark;Departments of Orthopaedic Surgery and Physical Therapy, Copenhagen University Hospital, Hvidovre, Denmark;Section of Radiology, Rigshospitalet, Copenhagen University Hospital, Copenhagen, Denmark

关键词: HAGOS;    Ultrasonographic findings;    Adductor strength;    Return to sport;    Hip adductor longus ruptures;   

Others  :  1142641
DOI  :  10.1186/1756-0500-6-205

 received in 2013-01-07, accepted in 2013-05-17,  发布年份 2013

【 摘 要 】

Background

Non-operative treatment of acute hip adductor longus ruptures in athletes has been described in the literature. However, very limited information concerning the recovery of this type of injury exists. This case represented a unique possibility to study the recovery of two acute adductor longus ruptures, using novel, reliable and validated assessment methods.

Case presentation

A 22-year old male soccer player (Caucasian) sustained two subsequent acute adductor longus ruptures, one in each leg. The injuries occurred 10 months apart, and were treated non-surgically in both situations. He was evaluated using hip-strength assessments, self-report and ultrasonography until complete muscle-strength recovery of the hip adductors had occurred. The player was able to participate in a full soccer training session without experiencing pain 15 weeks after the first rupture, and 12 weeks after the second rupture. Full hip adductor muscle-strength recovery was obtained 52 weeks after the first rupture and 10 weeks after the second rupture. The adductor longus injuries, as verified by initial ultrasonography (10 days post-injury), showed evidence of a complete tendon rupture in both cases, with an almost identical imaging appearance. It was only at 6 and 10 weeks ultrasonographic follow-up that the first rupture was found to include a larger anatomical area than the second rupture.

Conclusion

From this case we can conclude that two apparently similar hip adductor longus ruptures, verified by initial ultrasonography (10 days post-injury), can have very different hip adductor strength recovery times. Assessment of adductor strength recovery may therefore in the future be a useful and important additional measure for determining when soccer players with hip adductor longus ruptures can return safely to play.

【 授权许可】

   
2013 Thorborg et al.; licensee BioMed Central Ltd.

【 图 表 】

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