Spontaneous hip adductor haematoma

Martin, Tripon; Louis, Riffault; Corinne, Bronfen; Laquievre, Antoine; Dolet, Nathan

doi:10.1016/j.epsc.2020.101568

Journal of Pediatric Surgery Case Reports

2020

DOI: 10.1016/j.epsc.2020.101568

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Spontaneous hip adductor haematoma

Tripon Martin

Riffault Louis

Bronfen Corinne

et al.

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2023

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“…1 , 26 , 37 Indeed, there are very few published studies that refer to isolated injuries of the adductor magnus (AM) muscle. 12 , 17 , 21 , 23 , 30 …”

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confidence: 99%

Isolated Adductor Magnus Injuries in Athletes: A Case Series

Mechó

Balius

Bossy

et al. 2023

Orthopaedic Journal of Sports Medicine

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Background: Little is known about injuries to the adductor magnus (AM) muscle and how to manage them. Purpose: To describe the injury mechanisms of the AM and its histoarchitecture, clinical characteristics, and imaging features in elite athletes. Study Design: Case series; Level of evidence, 4. Methods: A total of 11 competitive athletes with an AM injury were included in the study. Each case was clinically assessed, and the diagnosis and classification were made by magnetic resonance imaging (MRI) according to the British Athletics Muscle Injury Classification (BAMIC) and mechanism, location, grade, and reinjury (MLG-R) classification. A 1-year follow-up was performed, and return-to-play (RTP) time was recorded. Results: Different mechanisms of injury were found; most of the athletes (10/11) had flexion and internal rotation of the hip with extension or slight flexion of the knee. Symptoms consisted of pain in the posteromedial (7/11) or medial (4/11) thigh during adduction and flexion of the knee. Clinically, there was a suspicion of an injury to the AM in only 3 athletes. According to MRI, 5 lesions were located in the ischiocondylar portion (3 in the proximal and 2 in the distal myoconnective junction) and 6 in the pubofemoral portion (4 in the distal and 2 in the proximal myoconnective junction). Most of the ischiocondylar lesions were myotendinous (3/5), and most of the pubofemoral lesions were myofascial (5/6). The BAMIC and MLG-R classification coincided in distinguishing injuries of moderate and mild severity. The management was nonoperative in all cases. The mean RTP time was 14 days (range, 0-35 days) and was longer in the ischiocondylar cases than in the pubofemoral cases (21 vs 8 days, respectively). Only 1 recurrence, at <10 months, was recorded. Conclusion: Posteromedial thigh pain after an eccentric contraction during forced adduction of the thigh from hip internal rotation should raise a suspicion of AM lesions. The identification of the affected portion was possible on MRI. An injury in the ischiocondylar portion entailed a longer RTP time than an injury in the pubofemoral portion.

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“…1 , 26 , 37 Indeed, there are very few published studies that refer to isolated injuries of the adductor magnus (AM) muscle. 12 , 17 , 21 , 23 , 30 …”

mentioning

confidence: 99%

Isolated Adductor Magnus Injuries in Athletes: A Case Series

Mechó

Balius

Bossy

et al. 2023

Orthopaedic Journal of Sports Medicine

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Spontaneous hip adductor haematoma

Cited by 1 publication

References 8 publications

Isolated Adductor Magnus Injuries in Athletes: A Case Series

Isolated Adductor Magnus Injuries in Athletes: A Case Series

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