Adductor muscle strains in sport
by
Nicholas SJ, Tyler TF.
—
last modified
2009-10-09 15:16
Sports Med. 2002;32(5):339-44.
An in-season adductor muscle strain may be debilitating for the athlete.
Furthermore, an adductor strain that is treated improperly could become chronic
and career threatening. Any one of the six muscles of the adductor group could be
involved. The degree of injury can range from a minor strain (Grade I), where
minimal playing time is lost, to a severe strain (Grade III) in which there is
complete loss of muscle function. Ice hockey and soccer players seem particularly
susceptible to adductor muscle strains. In professional ice hockey players
throughout the world, approximately 10% of all injuries are groin strains. These
injuries, which have been linked to hip muscle weakness, previous injuries to
that area, preseason practice sessions and level of experience, may be
preventable if such risk factors can be addressed before each season.
Hip-strengthening exercises were shown to be an effective method of reducing the
incidence of adductor strains in one closely followed National Hockey League ice
hockey team. Despite the identification of risk factors and strengthening
intervention for ice hockey players, adductor strains continue to occur
throughout sport. Clinicians feel an active training programme, along with
completely restoring the strength of the adductor muscle group, is the key to
successful rehabilitation. Surgical intervention is available if nonoperative
treatment fails for 6 months or longer. Adductor release and tenotomy was
reported to have limited success in athletes.