Rectus abdominus-adductor longus aponeurosis tear - superior cleft sign
Diagnosis almost certain
Presentation
A football player presented with acute left groin pain.
Patient Data
Age: 30 years
Gender: Male
{"current_user":null,"step_through_annotations":true,"access":{"can_edit":false,"can_download":true,"can_toggle_annotations":true,"can_feature":false,"can_examine_pipeline_reports":false,"can_pin":false},"extraPropsURL":"/studies/143371/annotated_viewer_json?lang=us"}
Signal changes of the combined left rectus abdominus-adductor longus aponeurosis, anterior to the left superior pubic ramus and symphysis pubis with superior cleft sign.
The left proximal adductor muscle near the pubic bony attachment shows an ill-defined patchy contusion that elicits hyperintensity in T2 and STIR.
Mild bone marrow edema of the pubic bones with associated hypertrophic changes of the symphysis pubis.
Case Discussion
Here is a case of partial avulsion tear of the rectus abdominus-adductor longus aponeurosis with superior cleft sign. This lesion is one of the leading causes of 'athletic pubalgia'
Unable to process the form. Check for errors and try again.