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Diagnosing Adductor Muscle Avulsion at the Symphysis Pubis with Ultrasound

Chen, David J. MD; Caldera, Franklin E. DO, MBA; Kim, Woojin MD

American Journal of Physical Medicine & Rehabilitation: April 2014 - Volume 93 - Issue 4 - p 346–348
doi: 10.1097/PHM.0000000000000000
Case Reports

ABSTRACT: A 58-yr-old woman presented after experiencing left hip and groin pain for 1 mo. She denies any history of trauma, falls or any bruising, or history of sports injury or extreme physical exertion before her symptoms. On ultrasonography, she was found to have an avulsion tear at the origin of the adductor muscles, predominantly involving the adductor longus and brevis muscles. The treatment course was conservative: nonsteroidal anti-inflammatory drugs for pain control and physical therapy for muscle strengthening and balance improvement. Upon follow-up, she demonstrated significant improvement and resolution of her pain.

From the Hospital of the University of Pennsylvania, Philadelphia (DJC, FEC); and Department of Radiology, Hospital of the University of Pennsylvania, Philadelphia (WK).

All correspondence and requests for reprints should be addressed to Franklin E. Caldera, DO, MBA, Hospital of the University of Pennsylvania, 3400 Spruce St, 5 West Gates Bldg, Philadelphia, PA 19104.

Financial disclosure statements have been obtained, and no conflicts of interest have been reported by the authors or by any individuals in control of the content of this article.

© 2014 by Lippincott Williams & Wilkins