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Adductor strain

Case contributed by Praveen Jha
Diagnosis probable

Presentation

Recent onset pain and cramps in medial aspect of right thigh.

Patient Data

Age: 25 years
Gender: Female
mri

Altered signal is seen at pubic attachment of adductor muscles appearing hyperintense on T2W and STIR images suggesting adductor strain.

Case Discussion

Adductor strain is the commoner and mild cause of groin pain (also called 'pulled groin'), frequently encountered in active individuals (especially soccer players). In such cases, its important to visualize the conjoint adductor attachment at pubic symphysis, to look for either adductor muscle microtears, any visible muscle clefts, or osteitis pubis (especially common in females). 

This case depicts characteristic MR features of adductor strain.

Diagnosis is clinical and on MR characteristics, yet other differentials like inflammatory edema exist.

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