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Open Adductor Tenotomy

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Hip Preservation Surgery

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Abstract

Chronic tendinopathy of the adductor muscles/tendons, especially of the adductor longus, is the most frequently diagnosed cause of groin pain. Early diagnosis avoids loss of time from competition and chronic degenerative changes. This condition is common in young athletes, typically in soccer, and is usually related to excessive abuse of adductors with strains and acute inflammation. From an acute syndrome, tendinopathy can evolve to a chronic condition and progressive groin pain. A complete physical examination with evaluation of mobility and point of tenderness is required. Ultrasonography is indicated as the first imaging modality followed by a MRI if doubts still exist. Therapy varies from a conservative to surgical treatment.

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Author information

Authors and Affiliations

  1. Department of Musculoskeletal Disorders, School of Medicine and Surgery, University of Salerno, Salerno, Italy

    C. Aletto & N. Maffulli

  2. Queen Mary University of London, Barts and the London School of Medicine and Dentistry, Centre for Sports and Exercise Medicine, Mile End Hospital, London, UK

    N. Maffulli

Authors
  1. C. Aletto
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  2. N. Maffulli
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Correspondence to N. Maffulli .

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Editors and Affiliations

  1. Hip and Sports Medicine Unit, Lyon Ortho Clinic, Clinique de la Sauvegarde, Lyon, France

    Nicolas Bonin

  2. Hip Department (CAD), Gaetano Pini - CTO Orthopedic Institute, University of Milan, Milan, Italy

    Filippo Randelli

  3. Young Adult Hip Service, Addenbrooke’s - Cambridge University Hospital, Cambridge, UK

    Vikas Khanduja

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Aletto, C., Maffulli, N. (2020). Open Adductor Tenotomy. In: Bonin, N., Randelli, F., Khanduja, V. (eds) Hip Preservation Surgery . Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-61186-9_24

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  • DOI: https://doi.org/10.1007/978-3-662-61186-9_24

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