Student: Nicole Elby
Mentor: Kelly Copperthite and Benson Batchelder
Major: Athletic Training
The purpose of this case study is to present a case of a 21-year-old Division 1 football player, who with no previous medical history of groin pain, avulsed his adductor longus from its origin. During an agility drill, the athlete felt a pop and pain in his groin. Upon evaluation the athlete presented with point tenderness, swelling and discoloration. The athlete was referred and an MRI was performed. The MRI showed an avulsion of the adductor longus that retracted 1.5 to 2 centimeters. An avulsion of the adductor longus is a rare injury. 1.5% of avulsions at the hip take place from the origin of the adductor longus. Also avulsions atypically occur in adults. Surgical intervention was the chosen method of management. An adductor repair with suture anchors was performed. Rehabilitation commenced after 3 weeks of non-weight bearing. Treatment included the use of stretches, hip-strengthening exercises, and eventually the implementation of agility exercises. Although this is a rare injury, it is important not to disregard an adductor longus avulsion when an athlete complains of localized groin pain even in an adult population.