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Hip Adductor Injury
Kirkland W. Davis, MD, FACR; Adam C. Zoga, MD
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KEY FACTS

  • Terminology

    • Imaging

      • Pathology

        • Clinical Issues

          • Diagnostic Checklist

            TERMINOLOGY

            • Synonyms

              • Adductor syndrome, groin strain, groin pull
            • Definitions

              • Injury of adductors or internal rotators of hip sparing rectus abdominis

            IMAGING

            • General Features

              • Radiographic Findings

                • Fluoroscopic Findings

                  • CT Findings

                    • MR Findings

                      • Ultrasonographic Findings

                        • Imaging Recommendations

                          DIFFERENTIAL DIAGNOSIS

                            PATHOLOGY

                            • General Features

                              • Gross Pathologic & Surgical Features

                                CLINICAL ISSUES

                                • Presentation

                                  • Treatment

                                    DIAGNOSTIC CHECKLIST

                                    • Consider

                                      • Image Interpretation Pearls

                                        • Reporting Tips

                                          Selected References

                                          1. Serner A et al: Diagnosis of acute groin injuries: a prospective study of 110 athletes. Am J Sports Med. 43(8):1857-64, 2015
                                          2. Lutterbach-Penna RA et al: Ultrasound of the thigh: focal, compartmental, or comprehensive examination? AJR Am J Roentgenol. 203(5):1085-92, 2014
                                          3. McArthur TA et al: The role of pubic symphyseal CT arthrography in the imaging of athletic pubalgia. AJR Am J Roentgenol. 203(5):1063-8, 2014
                                          4. Schlegel TF et al: Success of nonoperative management of adductor longus tendon ruptures in National Football League athletes. Am J Sports Med. 37(7):1394-9, 2009
                                          5. Meyers WC et al: Experience with "sports hernia" spanning two decades. Ann Surg. 248(4):656-65, 2008
                                          6. Omar IM et al: Athletic pubalgia and "sports hernia": optimal MR imaging technique and findings. Radiographics. 28(5):1415-38, 2008
                                          7. Topol GA et al: Regenerative injection of elite athletes with career-altering chronic groin pain who fail conservative treatment: a consecutive case series. Am J Phys Med Rehabil. 87(11):890-902, 2008
                                          8. Zajick DC et al: Spectrum of MRI findings in clinical athletic pubalgia. Semin Musculoskelet Radiol. 12(1):3-12, 2008
                                          9. Zoga AC et al: Athletic pubalgia and the "sports hernia": MR imaging findings. Radiology. 247(3):797-807, 2008
                                          10. Strauss EJ et al: Analysis of the cross-sectional area of the adductor longus tendon: a descriptive anatomic study. Am J Sports Med. 35(6):996-9, 2007
                                          11. Rizio L 3rd et al: Adductor longus rupture in professional football players: acute repair with suture anchors: a report of two cases. Am J Sports Med. 32(1):243-5, 2004
                                          12. Robinson P et al: Adductor-related groin pain in athletes: correlation of MR imaging with clinical findings. Skeletal Radiol. 33(8):451-7, 2004
                                          13. Meyers WC et al: Surgical management of chronic lower abdominal and groin pain in high-performance athletes. Curr Sports Med Rep. 1(5):301-5, 2002
                                          14. Nicholas SJ et al: Adductor muscle strains in sport. Sports Med. 32(5):339-44, 2002
                                          Related Anatomy
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                                          Related Differential Diagnoses
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                                          References
                                          Tables

                                          Tables

                                          KEY FACTS

                                          • Terminology

                                            • Imaging

                                              • Pathology

                                                • Clinical Issues

                                                  • Diagnostic Checklist

                                                    TERMINOLOGY

                                                    • Synonyms

                                                      • Adductor syndrome, groin strain, groin pull
                                                    • Definitions

                                                      • Injury of adductors or internal rotators of hip sparing rectus abdominis

                                                    IMAGING

                                                    • General Features

                                                      • Radiographic Findings

                                                        • Fluoroscopic Findings

                                                          • CT Findings

                                                            • MR Findings

                                                              • Ultrasonographic Findings

                                                                • Imaging Recommendations

                                                                  DIFFERENTIAL DIAGNOSIS

                                                                    PATHOLOGY

                                                                    • General Features

                                                                      • Gross Pathologic & Surgical Features

                                                                        CLINICAL ISSUES

                                                                        • Presentation

                                                                          • Treatment

                                                                            DIAGNOSTIC CHECKLIST

                                                                            • Consider

                                                                              • Image Interpretation Pearls

                                                                                • Reporting Tips

                                                                                  Selected References

                                                                                  1. Serner A et al: Diagnosis of acute groin injuries: a prospective study of 110 athletes. Am J Sports Med. 43(8):1857-64, 2015
                                                                                  2. Lutterbach-Penna RA et al: Ultrasound of the thigh: focal, compartmental, or comprehensive examination? AJR Am J Roentgenol. 203(5):1085-92, 2014
                                                                                  3. McArthur TA et al: The role of pubic symphyseal CT arthrography in the imaging of athletic pubalgia. AJR Am J Roentgenol. 203(5):1063-8, 2014
                                                                                  4. Schlegel TF et al: Success of nonoperative management of adductor longus tendon ruptures in National Football League athletes. Am J Sports Med. 37(7):1394-9, 2009
                                                                                  5. Meyers WC et al: Experience with "sports hernia" spanning two decades. Ann Surg. 248(4):656-65, 2008
                                                                                  6. Omar IM et al: Athletic pubalgia and "sports hernia": optimal MR imaging technique and findings. Radiographics. 28(5):1415-38, 2008
                                                                                  7. Topol GA et al: Regenerative injection of elite athletes with career-altering chronic groin pain who fail conservative treatment: a consecutive case series. Am J Phys Med Rehabil. 87(11):890-902, 2008
                                                                                  8. Zajick DC et al: Spectrum of MRI findings in clinical athletic pubalgia. Semin Musculoskelet Radiol. 12(1):3-12, 2008
                                                                                  9. Zoga AC et al: Athletic pubalgia and the "sports hernia": MR imaging findings. Radiology. 247(3):797-807, 2008
                                                                                  10. Strauss EJ et al: Analysis of the cross-sectional area of the adductor longus tendon: a descriptive anatomic study. Am J Sports Med. 35(6):996-9, 2007
                                                                                  11. Rizio L 3rd et al: Adductor longus rupture in professional football players: acute repair with suture anchors: a report of two cases. Am J Sports Med. 32(1):243-5, 2004
                                                                                  12. Robinson P et al: Adductor-related groin pain in athletes: correlation of MR imaging with clinical findings. Skeletal Radiol. 33(8):451-7, 2004
                                                                                  13. Meyers WC et al: Surgical management of chronic lower abdominal and groin pain in high-performance athletes. Curr Sports Med Rep. 1(5):301-5, 2002
                                                                                  14. Nicholas SJ et al: Adductor muscle strains in sport. Sports Med. 32(5):339-44, 2002