Nonoperative treatment and return to play after complete proximal adductor avulsion in high-performance athletes
Purpose To assess the outcome of nonoperative treatment after complete avulsion of the proximal adductor longus tendon in high-performance athletes. Methods Six consecutive athletes were included. Treatment was conservative following a strict rehabilitation plan. Following parameters were analysed:...
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| Veröffentlicht in: | Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA sports traumatology, arthroscopy : official journal of the ESSKA, 2016-12, Vol.24 (12), p.3927-3933 |
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| creator | Ueblacker, Peter English, Bryan Mueller-Wohlfahrt, Hans-Wilhelm |
| description | Purpose
To assess the outcome of nonoperative treatment after complete avulsion of the proximal adductor longus tendon in high-performance athletes.
Methods
Six consecutive athletes were included. Treatment was conservative following a strict rehabilitation plan. Following parameters were analysed: basic data, mechanism of injury, classification, tendon retraction, size of defect in MRI and return to play (RTP).
Results
Mean age at injury was 28 ± 5 (range 20–32) years. Overstretch (83 %) and kicking (50 %) were the most frequent injury mechanisms, and the dominant leg was involved in 83 %. Average retraction of the avulsed tendon amounted 21 ± 5 mm. Follow-up MRIs demonstrated a gradual reattachment of the tendon in all cases. All athletes returned to full sportive activity on preinjury level within 88.7 ± 12.8 (range 75–110) days with no functional deficiencies. Manual muscle strength was equal to the contralateral side.
Conclusion
Nonoperative treatment with a healing phase and a strict rehabilitation plan results in a functional, efficient reattachment of the tendon and allows unrestricted RTP. Since these injuries are rare, present study may help sports physicians when dealing with this type of injuries in professional athletes. Return to sports can be expected at approximately 13 weeks after injury, but can take even longer.
Level of evidence
Case series, Level IV. |
| doi_str_mv | 10.1007/s00167-015-3669-6 |
| format | Article |
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To assess the outcome of nonoperative treatment after complete avulsion of the proximal adductor longus tendon in high-performance athletes.
Methods
Six consecutive athletes were included. Treatment was conservative following a strict rehabilitation plan. Following parameters were analysed: basic data, mechanism of injury, classification, tendon retraction, size of defect in MRI and return to play (RTP).
Results
Mean age at injury was 28 ± 5 (range 20–32) years. Overstretch (83 %) and kicking (50 %) were the most frequent injury mechanisms, and the dominant leg was involved in 83 %. Average retraction of the avulsed tendon amounted 21 ± 5 mm. Follow-up MRIs demonstrated a gradual reattachment of the tendon in all cases. All athletes returned to full sportive activity on preinjury level within 88.7 ± 12.8 (range 75–110) days with no functional deficiencies. Manual muscle strength was equal to the contralateral side.
Conclusion
Nonoperative treatment with a healing phase and a strict rehabilitation plan results in a functional, efficient reattachment of the tendon and allows unrestricted RTP. Since these injuries are rare, present study may help sports physicians when dealing with this type of injuries in professional athletes. Return to sports can be expected at approximately 13 weeks after injury, but can take even longer.
Level of evidence
Case series, Level IV.</description><identifier>ISSN: 0942-2056</identifier><identifier>EISSN: 1433-7347</identifier><identifier>DOI: 10.1007/s00167-015-3669-6</identifier><identifier>PMID: 26055254</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Adult ; Athletes ; Athletic Injuries - diagnostic imaging ; Athletic Injuries - rehabilitation ; Athletic Performance ; Humans ; Hypotheses ; Knee ; Leg Injuries - diagnostic imaging ; Leg Injuries - rehabilitation ; Magnetic Resonance Imaging ; Male ; Medicine ; Medicine & Public Health ; Muscle Strength ; Orthopedics ; Physical Therapy Modalities ; Professional football ; Rehabilitation ; Retrospective Studies ; Return to Sport ; Sports injuries ; Sports Medicine ; Surgery ; Tendon Injuries - diagnostic imaging ; Tendon Injuries - rehabilitation ; Thigh ; Treatment Outcome ; Ultrasonic imaging ; Ultrasonography ; Young Adult</subject><ispartof>Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2016-12, Vol.24 (12), p.3927-3933</ispartof><rights>European Society of Sports Traumatology, Knee Surgery, Arthroscopy (ESSKA) 2015</rights><rights>Knee Surgery, Sports Traumatology, Arthroscopy is a copyright of Springer, 2016.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c372t-b075ed4e196ea692a75547aeff3ae4680d7c91fb5560c99c31bacbfe6e47fab33</citedby><cites>FETCH-LOGICAL-c372t-b075ed4e196ea692a75547aeff3ae4680d7c91fb5560c99c31bacbfe6e47fab33</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00167-015-3669-6$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00167-015-3669-6$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,780,784,27924,27925,41488,42557,51319</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/26055254$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Ueblacker, Peter</creatorcontrib><creatorcontrib>English, Bryan</creatorcontrib><creatorcontrib>Mueller-Wohlfahrt, Hans-Wilhelm</creatorcontrib><title>Nonoperative treatment and return to play after complete proximal adductor avulsion in high-performance athletes</title><title>Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA</title><addtitle>Knee Surg Sports Traumatol Arthrosc</addtitle><addtitle>Knee Surg Sports Traumatol Arthrosc</addtitle><description>Purpose
To assess the outcome of nonoperative treatment after complete avulsion of the proximal adductor longus tendon in high-performance athletes.
