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Adductor longus tear

Case contributed by Maulik S Patel
Diagnosis certain

Presentation

History of two episodes of the jerk to right hip during last 3 weeks. Complaining of right proximal medial thigh pain, diffuse swelling, and skin discolouration.

Patient Data

Age: 55 yrs
Gender: Male
ultrasound

Adductor longus

  • Tendon is not visualised along with breach in continuity of aponeurosis.
  • There is a haematoma ( 50 x 30 x 20 mm ) replacing most of the proximal part of the muscle.
  • There is a breach in epimysium anteriorly through which haematoma extends anteriorly as well as deep to gracilis muscle.
  • There is no detached bone flake from pubis.

Adductor Brevis and Magnus 

  • Normal tendon and muscle.

Gracilis

  • Normal.

Case Discussion

Ultrasound findings suggest adductor longus tear at its proximal part.

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