{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T14:43:36Z","timestamp":1787755416942,"version":"build-2784847793"},"reference-count":8,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"2","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"<jats:sec>\n                    <jats:title>Case:<\/jats:title>\n                    <jats:p>In this case report, we discuss a skeletally immature gymnast who presented with an isolated distal femoral adductor tubercle avulsion fracture that went on to develop a painful nonunion. After the failure of extensive nonoperative intervention, she had resolution of her symptoms with bony excision and soft-tissue repair.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>It is important for clinicians to be aware of this atypical injury pattern and that surgical intervention may be necessary because conservative treatment may not always resolve symptoms.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.2106\/jbjs.cc.22.00003","type":"journal-article","created":{"date-parts":[[2022,9,13]],"date-time":"2022-09-13T15:03:29Z","timestamp":1663081409000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Distal Adductor Magnus Avulsion Fracture Treated with Excision After Failure of Nonoperative Management"],"prefix":"10.2106","volume":"12","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4004-0237","authenticated-orcid":false,"given":"Morgan G.","family":"Batley","sequence":"first","affiliation":[{"name":"Department of Orthopaedics, The Children's Hospital of Philadelphia, Pennsylvania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7038-7544","authenticated-orcid":false,"given":"Katherine","family":"Ashe","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, The Children's Hospital of Philadelphia, Pennsylvania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7202-2896","authenticated-orcid":false,"given":"Matthew T.","family":"Senese","sequence":"additional","affiliation":[{"name":"Department of Physical Therapy, The Children's Hospital of Philadelphia, Pennsylvania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matthew F.","family":"Grady","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, The Children's Hospital of Philadelphia, Pennsylvania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6247-4146","authenticated-orcid":false,"given":"Brendan A.","family":"Williams","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, The Children's Hospital of Philadelphia, Pennsylvania"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2022,4]]},"reference":[{"issue":"9","key":"bib1-20240805","doi-asserted-by":"crossref","first-page":"e1442","DOI":"10.3928\/01477447-20120822-37","article-title":"Adductor insertion avulsion syndrome mimicking neoplastic processes in a 14-year-old long-distance runner","volume":"35","author":"Nishio","year":"2012","journal-title":"Orthopedics."},{"issue":"7","key":"bib2-20240805","doi-asserted-by":"crossref","first-page":"1394","DOI":"10.1177\/0363546509332501","article-title":"Success of nonoperative management of adductor longus tendon ruptures in National Football League athletes","volume":"37","author":"Schlegel","year":"2009","journal-title":"Am J Sports Med."},{"issue":"7","key":"bib3-20240805","doi-asserted-by":"crossref","first-page":"2325967118784898","DOI":"10.1177\/2325967118784898","article-title":"Proximal adductor avulsion injuries: outcomes of surgical reattachment in athletes","volume":"6","author":"Bharam","year":"2018","journal-title":"Orthop J Sports Med."},{"issue":"3","key":"bib4-20240805","doi-asserted-by":"crossref","first-page":"673","DOI":"10.2214\/ajr.177.3.1770673","article-title":"Adductor insertion avulsion syndrome (thigh splints): spectrum of MR imaging features","volume":"177","author":"Anderson","year":"2001","journal-title":"AJR Am J Roentgenol."},{"key":"bib5-20240805","first-page":"B104","article-title":"Adductor insertion avulsion syndrome with stress fracture of femoral shaft: MRI findings","volume":"51 Spec No.","author":"Lawande","year":"2007","journal-title":"Australas Radiol."},{"issue":"4","key":"bib6-20240805","doi-asserted-by":"crossref","first-page":"507","DOI":"10.4103\/ijri.IJRI_523_19","article-title":"Isolated distal adductor magnus tendon avulsion as a rare cause of medial knee pain. A case report","volume":"30","author":"Iqbal","year":"2020","journal-title":"Indian J Radiol Imaging."},{"issue":"12","key":"bib7-20240805","first-page":"1835","article-title":"Bone scanning in the adductor insertion avulsion syndrome (\u201cthigh splints\u201d)","volume":"28","author":"Charkes","year":"1987","journal-title":"J Nucl Med."},{"issue":"5","key":"bib8-20240805","doi-asserted-by":"crossref","first-page":"437","DOI":"10.1177\/1941738115598747","article-title":"Sport specialization, part I: does early sports specialization increase negative outcomes and reduce the opportunity for success in young athletes?","volume":"7","author":"Myer","year":"2015","journal-title":"Sports Health."}],"container-title":["JBJS Case Connector"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.2106\/JBJS.CC.22.00003","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T13:42:46Z","timestamp":1787751766000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.2106\/JBJS.CC.22.00003"}},"subtitle":["A Case Report"],"short-title":[],"issued":{"date-parts":[[2022,4]]},"references-count":8,"journal-issue":{"issue":"2","published-online":{"date-parts":[[2022]]}},"URL":"https:\/\/doi.org\/10.2106\/jbjs.cc.22.00003","relation":{},"ISSN":["2160-3251"],"issn-type":[{"value":"2160-3251","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,4]]}}}