title: Tenotomy of the adductor longus tendon in the treatment of chronic groin pain in athletes.
abstract: Eighteen tenotomies of the adductor longus tendon were performed in 16 consecutive male athletes (aged 20 to 42) as treatment for chronic groin pain. The criteria for surgery was a history of long-standing (range, 2.5 to 48 months) and distinct pain at the origin of the adductor longus muscle, refractory to conservative treatment. At followup 35 months (range, 4 to 84) after surgery, all patients were improved or free of symptoms. All but 1 of the athletes returned to the same sport within a mean of 6.6 weeks, and 12 of 16 returned to competitive sports within a mean of 14 weeks after surgery. A majority of the patients (10 of 16) returned to full athletic activity, whereas 5 of 16 performed at a reduced level. One patient discontinued his sports activity due to other causes. In conclusion, when conservative treatment fails, tenotomy of the adductor longus tendon gives good long-term functional results in the treatment of chronic groin pain that is localized at the origin of the adductor longus muscle. A decreased muscle strength was observed in this study and did not seem to influence participation in sports.
authors.affiliation: Stockholm Sports Medicine Center, Sweden.
authors.forename: C
authors.initials: C
authors.lastname: Akermark
authors.forename: C
authors.initials: C
authors.lastname: Johansson
mesh_terms: D000328:Adult; D001265:Athletic Injuries / Q000601:surgery*; D002908:Chronic Disease; D012090:Cumulative Trauma Disorders / Q000601:surgery*; D005500:Follow-Up Studies; D006119:Groin / Q000293:injuries* / Q000601:surgery; D006801:Humans; D008297:Male; D009132:Muscles / Q000293:injuries* / Q000601:surgery; D010146:Pain / Q000209:etiology / Q000601:surgery*; D011183:Postoperative Complications / Q000209:etiology; D012421:Rupture; D013536:Suture Techniques; D013708:Tendon Injuries / Q000601:surgery*; D013710:Tendons / Q000601:surgery*