Presentation
Left groin pain after doing splits.
Patient Data
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 fibers and hematoma.
Hematoma, edema, and inflammatory reaction around the muscles of the medial compartment of the left thigh, as well as edema of the remaining adductors and pectineus. Subcutaneous edema 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.
Unable to process the form. Check for errors and try again.