Effectiveness of a selective partial adductor release for chronic adductor-related groin pain in professional athletes

Ernest Schilders, Alexandra Dimitrakopoulou, Michael Cooke, Quamar Bismil, Carlton Cooke

    Research output: Contribution to journalArticlepeer-review

    7 Citations (Scopus)

    Abstract

    Background: Chronic adductor enthesopathy is a well-known cause of groin pain in athletes. Currently, percutaneous nonselective adductor tenotomies give mixed results and not always predictable outcomes. Hypothesis: A selective partial adductor longus release as treatment for recalcitrant chronic adductor longus enthesopathy provides excellent pain relief with a prompt and consistent return to preinjury levels of sport. Study Design: Case series; Level of evidence, 4. Methods: All athletes were assessed in a standard way for adductor dysfunction. They received radiographs and a specifically designed magnetic resonance imaging groin study protocol. Only professional athletes who received a selective partial adductor release were included. Pain and functional improvement were assessed with the visual analog scale (VAS) pain score and time to return to sport. Results: Forty-three professional athletes (39 soccer and 4 rugby) with chronic adductor-related groin pain were treated with a selective partial adductor release. The average follow-up time was 40.2 months (range, 25-72 months). Forty-two of 43 athletes returned to their preinjury level of sport after an average of 9.21 weeks (range, 4-24 weeks; SD, 4.68 weeks). The preoperative VAS score improved significantly (Wilcoxon signed-rank test, P<.001) from 5.76 ± 1.08 (range, 3-8) to 0.23 ± 0.61 (range, 0-3) postoperatively. Conclusion: A selective partial adductor longus release provides excellent pain relief for chronic adductor enthesopathy in professional athletes with a consistent high rate of return to the preinjury level of sport.

    Original languageEnglish
    Pages (from-to)603-607
    Number of pages5
    JournalAmerican Journal of Sports Medicine
    Volume41
    Issue number3
    DOIs
    Publication statusPublished - Mar 2013

    Keywords

    • adductor longus
    • adductor pain
    • groin strain athletes
    • partial adductor release

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