Abstracts from the third European Higher of Sports and Exercise Physicians (ECOSEP) conference on 25–27 April 2022

PROXIMAL SARTORIUS TENDON RUPTURE As A CAUSE OF TRAUMATIC ANTERIOR HIP PAIN-A Case REPORT OF A Professional FOOTBALLER

Loading

  1. Bhavesh Kumarone,2,
  2. Dinesh Sirisena2,3,
  3. Mike Rayner2
  1. 1 University College Hospital, London, United Kingdom
  2. ii AFC Wimbledon, London, United Kingdom
  3. 3 Charing Cross Hospital, London, United Kingdom

Abstract

Background Sartorius injuries are seldom mentioned in medical literature. Thus developing an evidence-based management plan for sartorius muscle and tendon injuries tin be challenging. In this instance a grade 3 tear of the proximal sartorius tendon was identified in a player following a loftier-velocity contact injury to the pelvis during a professional match.

Methods The athlete was able to continue playing for a further xxx minutes following the injury, but ultimately increasing hurting and restriction in hip movements forced him to limp off. Examination revealed localised swelling, bruising and tenderness at the site of contact to the left anterior-superior iliac spine (ASIS), and painful muscle contraction. This was managed to proficient event as a presumed muscle contusion, simply with recurrence of symptoms, further swelling, bruising and limping by half fourth dimension in the subsequent match one calendar week later on. The presumed contusion was thought to have deteriorated forming a suspected 10cm muscle haematoma. The merits of blind and sonography-guided aspiration were considered, and the latter pick was chosen.

Results Ultrasonography revealed soft tissue oedema and injury to the proximal sartorius tendon, and aspiration was therefore not attempted. A subsequent MRI scan demonstrated a grade iii sartorius tendon tear at its insertion to the ASIS with 3cm separation. With no specific guidance available in the medical literature, consensus of stance was to continue with conservative management. Rehabilitation methods were modified according to the new findings.

Given importance of this role player in the team and the adjacent match being a loving cup terminal a week afterward, a pragmatic approach was taken to allowing him to play; he played finer for one hour earlier he showed signs of limping.

He went on to have iii, weekly Prolotherapy injections into the site of the tear in order to facilitate healing in the off-flavour. Progressive rehabilitation of his thigh resulted in return to uninhibited play within six weeks.

Discussion/ Conclusions

  • ▸ The history and physical examination findings, too equally initial good response to conservative treatment of a presumed uncomplicated contusion provided our medical team false assurance and a modest delay in the diagnosis of this rare injury.

  • ▸ Attaining the exact diagnosis allowed a more hands-on and bespoke rehabilitation program, too as informed conclusion-making as to suitability to play in a crucial friction match.

  • ▸ The rarity of this injury and negligible functional deficit that results from a ruptured proximal sartorius tendon following good rehabilitation maybe accounts for the paucity of medical literature bachelor.

  • ▸ We enquire the audition to consider a sartorius tendon rupture in the differential diagnosis of acute anterior hip pain.

Discussion/ Conclusions

Statistics from Altmetric.com

Request Permissions

If yous wish to reuse any or all of this article please use the link below which will take you lot to the Copyright Clearance Center'south RightsLink service. You will exist able to go a quick price and instant permission to reuse the content in many dissimilar ways.

Copyright data: