Iliopsoas Grade 2 Myotendinous Junction Injury in an Elite Football Player: Return to Play Process

Authors

Keywords:

Athletic Injuries/rehabilitation, Pain, Psoas Muscles/injuries, Soccer, Sports Medicine, Return to Sport

Abstract

Groin pain is a common injury in professional footbal and widely acknowledged as a complex medical issue. Iliopsoas pathology stands as the second‐most common cause of athletic groin injury, yet iliopsoas traumatic muscle injuries are infrequent and inadequately documented in the literature. This case report outlines a grade 2 myotendinous junction injury of the iliopsoas in a football player competing in the Portuguese First League, combining an early rehabilitation protocol with ultrasound‐guided hematoma evacuation and LP‐PRP injection, enabling return to play 23 days after injury with no reported re‐injury over a period exceeding 12 months.

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References

Musahl V, Karlsson J, Krutsch W, Mandelbaum BR, Espregueira‐Mendes J, d’Hooghe P. Return to Play in Football: An Evidence‐based Approach. Berlin: Springer; 2018. doi:10.1007/978‐3‐662‐55713‐6.

Martins F, França C, Marques A, Iglésias B, Sarmento H, Henriques R, et al. Sports Injuries of a Portuguese Professional Football Team during Three Consecutive Seasons. Int J Environ Res Public Health. 2022;19:12582. doi: 10.3390/ijerph191912582.

López‐Valenciano A, Ruiz‐Pérez I, Garcia‐Gómez A, Vera‐Garcia FJ, De Ste Croix M, Myer GD, et al. Epidemiology of injuries in professional football: a systematic review and meta‐analysis. Br J Sports Med. 2020;54:711‐8. doi: 10.1136/bjsports‐2018‐099577.

Ekstrand J. Keeping your top players on the pitch: the key to football medicine at a professional level. Br J Sports Med. 2013;47:723‐4.

Ekstrand J, Krutsch W, Spreco A, van Zoest W, Roberts C, Meyer T, et al. Time before return to play for the most common injuries in professional football: a 16‐year follow‐up of the UEFA Elite Club Injury Study. Br J Sports Med. 2020;54:421‐6. doi: 10.1136/bjsports‐2019‐100666.

Weir A, Brukner P, Delahunt E, Ekstrand J, Griffin D, Khan KM, et al. Doha agreement meeting on terminology and definitions in groin pain in athletes. Br J Sports Med. 2015;49:768‐74. doi: 10.1136/bjsports‐ ‐2015‐094869.

Tsukada S, Niga S, Nihei T, Imamura S, Saito M, Hatanaka J. Iliopsoas Disorder in Athletes with Groin Pain: Prevalence in 638 Consecutive Patients Assessed with MRI and Clinical Results in 134 Patients with Signal Intensity Changes in the Iliopsoas. JB JS Open Access. 2018 Mar 12;3:e0049. doi: 10.2106/JBJS.OA.17.00049.

Eberbach H, Fürst‐Meroth D, Kloos F, Leible M, Bohsung V, Bode L, et al. Long‐standing pubic‐related groin pain in professional academy soccer players: a prospective cohort study on possible risk factors, rehabilitation and return to play. BMC Musculoskelet Disord. 2021;22:958. doi: 10.1186/s12891‐021‐04837‐x.

Lundgårdh F, Svensson K, Alricsson M. Epidemiology of hip and groin injuries in Swedish male first football league. Knee Surg Sports Traumatol Arthrosc. 2020;28:1325‐32. doi: 10.1007/s00167‐019‐05470‐ ‐x.

Mosler AB, Weir A, Eirale C, Farooq A, Thorborg K, Whiteley RJ, et al. Epidemiology of time loss groin injuries in a men’s professional football league: a 2‐year prospective study of 17 clubs and 606 players. Br J Sports Med. 2018;52:292‐7. doi: 10.1136/bjsports‐2016‐097277.

Lifshitz L, Bar Sela S, Gal N, Martin R, Fleitman Klar M. Iliopsoas the Hidden Muscle: Anatomy, Diagnosis, and Treatment. Curr Sports Med Rep. 2020;19:235‐43. doi: 10.1249/JSR.0000000000000723.

Blankenbaker DG, Tuite MJ. Iliopsoas musculotendinous unit. Semin Musculoskelet Radiol. 2008;12:13‐27. doi: 10.1055/s‐ ‐2008‐1067934.

Balius R, Pedret C, Blasi M, Miguel M, Vallejo B, Margalet E, et al. Sonographic evaluation of the distal iliopsoas tendon using a new approach. J Ultrasound Med. 2014;33:2021‐30. doi: 10.7863/ul‐ tra.33.11.2021.

Roger B, Guermazi A, Skaf A. Muscle Injuries in Sport Athletes: Clinical Essentials and Imaging Findings. Berlin:(Springer International Publishin,; 201). doi:10.1007/978‐3‐319‐43344‐8.

Ejnisman L, Andrade‐Silva FB, Pontin PA, Ottoni JJ, Magliocca GD, Safran MR. Nonoperative Treatment of Psoas Tendon Avulsion in a Professional Athlete: A Case Report and Evidence Based Review. JBJS Case Connect. 2020;10:e0490. doi: 10.2106/JBJS.CC.18.00490.

Ander, &, Vital, K. Rare case of hip pain due to iliopsoas tendon rupture; a case report and review of the literature. J Rehabil Med Clin Commun. 2022;5:2541. doi: 10.2340/jrmcc.v5.2541

Moriarty CM, Baker RJ. A Pain in the Psoas. Sports Health. 2016;8:568‐72. doi: 10.1177/1941738116665112.

Isern‐Kebschull J, Pedret C, Mechó S, Pruna R, Alomar X, Yanguas X, et al. MRI findings prior to return to play as predictors of reinjury in professional athletes: a novel decision‐making tool. Insights Imaging. 2022;13:203. doi: 10.1186/s13244‐022‐01341‐1.

Bisciotti GN, Volpi P, Alberti G, Aprato A, Artina M, Auci A, et al. Italian consensus statement (2020) on return to play after lower limb muscle injury in football (soccer). BMJ Open Sport Exerc Med. 2019;5:e000505. doi: 10.1136/bmjsem‐2018‐000505.

Iriarte I, Pedret C, Balius R, Cerezal L. Ultrasound of the Musculoskeletal System: Anatomical exploration and pathology.Madrid: Berri; 2021

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Published

2024-01-21

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Section

Case Report

How to Cite

Iliopsoas Grade 2 Myotendinous Junction Injury in an Elite Football Player: Return to Play Process. (2024). Orthopaedic SPOT, 1(1), 38-43. https://orthopaedicspot.com/index.php/journal/article/view/8

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