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Adductor Strain

Adductor strain is the most common groin injuries in athletes, occur as a result of a forced push-off or side-topside motion. Inactive or fatigued muscles have less ability to absorb energy and are more likely to undergo acute adductor strain.
Usually involves the adductor longus muscle, but may include gracilis, iliopsoas, rectus femoris, or sartorius


Adductor strains are classified as under

Grade of strain Symptoms
Mild (grade I) Pain with minimal strength loss,
Moderate (grade II)  Strength loss and pain
 Severe (grade III)  Complete functional and motor loss.

On physical Exam patient feels

  • Tenderness along proximal 1/3 of medial thigh and tendinous origin in pubic region
  • Pain with passive abduction
  • Pain with resisted adduction
  • Swelling and ecchymosis increase suspicion for tear however with complete rupture, palpable depression and knot of torn muscle may be present.

Treatment

Treatment of adductor strains is similar to quadriceps and hamstring strains. The majority of these injuries are treated non surgically. PRICE, NSAIDs, and a progressive rehabilitation program are initiated.

Patients with grade I strains do not seek medical attention; however, if they do seek treatment, a 3 to 7 day course of progressive ROM and strengthening is recommended. Sport-specific exercises are performed.

For persons with more severe strains, early stretching sometimes has been noted to aggravate the injury. A gentle progression through isometric, isotonic, and isokinetic exercises are initiated, and the patient should be noted to be pain-free before advancing to sport-specific drills