Malaga Football Club Medical Services, Malaga, Spain.
Malaga Football Club Medical Services, Malaga, Spain; Department of Physical Therapy, University of Malaga, Faculty of Health Sciences, Malaga, Spain.
Phys Ther Sport. 2020 Nov;46:7-13. doi: 10.1016/j.ptsp.2020.07.007. Epub 2020 Aug 9.
This case report illustrates an unusual cause of hip adductor muscle injury due to overenthusiastic self-treatment of the previously overloaded adductor muscles. Also, post-injury therapeutic objectives and intervention to facilitate rapid participation in sports after the described process are provided.
A 27-year old male, professional soccer player presented with hip adductors pain and impairment due to electromechanical self-treatment of the affected area. He was evaluated using hip-strength assessments, self-report, ultrasonography (US), and magnetic resonance imaging (MRI) until complete functional recovery had occurred. Along with clinical presentation, diagnostic imaging showed evidence of an isolated injury to the adductor longus muscle. A well-structured rehabilitation and readaptation program was followed in order to ensure early recovery and optimal functional outcome.
The athlete was able to participate in a full soccer training session without any limitation 18 days after his self-treatment session. The patient returned to his previous level of performance by 3rd week post-injury.
To the authors' knowledge, this is the first report of muscle strain due to overenthusiasthic therapy. Although this is a rare complication of self-treatment procedures, patients and therapists should be aware of this risk in order to prevent and rapidly identify the lesion.
本病例报告阐述了一种由于过度热衷于治疗先前超负荷的内收肌而导致髋内收肌损伤的不常见原因。此外，还提供了受伤后的治疗目标和干预措施，以促进在描述的过程后快速参与运动。
一名 27 岁男性，职业足球运动员，因对受影响区域的电疗自我治疗而出现髋内收肌疼痛和功能障碍。对他进行了髋关节力量评估、自我报告、超声（US）和磁共振成像（MRI）评估，直到完全恢复功能。除了临床表现外，诊断影像学显示内收长肌有孤立性损伤的证据。为了确保早期康复和最佳功能结果，遵循了一个结构良好的康复和重新适应计划。
运动员在自我治疗后 18 天就能够参加完整的足球训练而不受任何限制。受伤后第 3 周，患者恢复到之前的运动水平。
据作者所知，这是首例由于过度治疗而导致肌肉拉伤的报告。尽管这是自我治疗过程中的一种罕见并发症，但患者和治疗师应该意识到这种风险，以便预防和快速识别损伤。
