Adductor longus and brevis lesion in an amateur soccer player: platelet rich plasma and multifractioned hyaluronic acid injections to enhance clinical recovery

J Sports Med Phys Fitness. 2023 Dec;63(12):1331-1336. doi: 10.23736/S0022-4707.23.14938-3. Epub 2023 Jul 24.

Abstract

Groin pain is a common issue in athletes, with a particularly high incidence in male soccer players. Adductor muscles are the most involved site of the groin, accounting for up to one-fourth of muscle injuries of that region. Physical therapy and rehabilitation programs for adductor-related groin pain using active exercises are effective in getting athletes back to sport. However, the return-to-play time varies according to the injury severity. Minor lesions can recover in 1-2 weeks, while severer injuries require 8-12 weeks. To enhance tendon healing and shorten the return to play time, intrandentinous injections of Platelet Rich Plasma (PRP) have been proposed. An increasing body of evidence in literature have shown efficacy of platelet rich plasma in aiding the healing process in tendinopathies. Similarly, more recent evidences have proven hyaluronic (HA) acid to have anti-inflammatory, proliferative, repairing, and analgesic effects. This case report presents the clinical application of combined PRP and a multifractioned (a mixture of different molecular weights) HA in a 24-year-old athlete suffering from a hip adductor rupture.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Athletes
  • Athletic Injuries* / therapy
  • Groin / injuries
  • Humans
  • Hyaluronic Acid
  • Male
  • Pain
  • Platelet-Rich Plasma*
  • Soccer* / physiology
  • Young Adult

Substances

  • Hyaluronic Acid