Affiliations: [a] Sports Medicine Department, Istanbul Faculty of Medicine, Istanbul University, Istanbul, Turkey | [b] Bergman Clinics, The Sportsphysician Group, Onze Lieve Vrouwe Gasthuis West, Amsterdam Sports Medicine Department, Naarden, The Netherlands | [c] Medipol Başakşehir Football Club, Istanbul, Turkey | [d] Biomedical Engineering Institute, Boğaziçi University, Istanbul, Turkey
Correspondence:
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Corresponding author: Ömer Batın Gözübüyük, Sports Medicine Department, Istanbul Faculty of Medicine, Istanbul University, Istanbul, Turkey. Tel.: +90 5415429688; E-mail: omer.batin@gmail.com.
Abstract: Treatment of total ruptures of adductor longus is challenging in professional sports. Time for return to pre-injury level as well as re-injury rates are of concern and surgical and conservative treatment approaches are debated; yet no consensus approach described for professional athletes. We present a case of a professional soccer player who experienced a rupture in his left adductor longus proximal tendon during a game and was treated conservatively. This case was followed-up during clinical assessment, imaging and strength testing until and after return to play. Primary outcome measure was the return to standard play condition at his pre-injury level without any functional deficits, measured by isokinetic testing. Second outcome measure was the recurrence. No recurrence was observed during the first year of follow-up. Total ruptures are very challenging for both the physician and the player to make a quick decision due to minimal or lack of pain. Functional outcomes are almost identical although operative treatments need longer time to return to play. This case report adds another example to the literature of a successful return to play after non-operative treatment of adductor longus rupture at elite level soccer.
Keywords: Total rupture, soccer, return to play, groin pain, platelet rich plasma
