McNeilan Ryan J, Rose Michael, Mei-Dan Omer, Genuario James
Steadman Hawkins Clinic-Denver, Greenwood Village, Colorado, U.S.A.
Department of Orthopedic Surgery, University of Colorado, Aurora, Colorado, U.S.A.
Arthrosc Tech. 2018 Dec 24;8(1):e75-e80. doi: 10.1016/j.eats.2018.09.003. eCollection 2019 Jan.
Hip adduction is accomplished through coordinated effort of the adductor magnus, brevis, and longus and the obturator externus and pectineus muscles. Each of these muscles may be injured at its proximal or distal insertion or in its midsubstance. The incidence of injuries to the adductor complex is difficult to determine in sport because of players' underreporting and playing through minor strains. The most commonly injured adductor muscle is the adductor longus muscle. The injury most frequently occurs at the proximal or distal musculotendinous junction, but several case reports of origin and insertional ruptures of the adductor longus exist in the literature. Successful outcomes have been obtained with both operative and nonoperative approaches in these cases. Reports of isolated proximal avulsion of the adductor magnus are less common. This article describes our surgical technique for management of a rare acute proximal adductor magnus avulsion.
髋关节内收是通过大收肌、短收肌、长收肌、闭孔外肌和耻骨肌的协同作用来完成的。这些肌肉中的每一块都可能在其近端或远端附着点或肌腹中部受伤。由于运动员对轻微拉伤的漏报和继续比赛，运动中内收肌复合体损伤的发生率难以确定。最常受伤的内收肌是长收肌。损伤最常发生在近端或远端的肌腱结合处，但文献中有几例关于长收肌起点和止点撕裂的病例报告。在这些病例中，手术和非手术方法都取得了成功的结果。孤立的大收肌近端撕脱的报告较少见。本文描述了我们处理罕见的急性大收肌近端撕脱的手术技术。
