Proximal Adductor Tendon And Muscle Tears

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Proximal Adductor Tendon And Muscle Tears

Authors, Editors, Case Information Author: Garry Ho, MD, FAMSSM, FAC Affiliation: OrthoVirginia Co Author(s): None Senior Editor: Raul Rosario-Concepcion, MD Clinical Vignette: A 32-year-old male soccer player presented with acute right groin pain while kicking a ball 3 days prior. Exam was notable for tenderness to palpation over proximal right adductor longus and pubic tubercle, pain with resisted adduction with hips in both neutral and flexed positions, and full ROM. Type of Probe Used: 4-12 MHz linear transducer. Unlabeled Long Axis View of the Injured Right Adductor Origin Unlabeled Long Axis View of the Injured Right Adductor Origin Labeled Long Axis View of the Injured Right Adductor Origin Labeled Long Axis View of the Injured Right Adductor Origin High grade tear of right proximal adductors at pubic tubercle and body, involving at least 75% of adductor longus tendon, fibrocartilage, and muscle, extending to anterior third of adductor brevis. Unlabeled Long Axis View of the Uninjured Left Adductor Origin Unlabeled Long Axis View of the Uninjured Left Adductor Origin Labeled Long Axis View of the Uninjured Left Adductor Origin Labeled Long Axis View of the Uninjured Left Adductor Origin with normal appearance. Interpretation Image Interpretation: High grade tear of right proximal adductors at pubic tubercle and body, involving at least 75% of adductor longus tendon, fibrocartilage, and muscle, extending to anterior third of adductor brevis. Normal appearing origin of left adductor longus and brevis and pubic tubercle and body. Teaching Pearl: The adductor longus is the most commonly injured adductor during sport, in part because of its long lever arm, high eccentric load, and relatively vulnerable pubic bone attachment. Ultrasound should evaluate the proximal adductor tendon origin, fibrocartilaginous enthesis, muscle extension, and adjacent adductor brevis involvement. Reporting the percent of tendon involved, retraction, hematoma, and muscle involvement can help guide prognosis and surgical referral decisions. References: 1. Manske RC, Wolfe C, Page P, Voight M. Diagnostic musculoskeletal ultrasound in the evaluation of adductor longus injuries: implications for rehabilitation providers. Int J Sports Phys Ther. 2025;20(11). doi:10.26603/001c.146209 2. Flores DV, Umpire DF, Sampaio ML, Cresswell ME, Pathria MN. US and MRI of pelvic tendon anatomy and pathologic conditions. Radiographics. 2022;42(5):1433-1456. doi:10.1148/rg.220055 3. Serner A, Weir A, Tol JL, et al. Associations between initial clinical examination and imaging findings and return-to-sport in male athletes with acute adductor injuries: a prospective cohort study. Am J Sports Med. 2020;48(5):1151-1159. doi:10.1177/0363546520908610
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Authors, Editors, Case Information

Unlabeled Long Axis View of the Injured Right Adductor Origin

Labeled Long Axis View of the Injured Right Adductor Origin

Unlabeled Long Axis View of the Uninjured Left Adductor Origin

Labeled Long Axis View of the Uninjured Left Adductor Origin

Interpretation

UPCOMING EVENTS

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