Sections View Full Chapter Figures Tables Videos Annotate Full Chapter Figures Tables Videos Supplementary Content ++ Groin (adductor) strain ++ 843 Sprains and strains of hip and thigh843.8 Sprain of other specified sites of hip and thigh843.9 Sprain of unspecified site of hip and thigh ++ S73.109A Unspecified sprain of unspecified hip, initial encounterS73.199A Other sprain of unspecified hip, initial encounter S76.919A Strain of unspecified muscles, fascia and tendons at thigh level, unspecified thigh, initial encounter ++ 4E: Impaired Joint Mobility, Motor Function, Muscle Performance, and Range of Motion Associated With Localized Inflammation1 +++ Description ++ Tear or rupture of the adductor musclesPectineusAdductor BrevisAdductor LongusAdductor MagnusGracilisAthletes often feel a pop in the muscleCondition may result in abnormal stress to the pubic bone, pubic tubercle, or pubic symphysisPubalgia-osteitis pubis: a collective term referring to disorders that cause chronic pubic painSymptoms from increased mechanical stress in pubic region due to abnormalities or stress from osseous, ligamentous, or muscular structures +++ Essentials of Diagnosis ++ Diagnosed primarily through signs and symptoms, exclusion of other pathologies typical to the regionBall or roll of fibers on palpationGrade 1: minor stretch or tear of < 10% of fibersGrade 2: 10 to 90% of fibers tornGrade 3: full tear, ruptureCan result from chronic, repetitive stress/exertion during sports (kicking, sprinting, or twisting at high speeds)May be acute tear with sudden movement of hip abductionDifferential diagnosis for other orthopedic (pubic, spine) or medical (intra-abdominal pathology, hernia) pathologies that warrant more immediate intervention is essential +++ General Considerations ++ Pubalgia-osteitis pubis: a collective term referring to disorders that cause chronic pubic painCaused by repeated trauma from activities that over-stress the pubic bone or tendons, causing shearing of the pubic symphysis Diagnosis often made through exclusion of other pathologies Full history, medical screening, and differential examination of pelvic/lower abdominal ensure appropriate diagnosisTreatment based on severity, duration of symptoms, associated pathology, physician preference +++ Demographics ++ Common in participants of exertional sports.Often a result of slip and fall +++ Signs and Symptoms ++ Pain from kicking, running, sprinting, squatsTenderness over the muscle bellyPossible tenderness over proximal insertions of the adductor tendons or insertion of the rectus abdominusPossible pain and limited ROM with passive hip flexion or abductionPossible weakness of lower abdominals or any components of hip musculature +++ Functional Limitations ++ Pain/limitation with runningPain/limitation between sitting and rising from chairPain/limitation with getting up from floorPain/limitation with rising from supine positions +++ Possible Contributing Causes ++ Muscle imbalanceForceful trauma or slipping of leg into abductionLimited ROM in hipIncreased tone or shortening of iliopsoas, rectus abdominus, or hip adductors Participation in exertional sports (i.e., ... Your Access profile is currently affiliated with [InstitutionA] and is in the process of switching affiliations to [InstitutionB]. Please select how you would like to proceed. Keep the current affiliation with [InstitutionA] and continue with the Access profile sign in process Switch affiliation to [InstitutionB] and continue with the Access profile sign in process Get Free Access Through Your Institution Learn how to see if your library subscribes to McGraw Hill Medical products. Subscribe: Institutional or Individual Sign In Error: Incorrect UserName or Password Username Error: Please enter User Name Password Error: Please enter Password Sign in Forgot Password? Forgot Username? Sign in via OpenAthens Sign in via Shibboleth You already have access! Please proceed to your institution's subscription. Create a free profile for additional features.