Adductor longus tear with retraction

Case contributed by Dr Yair Glick

Presentation

Left groin pain after doing splits.

Patient Data

Age: 35 years
Gender: Male

No evidence of a fracture.
Surgical staple superimposed on S5 in the midline, most probably fallen from previous known laparoscopic cholecystectomy.

No fractures detected.
Full-thickness tear of left adductor longus tendon with detachment from its insertion on the symphysis pubis and substantial distal retraction of approximately 6.5 cm.
Extensive heterogeneous fullness around the torn tendon, representing torn muscle fibres and haematoma.
Haematoma, oedema, and inflammatory reaction around the muscles of the medial compartment of the left thigh, as well as oedema of the remaining adductors and pectineus. Subcutaneous oedema around the thigh.
The muscles, fat planes, skin, and subcutaneous tissue on the right appear normal.

In summary:
Full-thickness tear of the left adductor longus tendon from its insertion on the symphysis pubis with substantial distal retraction.

Case Discussion

The adductor longus cleanly tore off its insertion on the pubic symphysis. Had this been an adolescent boy, the apophysis at the insertion would most probably have become avulsed by the pull from the tendon.

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Case information

rID: 56424
Case created: 31st Oct 2017
Last edited: 1st Nov 2017
Inclusion in quiz mode: Included

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