Skip to Main Content

++

CONDITION/DISORDER SYNONYM

++

  • Groin (adductor) strain

++

ICD-9-CM CODES

++

  • 843 Sprains and strains of hip and thigh

  • 843.8 Sprain of other specified sites of hip and thigh

  • 843.9 Sprain of unspecified site of hip and thigh

++

ICD-10-CM CODES

++

  • S73.109A Unspecified sprain of unspecified hip, initial encounter

  • S73.199A Other sprain of unspecified hip, initial encounter

  • S76.919A Strain of unspecified muscles, fascia and tendons at thigh level, unspecified thigh, initial encounter

++

PREFERRED PRACTICE PATTERN

++

  • 4E: Impaired Joint Mobility, Motor Function, Muscle Performance, and Range of Motion Associated with Localized Inflammation1

++

PATIENT PRESENTATION

A 65-year-old physically active and otherwise healthy female (5’7 in, 160 lb) slipped on ice while exiting the passenger side of a car. She described the scenario such that as she attempted to leave the vehicle and stood on her right leg, her foot slipped out beneath her. Although she grabbed onto the door for support and did not fall, she reported feeling a “pulling” sensation and immediate pain over her right inner thigh. She reported to the clinic for assessment—4 days postinjury. She states her inner thigh became “bruised” (black-and-blue) over the past 2 days and the pain has caused difficulty sleeping and performing activities of daily living. As she entered the clinic, she had a slight limp, with shortened stance time noted during right limb ambulation. Her chief complaint is pain. She presented with palpable pain and muscular defect over the mid-muscle belly of her adductor magnus. Active range of motion for hip flexion and extension is within normal limits (WNL), but she reports pain with hip adduction, abduction, and internal/external rotation. Passive ROM elicits pain during hip abduction and external rotation. She has 5/5 strength with hip flexion, extension, external rotation, and abduction; and 4/5 with hip adduction and internal rotation.

++

KEY FEATURES

++
Description
++

  • Partial or complete tearing of the adductor muscles

    • Pectineus

    • Adductor brevis

    • Adductor longus

    • Adductor magnus

    • Gracilis

  • May report feeling a pop/pulling sensation in the muscle

  • Condition may result in abnormal stress to the pubic bone, pubic tubercle, or pubic symphysis

  • Pubalgia–osteitis pubis: A collective term referring to disorders that cause chronic pubic pain

  • Symptoms from increased mechanical stress in pubic region due to abnormalities or stress from osseous, ligamentous, or muscular structures

++
FIGURE 184-1

Adductor muscle strain/rupture is heralded in this patient by the degree of ecchymosis present. (From Simon RR, Sherman SC. Emergency Orthopedics. 6th ed. http://www.accessemergencymedicine.com. Copyright © The McGraw-Hill Companies, Inc. All rights reserved.)

Graphic Jump Location
++
Essentials of Diagnosis
++

  • Diagnosed primarily through signs and symptoms, exclusion of other pathologies typical to the region

  • Defect of muscle fibers likely on palpation

  • Grade 1: Minor stretch or tear ...

Want remote access to your institution's subscription?

Sign in to your MyAccess profile while you are actively authenticated on this site via your institution (you will be able to verify this by looking at the top right corner of the screen - if you see your institution's name, you are authenticated). Once logged in to your MyAccess profile, you will be able to access your institution's subscription for 90 days from any location. You must be logged in while authenticated at least once every 90 days to maintain this remote access.

Ok

About MyAccess

If your institution subscribes to this resource, and you don't have a MyAccess profile, please contact your library's reference desk for information on how to gain access to this resource from off-campus.

Subscription Options

AccessPhysiotherapy Full Site: One-Year Subscription

Connect to the full suite of AccessPhysiotherapy content and resources including interactive NPTE review, more than 500 videos, Anatomy & Physiology Revealed, 20+ leading textbooks, and more.

$595 USD
Buy Now

Pay Per View: Timed Access to all of AccessPhysiotherapy

24 Hour Subscription $34.95

Buy Now

48 Hour Subscription $54.95

Buy Now

Pop-up div Successfully Displayed

This div only appears when the trigger link is hovered over. Otherwise it is hidden from view.