Methods
Six consecutive athletes were included. Treatment was conservative following a strict rehabilitation plan. Following parameters were analysed: basic data, mechanism of injury, classification, tendon retraction, size of defect in MRI and return to play (RTP).
Results
Mean age at injury was 28 ± 5 (range 20–32) years. Overstretch (83 %) and kicking (50 %) were the most frequent injury mechanisms, and the dominant leg was involved in 83 %. Average retraction of the avulsed tendon amounted 21 ± 5 mm. Follow-up MRIs demonstrated a gradual reattachment of the tendon in all cases. All athletes returned to full sportive activity on preinjury level within 88.7 ± 12.8 (range 75–110) days with no functional deficiencies. Manual muscle strength was equal to the contralateral side.
Conclusion
Nonoperative treatment with a healing phase and a strict rehabilitation plan results in a functional, efficient reattachment of the tendon and allows unrestricted RTP. Since these injuries are rare, present study may help sports physicians when dealing with this type of injuries in professional athletes. Return to sports can be expected at approximately 13 weeks after injury, but can take even longer.
Level of evidence
Case series, Level IV.</description><subject>Adult</subject><subject>Athletes</subject><subject>Athletic Injuries - diagnostic imaging</subject><subject>Athletic Injuries - rehabilitation</subject><subject>Athletic Performance</subject><subject>Humans</subject><subject>Hypotheses</subject><subject>Knee</subject><subject>Leg Injuries - diagnostic imaging</subject><subject>Leg Injuries - rehabilitation</subject><subject>Magnetic Resonance Imaging</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Muscle Strength</subject><subject>Orthopedics</subject><subject>Physical Therapy Modalities</subject><subject>Professional football</subject><subject>Rehabilitation</subject><subject>Retrospective Studies</subject><subject>Return to Sport</subject><subject>Sports injuries</subject><subject>Sports Medicine</subject><subject>Surgery</subject><subject>Tendon Injuries - diagnostic imaging</subject><subject>Tendon Injuries - rehabilitation</subject><subject>Thigh</subject><subject>Treatment Outcome</subject><subject>Ultrasonic imaging</subject><subject>Ultrasonography</subject><subject>Young Adult</subject><issn>0942-2056</issn><issn>1433-7347</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNp1kU1rFTEUhoMo9rb6A9xIwI2baL5zs5RSrVB0o-uQyZz0TplJxiRT7L83l1tFBFc5kOd9z8eL0CtG3zFKzftKKdOGUKaI0NoS_QTtmBSCGCHNU7SjVnLCqdJn6LzWO0p7Ke1zdMY1VYoruUPrl5zyCsW36R5wK-DbAqlhn0ZcoG0l4ZbxOvsH7GODgkNe1hka4LXkn9PiZ-zHcQstF-zvt7lOOeEp4cN0eyDdN-ay-BQA-3Y4yuoL9Cz6ucLLx_cCff949e3ymtx8_fT58sMNCcLwRgZqFIwSmNXgteXeKCWNhxiFB6n3dDTBsjgopWmwNgg2-DBE0CBN9IMQF-jtybfP-WOD2twy1QDz7BPkrTq251ozq6zq6Jt_0LvcF-_TdUrKvRRcyk6xExVKrrVAdGvp-5cHx6g7xuFOcbgehzvG4XTXvH503oYFxj-K3_fvAD8BtX-lWyh_tf6v6y-4xJfS</recordid><startdate>20161201</startdate><enddate>20161201</enddate><creator>Ueblacker, Peter</creator><creator>English, Bryan</creator><creator>Mueller-Wohlfahrt, Hans-Wilhelm</creator><general>Springer Berlin Heidelberg</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QO</scope><scope>7RV</scope><scope>7TS</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FD</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>NAPCQ</scope><scope>P64</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope></search><sort><creationdate>20161201</creationdate><title>Nonoperative treatment and return to play after complete proximal adductor avulsion in high-performance athletes</title><author>Ueblacker, Peter ; English, Bryan ; Mueller-Wohlfahrt, Hans-Wilhelm</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c372t-b075ed4e196ea692a75547aeff3ae4680d7c91fb5560c99c31bacbfe6e47fab33</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2016</creationdate><topic>Adult</topic><topic>Athletes</topic><topic>Athletic Injuries - diagnostic imaging</topic><topic>Athletic Injuries - rehabilitation</topic><topic>Athletic Performance</topic><topic>Humans</topic><topic>Hypotheses</topic><topic>Knee</topic><topic>Leg Injuries - diagnostic imaging</topic><topic>Leg Injuries - rehabilitation</topic><topic>Magnetic Resonance Imaging</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Muscle Strength</topic><topic>Orthopedics</topic><topic>Physical