Adductor Strain Workup

  • Author: Marlon P Rimando, MD, CSCS; Chief Editor: Consuelo T Lorenzo, MD   more...
 
Updated: Jan 17, 2012
 

Approach Considerations

Radiographs should be taken with the patient standing on one leg. Radiographs are used to evaluate for osteitis pubis with extrusion of the fibrocartilaginous disk and degeneration of adjacent bony margins.

Ultrasonograms may indicate abnormal findings, such as sonolucent areas and tendon fiber discontinuity that can be indicative of injury to the following 3 sites: (1) the tendon insertion, (2) the tendon itself, and (3) the musculotendinous junction. Ultrasonography can be used to evaluate a mass. CT scanning and MRI can be used to evaluate for complete and partial adductor muscle tears.[9]

Technetium-99m (99m Tc) scanning has been shown to assist the physician in the diagnosis of osteitis pubis.[10]

Urinalysis should be considered only if a genitourinary cause is suggested.

Proceed to Treatment & Management
 
 
Contributor Information and Disclosures
Author

Marlon P Rimando, MD, CSCS  Assistant Clinical Professor, Department of Medicine, University of Hawaii, John A Burns School of Medicine; Founder, Pacific Health and Fitness Consultants

Marlon P Rimando, MD, CSCS is a member of the following medical societies: National Strength and Conditioning Association

Disclosure: Nothing to disclose.

Coauthor(s)

Bruce B Fry, DO  Director, Division of Physical Medicine and Rehabilitation, Knoxville Orthopedic Clinic, St Mary's Hospital

Bruce B Fry, DO is a member of the following medical societies: American Academy of Pain Medicine, American Academy of Physical Medicine and Rehabilitation, American Society of Interventional Pain Physicians, International Spine Intervention Society, and North American Spine Society

Disclosure: Nothing to disclose.

Robert Brunner, MD  Assistant Professor, Department of Physical Medicine and Rehabilitation, University of Alabama at Birmingham School of Medicine

Robert Brunner, MD is a member of the following medical societies: American Academy of Physical Medicine and Rehabilitation, American Medical Association, Physiatric Association of Spine, Sports and Occupational Rehabilitation, and Southern Medical Association

Disclosure: Nothing to disclose.

Chief Editor

Consuelo T Lorenzo, MD  Physiatrist, Department of Physical Medicine and Rehabilitation, Alegent Health Immanuel Rehabilitation Center

Consuelo T Lorenzo, MD is a member of the following medical societies: American Academy of Physical Medicine and Rehabilitation

Disclosure: Nothing to disclose.

Additional Contributors

Michael T Andary, MD, MS Professor, Residency Program Director, Department of Physical Medicine and Rehabilitation, Michigan State University College of Osteopathic Medicine

Michael T Andary, MD, MS is a member of the following medical societies: American Academy of Physical Medicine and Rehabilitation, American Association of Neuromuscular and Electrodiagnostic Medicine, American Medical Association, and Association of Academic Physiatrists

Disclosure: allergan Honoraria Speaking and teaching; Pfizer Honoraria Speaking and teaching

Martin K Childers, DO, PhD Associate Professor, Department of Neurology, Wake Forest University Health Services

Martin K Childers, DO, PhD is a member of the following medical societies: American Academy of Physical Medicine and Rehabilitation, American Congress of Rehabilitation Medicine, American Osteopathic Association, Christian Medical & Dental Society, and Federation of American Societies for Experimental Biology

Disclosure: Allergan pharma Consulting fee Consulting

Francisco Talavera, PharmD, PhD, Adjunct Assistant Professor, University of Nebraska Medical Center College of Pharmacy; Editor-in-Chief, Medscape Drug Reference

Disclosure: Medscape Reference Salary Employment

References

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Lateral lunge.
Lateral lunges.
Lateral lunges.
Lateral lunges.
Lateral lunges.
X lunges. Starting position.
X lunges.
X lunges. Back to the starting position.
X lunges.
Hip flexor stretch.
Hip flexor stretch, isolation of the rectus femoris.
Elastic bandage applied to give pain relief from an adductor strain.
 
 
 
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