ArticleKnee surgery, sports traumatology, arthroscopy : official journal of the ESSKA2016
Nonoperative treatment and return to play after complete proximal adductor avulsion in high-performance athletes.
Article in Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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Who cites it
7 citing papers in PubMed, 38 citations in OpenAlex.
- Avulsion injuries: an update on radiologic findings.Yeungnam University journal of medicine · 2021Article
- [Avulsion injuries of the adductors and iliopsoas].Der Unfallchirurg · 2021Review
- Hip Adductor Longus Tendon Origin Anatomy Is Consistent and May Inform Surgical Reattachment.Arthroscopy, sports medicine, and rehabilitation · 2021Article
- Patient-related outcome measurements after operative and conservative management of traumatic proximal adductor longus avulsion injuries.International orthopaedics · 2020Article
- Intramuscular Injection of Combined Calf Blood Compound (CFC) and Homeopathic Drug Tr14 Accelerates Muscle Regeneration In Vivo.International journal of molecular sciences · 2020Article
- Return to Sport After Criteria-Based Rehabilitation of Acute Adductor Injuries in Male Athletes: A Prospective Cohort Study.Orthopaedic journal of sports medicine · 2020Article
- Proximal Adductor Avulsion Injuries: Outcomes of Surgical Reattachment in Athletes.Orthopaedic journal of sports medicine · 2018Article
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Authors and funding
3 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeTo assess the outcome of nonoperative treatment after complete avulsion of the proximal adductor longus tendon in high-performance athletes.
methodsSix consecutive athletes were included. Treatment was conservative following a strict rehabilitation plan. Following parameters were analysed: basic data, mechanism of injury, classification, tendon retraction, size of defect in MRI and return to play (RTP).
resultsMean age at injury was 28 ± 5 (range 20-32) years. Overstretch (83 %) and kicking (50 %) were the most frequent injury mechanisms, and the dominant leg was involved in 83 %. Average retraction of the avulsed tendon amounted 21 ± 5 mm. Follow-up MRIs demonstrated a gradual reattachment of the tendon in all cases. All athletes returned to full sportive activity on preinjury level within 88.7 ± 12.8 (range 75-110) days with no functional deficiencies. Manual muscle strength was equal to the contralateral side.
conclusionNonoperative treatment with a healing phase and a strict rehabilitation plan results in a functional, efficient reattachment of the tendon and allows unrestricted RTP. Since these injuries are rare, present study may help sports physicians when dealing with this type of injuries in professional athletes. Return to sports can be expected at approximately 13 weeks after injury, but can take even longer. LEVEL OF EVIDENCE: Case series, Level IV.
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