Obturator externus rupture

Case
A 26-year old female professional football player presents following an acute injury sustained during a training session with her national team. She reported feeling a sudden pain in her right groin after a controlled slide movement. Physical examination demonstrated a normal, but painful, range of motion in all directions. There was no pain on muscular testing except resisted external rotation. Modest tenderness was noted on the ischial tuberosity.

Findings
An x-ray was conducted to assess for a bony injury (and was normal). An MRI conducted the day following the injury showed increased signal within the obturator externus muscle with a complete rupture of the muscle. A diagnosis of a grade III distal obturator externus musculotendinous injury was made.

Discussion
This player improved quickly with supportive treatment (rehabilitation). They were able to return to play (without pain) within 2 weeks.

Obturator externus muscle injuries are rarely reported. Despite the impressive MRI findings it has been our experience (with professional players) that these players typically have a rapid return to football. This generally occurs within 10 to 20 days. Chronical pain is very rare and may be due to secondary ossification.

The true incidence of this type of injury is unknown. Given that most players appear to have a rapid return to play MRI scan are generally not ordered (as healing occurs so quickly).

Important notice
FIFA does not bear any responsibility for the accuracy and completeness of any information provided in the “Radiology Review” features and cannot be held liable with regard to the information provided or any acts or omissions occurring on the basis of this information.

3
Comment

avatar
1 Comment threads
0 Thread replies
0 Followers
 
Most reacted comment
Hottest comment thread
1 Comment authors
Bangoura Recent comment authors
  Subscribe  
newest oldest most voted
Notify of
Bangoura
Guest

Les lésions des adducteurs doivent être prises au sérieux. Après une radio pour éliminer toutes lesions osseuses on envisage une echographie pour un éventuel amant sanguin.
L IRM pour approfondir les investigations.
Dans le cas précis de cette jeune femme qui souffre d une rupture TotaleMUSCULO TENDINEUSE de l obturateur externe à mon avis le traitement devrait être chirurgicale pour une meilleure cicatrisation.
Une déchirure MUSCULAIRE peut être soignée medicalement