Therapy Modalities</topic><topic>Professional football</topic><topic>Rehabilitation</topic><topic>Retrospective Studies</topic><topic>Return to Sport</topic><topic>Sports injuries</topic><topic>Sports Medicine</topic><topic>Surgery</topic><topic>Tendon Injuries - diagnostic imaging</topic><topic>Tendon Injuries - rehabilitation</topic><topic>Thigh</topic><topic>Treatment Outcome</topic><topic>Ultrasonic imaging</topic><topic>Ultrasonography</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Ueblacker, Peter</creatorcontrib><creatorcontrib>English, Bryan</creatorcontrib><creatorcontrib>Mueller-Wohlfahrt, Hans-Wilhelm</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Biotechnology Research Abstracts</collection><collection>Nursing & Allied Health Database</collection><collection>Physical Education Index</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Technology Research Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Engineering Research Database</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Nursing & Allied Health Premium</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Ueblacker, Peter</au><au>English, Bryan</au><au>Mueller-Wohlfahrt, Hans-Wilhelm</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Nonoperative treatment and return to play after complete proximal adductor avulsion in high-performance athletes</atitle><jtitle>Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA</jtitle><stitle>Knee Surg Sports Traumatol Arthrosc</stitle><addtitle>Knee Surg Sports Traumatol Arthrosc</addtitle><date>2016-12-01</date><risdate>2016</risdate><volume>24</volume><issue>12</issue><spage>3927</spage><epage>3933</epage><pages>3927-3933</pages><issn>0942-2056</issn><eissn>1433-7347</eissn><abstract>Purpose
To assess the outcome of nonoperative treatment after complete avulsion of the proximal adductor longus tendon in high-performance athletes.
Methods
Six consecutive athletes were included. Treatment was conservative following a strict rehabilitation plan. Following parameters were analysed: basic data, mechanism of injury, classification, tendon retraction, size of defect in MRI and return to play (RTP).
Results
Mean age at injury was 28 ± 5 (range 20–32) years. Overstretch (83 %) and kicking (50 %) were the most frequent injury mechanisms, and the dominant leg was involved in 83 %. Average retraction of the avulsed tendon amounted 21 ± 5 mm. Follow-up MRIs demonstrated a gradual reattachment of the tendon in all cases. All athletes returned to full sportive activity on preinjury level within 88.7 ± 12.8 (range 75–110) days with no functional deficiencies. Manual muscle strength was equal to the contralateral side.
Conclusion
Nonoperative treatment with a healing phase and a strict rehabilitation plan results in a functional, efficient reattachment of the tendon and allows unrestricted RTP. Since these injuries are rare, present study may help sports physicians when dealing with this type of injuries in professional athletes. Return to sports can be expected at approximately 13 weeks after injury, but can take even longer.
Level of evidence
Case series, Level IV.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>26055254</pmid><doi>10.1007/s00167-015-3669-6</doi><tpages>7</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0942-2056 |
| ispartof | Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2016-12, Vol.24 (12), p.3927-3933 |
| issn | 0942-2056 1433-7347 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_1826619595 |
| source | MEDLINE; Wiley Journals; SpringerNature Journals |
| subjects | Adult Athletes Athletic Injuries - diagnostic imaging Athletic Injuries - rehabilitation Athletic Performance Humans Hypotheses Knee Leg Injuries - diagnostic imaging Leg Injuries - rehabilitation Magnetic Resonance Imaging Male Medicine Medicine & Public Health Muscle Strength Orthopedics Physical Therapy Modalities Professional football Rehabilitation Retrospective Studies Return to Sport Sports injuries Sports Medicine Surgery Tendon Injuries - diagnostic imaging Tendon Injuries - rehabilitation Thigh Treatment Outcome Ultrasonic imaging Ultrasonography Young Adult |
| title | Nonoperative treatment and return to play after complete proximal adductor avulsion in high-performance athletes |
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