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首页> 外文期刊>Orthopaedic Journal of Sports Medicine >Proximal Adductor Avulsion Injuries: Outcomes of Surgical Reattachment in Athletes
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Proximal Adductor Avulsion Injuries: Outcomes of Surgical Reattachment in Athletes

机译：近端内收肌撕脱性损伤：运动员手术复位的结果。

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Background: Sports-related groin injuries are common among athletes. However, traumatic proximal adductor avulsion injuries are relatively rare groin injuries in the athletic population, with limited case reports describing suture anchor repair. Purpose: To report on the outcomes of surgical reattachment of proximal adductor avulsion injuries in athletes utilizing a suture anchor repair technique. Study Design: Case series; Level of evidence, 4. Methods: Prospective data were collected on patients undergoing surgical reattachment of proximal adductor avulsion injuries from December 2012 to May 2015 by a single surgeon. Six athletes presented after a traumatic sports-related injury with disabling groin pain, adductor weakness, and magnetic resonance imaging confirmation of fibrocartilage avulsion of the proximal adductor with retraction. Patient-reported outcomes (Hip Outcome Score–Activities of Daily Living [HOS-ADL] and Hip Outcome Score–Sport Specific [SS] subscales, modified Harris Hip Score [mHHS], and visual analog scale [VAS] for pain) were collected preoperatively and at a minimum 2-year follow-up. Results: The latest follow-up of each patient averaged 33.4 months postoperatively (range, 25-42.5 months). All patients returned to sporting activities, with 1 minor wound complication that resolved. Paired-samples t tests indicated that the mean latest postoperative scores for all patients were significantly better than their mean preoperative scores (HOS-ADL: 99.0 vs 43.2, HOS-SS: 98.9 vs 8.3, and mHHS: 97.1 vs 44.6, respectively; P < .001 for all). Similarly, there was a significant improvement in mean postoperative VAS scores for all patients (from 89.2 to 2.2; P < .001). Conclusion: Patient-reported outcomes offer an objective measure of hip function and pain control. Surgical reattachment utilizing a multiple suture anchor technique is a successful procedure that allows for a safe return to athletic performance and a predictable return to sport.
机译：背景：与体育有关的腹股沟受伤在运动员中很常见。然而，创伤性近端内收肌撕脱伤在运动人群中是相对罕见的腹股沟损伤，仅有少数病例报告描述了缝合锚钉修复。目的：报告利用缝合锚钉修复技术对运动员近端内收肌撕脱伤进行外科手术再植的结果。研究设计：案例系列;证据等级，4。方法：从2012年12月至2015年5月，由一名外科医生对近端内收肌撕脱伤进行外科手术复位的患者收集了前瞻性数据。六名运动员在与运动有关的创伤性损伤后表现为腹股沟疼痛，内收肌无力，磁共振成像证实近端内收肌纤维软骨撕脱并撤回。收集患者报告的结果（髋关节成绩评分–日常生活活动[HOS-ADL]和髋关节成绩评分–运动特定[SS]量表，改良的Harris髋关节评分[mHHS]和视觉模拟量表[VAS]）术前且至少随访2年。结果：每例患者的最新随访平均术后33.4个月（范围25-42.5个月）。所有患者恢复了体育活动，其中1例轻微伤口并发症得以解决。配对样本t检验表明，所有患者的最新平均术后评分均显着优于其术前平均评分（HOS-ADL：99.0 vs 43.2; HOS-SS：98.9 vs 8.3; mHHS：97.1 vs 44.6; P <.001）。同样，所有患者的术后平均VAS评分也有显着改善（从89.2降低到2.2; P <.001）。结论：患者报告的结局可客观评估髋关节功能和疼痛。利用多缝合锚固技术进行的外科手术再附着是一种成功的手术方法，可以安全地恢复运动成绩并以可预测的方式恢复运动。

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