Gözübüyük Ömer B, Moen Maarten H, Akman Mehmet, Ipseftel Ioakim, Karakuzu Agah
Sports Medicine Department, Istanbul Faculty of Medicine, Istanbul University, Istanbul, Turkey.
Medipol Başakşehir Football Club, Istanbul, Turkey.
J Back Musculoskelet Rehabil. 2018;31(3):583-587. doi: 10.3233/BMR-170857.
Treatment of total ruptures of adductor longus is challenging in professional sports. Time for return to pre-injury level as well as re-injury rates are of concern and surgical and conservative treatment approaches are debated; yet no consensus approach described for professional athletes. We present a case of a professional soccer player who experienced a rupture in his left adductor longus proximal tendon during a game and was treated conservatively. This case was followed-up during clinical assessment, imaging and strength testing until and after return to play. Primary outcome measure was the return to standard play condition at his pre-injury level without any functional deficits, measured by isokinetic testing. Second outcome measure was the recurrence. No recurrence was observed during the first year of follow-up. Total ruptures are very challenging for both the physician and the player to make a quick decision due to minimal or lack of pain. Functional outcomes are almost identical although operative treatments need longer time to return to play. This case report adds another example to the literature of a successful return to play after non-operative treatment of adductor longus rupture at elite level soccer.
在职业体育中，内收长肌完全断裂的治疗具有挑战性。恢复到受伤前水平的时间以及再次受伤率备受关注，手术和保守治疗方法存在争议；然而，尚未有针对职业运动员的共识性治疗方法被描述。我们报告一例职业足球运动员的病例，该运动员在一场比赛中左内收长肌近端肌腱断裂，并接受了保守治疗。在临床评估、影像学检查和力量测试期间对该病例进行了随访，直至其重返赛场及之后。主要结局指标是通过等速测试测量，在无任何功能缺陷的情况下恢复到受伤前水平的标准比赛状态。次要结局指标是复发情况。在随访的第一年未观察到复发。由于疼痛轻微或无疼痛，完全断裂对于医生和运动员来说都很难快速做出决策。尽管手术治疗需要更长时间才能重返赛场，但功能结局几乎相同。本病例报告为精英水平足球运动员内收长肌断裂非手术治疗后成功重返赛场的文献增添了又一个实例。
