{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,10]],"date-time":"2026-07-10T21:34:27Z","timestamp":1783719267628,"version":"3.55.0"},"reference-count":21,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2023,7,19]],"date-time":"2023-07-19T00:00:00Z","timestamp":1689724800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J of Clinical Ultrasound"],"published-print":{"date-parts":[[2023,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Adductor longus injuries are usually observed at the proximal musculo\u2010tendinous junction, but isolated tendinous ruptures (i.e., avulsion) at the origin on the pubic bone are uncommon. In this article, we report a new case of isolated adductor longus avulsion that occurred in a young athlete and was treated with conservative therapy. An 18\u2009years old semi\u2010professional football player, in the attempt to reach the ball with his right leg, reported acute pain and functional limitation in his left adductor area. Clinical examination showed tenderness on palpation associated with mild swelling. Manual strength testing of adductor muscles showed weakness and elicited moderate pain in the proximal groin region near the pubic bone. The diagnostic evaluations (ultrasound [3\u201314\u2009MHz linear probe] and magnetic resonance imaging [1.5 Tesla magnetic field]), performed a few days after the event, showed a complete isolated avulsion of the proximal adductor longus tendon associated with a fluid collection, with a gap of about 9.5\u2009mm from its insertion on the pubic bone. Degenerative alterations (sub\u2010chondral sclerosis, bone edema, erosions, cortical irregularities, calcifications) were found. These findings were crucial in the treatment choice because conservative management is suggested when the gap is below 1\u2009cm and when no important displacement of proximal torn tendon's end at dynamic ultrasound is appreciated. A structured rehabilitation protocol was implemented, allowing the player to come back to his full athletic activity after 146\u2009days. Return to play was allowed when several subjective and objective parameters were fully satisfied (full hip range of motion, pain\u2010free football\u2010specific activities, less than a 5%\u201310% difference in hip adduction strength between the injured and uninjured legs, advanced anatomical healing of the adductor longus tendon seen on diagnostic exams, and Hip And Groin Outcome Score [HAGOS] scores similar to baseline data). This case report emphasizes the importance of diagnostic imaging and clinical assessments in the management of an adductor longus avulsion with short retraction (about 1\u2009cm). Both imaging techniques are non\u2010invasive and without risks, allow contra\u2010lateral examination and may guide in the treatment choice; moreover, they significantly influence the post\u2010care approach by enabling to fine\u2010tune a safe return to full athletic activity with minor re\u2010injury rate. While US can be used as primary imaging modality, MRI offers a higher level of accuracy.<\/jats:p>","DOI":"10.1002\/jcu.23525","type":"journal-article","created":{"date-parts":[[2023,7,19]],"date-time":"2023-07-19T17:14:22Z","timestamp":1689786862000},"page":"1223-1230","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Isolated adductor longus avulsion in a young semi\u2010professional football player: Imaging contribution and therapeutic considerations"],"prefix":"10.1002","volume":"51","author":[{"given":"Michele","family":"Abate","sequence":"first","affiliation":[{"name":"IRCSS Ospedale San Raffaele  Milan Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Luigi","family":"Sammarchi","sequence":"additional","affiliation":[{"name":"Habilita SPA  Bergamo Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Roberto","family":"Cal\u00e0","sequence":"additional","affiliation":[{"name":"Perform Sport Medical Center  Bergamo Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Giacomo","family":"Milesi","sequence":"additional","affiliation":[{"name":"Perform Sport Medical Center  Bergamo Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carmine Stefano","family":"Poerio","sequence":"additional","affiliation":[{"name":"Inter\u2010departmental Centre of Biology and Sport Medicine University of Pavia  Pavia Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Riccardo","family":"Del Vescovo","sequence":"additional","affiliation":[{"name":"Villa Stuart Clinic, FIFA Medical Centre of Excellence  Rome 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