Tenotomy of the adductor longus tendon in the treatment of chronic groin pain in athletes

Am J Sports Med. Nov-Dec 1992;20(6):640-3. doi: 10.1177/036354659202000604.

Abstract

Eighteen tenotomies of the adductor longus tendon were performed in 16 consecutive male athletes (aged 20 to 42) as treatment for chronic groin pain. The criteria for surgery was a history of long-standing (range, 2.5 to 48 months) and distinct pain at the origin of the adductor longus muscle, refractory to conservative treatment. At followup 35 months (range, 4 to 84) after surgery, all patients were improved or free of symptoms. All but 1 of the athletes returned to the same sport within a mean of 6.6 weeks, and 12 of 16 returned to competitive sports within a mean of 14 weeks after surgery. A majority of the patients (10 of 16) returned to full athletic activity, whereas 5 of 16 performed at a reduced level. One patient discontinued his sports activity due to other causes. In conclusion, when conservative treatment fails, tenotomy of the adductor longus tendon gives good long-term functional results in the treatment of chronic groin pain that is localized at the origin of the adductor longus muscle. A decreased muscle strength was observed in this study and did not seem to influence participation in sports.

MeSH terms

  • Adult
  • Athletic Injuries / surgery*
  • Chronic Disease
  • Cumulative Trauma Disorders / surgery*
  • Follow-Up Studies
  • Groin / injuries*
  • Groin / surgery
  • Humans
  • Male
  • Muscles / injuries*
  • Muscles / surgery
  • Pain / etiology
  • Pain / surgery*
  • Postoperative Complications / etiology
  • Rupture
  • Suture Techniques
  • Tendon Injuries / surgery*
  • Tendons / surgery*