Best Practice Case Studies-Acute Adductor Injuries

Pdf Summary

This prospective cohort study examines return-to-sport (RTS) outcomes and reinjury rates for male athletes following criteria-based rehabilitation of acute adductor injuries. Conducted at Aspetar Orthopaedic and Sports Medicine Hospital in Qatar, the study included 81 athletes classified into four MRI injury grades: 0 (no injury), 1 (edema), 2 (structural disruption), and 3 (complete tear/avulsion). The primary aim was to evaluate the time required for athletes to reach various RTS milestones and to assess the frequency of reinjuries.<br /><br />Participants underwent a standardized rehabilitation program with specific milestones: (1) being clinically pain-free, (2) completing controlled sports training, and (3) returning to full team training. Athletes' progress was tracked through each phase, with subsequent injuries documented over a year-long follow-up.<br /><br />The results showed that 75% of athletes reached the first milestone, 62% completed the second, and 93% returned to full team training. Athletes with MRI grade 0-2 injuries typically became pain-free in about two weeks and returned to training within three weeks. However, those with grade 3 injuries took approximately 55 days to become pain-free and 78 days to resume full training. The overall 1-year reinjury rate was reported at 8%, with significant differences in reinjury occurrence depending on whether athletes achieved the first milestone.<br /><br />The study concludes that criteria-based protocols for rehabilitation can reduce reinjury rates, especially when athletes meet clinically pain-free criteria before returning to sport. The RTS duration showed that athletes, particularly those with less severe injuries, benefited from the standardized rehabilitation approach, allowing a return to sport within three weeks for most participants. The study underlines the importance of specific RTS criteria in managing acute adductor injuries effectively.

Meta Tag

Edition 2nd Edition

Related Case 2nd Edition, CASE 53

Topic Thigh

Keywords

2nd Edition, CASE 53

2nd Edition

Thigh

return-to-sport

reinjury rates

adductor injuries

criteria-based rehabilitation

MRI injury grades

Aspetar Orthopaedic

standardized rehabilitation

clinically pain-free

sports training milestones

acute injuries management