title: Effectiveness of a selective partial adductor release for chronic adductor-related groin pain in professional athletes.
abstract: BACKGROUND
  Chronic adductor enthesopathy is a well-known cause of groin pain in athletes. Currently, percutaneous nonselective adductor tenotomies give mixed results and not always predictable outcomes.
  
  
  OBJECTIVE
  A selective partial adductor longus release as treatment for recalcitrant chronic adductor longus enthesopathy provides excellent pain relief with a prompt and consistent return to preinjury levels of sport.
  
  
  METHODS
  Case series; Level of evidence, 4.
  
  
  METHODS
  All athletes were assessed in a standard way for adductor dysfunction. They received radiographs and a specifically designed magnetic resonance imaging groin study protocol. Only professional athletes who received a selective partial adductor release were included. Pain and functional improvement were assessed with the visual analog scale (VAS) pain score and time to return to sport.
  
  
  RESULTS
  Forty-three professional athletes (39 soccer and 4 rugby) with chronic adductor-related groin pain were treated with a selective partial adductor release. The average follow-up time was 40.2 months (range, 25-72 months). Forty-two of 43 athletes returned to their preinjury level of sport after an average of  9.21 weeks (range, 4-24 weeks; SD, 4.68 weeks). The preoperative VAS score improved significantly (Wilcoxon signed-rank test, P < .001) from 5.76 ± 1.08 (range, 3-8) to 0.23 ± 0.61 (range, 0-3) postoperatively.
  
  
  CONCLUSIONS
  A selective partial adductor longus release provides excellent pain relief for chronic adductor enthesopathy in professional athletes with a consistent high rate of return to the preinjury level of sport.
authors: The London Hip Arthroscopy Centre, The Wellington Hospital, Wellington Place, London, UK. e.schilders@btopenworld.com
authors: Ernest
authors: E
authors: Schilders
authors: Alexandra
authors: A
authors: Dimitrakopoulou
authors: Michael
authors: M
authors: Cooke
authors: Quamar
authors: Q
authors: Bismil
authors: Carlton
authors: C
authors: Cooke
mesh_terms: D000293:Adolescent; D000328:Adult; D056352:Athletes; D001265:Athletic Injuries / Q000601:surgery*; D006119:Groin; D006801:Humans; D010146:Pain / Q000601:surgery*; D010147:Pain Measurement; D011446:Prospective Studies; D020127:Recovery of Function; D052256:Tendinopathy / Q000175:diagnosis / Q000601:surgery*; D013710:Tendons / Q000601:surgery*; D058971:Tenotomy / Q000379:methods*; D055815:Young Adult