Adductor Related

Question 1

Subjective

Answer 1

Acute or Chronic
Acute:
-non-contact
-COD, kicking, reaching, jumping

• well localised
  
  • crossover sign - sign of progression
• ache - progressing to pain
• loss of acceleration/deceleration/sharp turn
• reduced sprint and COD speed
• pain on dead ball kicking
• warm up helpful initially
• stiff and sore after activity
• this gets progressively closer to the activity
• eventually impacts on activity

Chronic progressive: able to train and
play initially, eventually impacts on function

Question 2

Location of pain

Answer 2

Medial

Often unilateral esp. initially

Question 3

Palpation

Answer 3

Adductor longus
Pectineus
Gracilis
-Maximal tenderness at adductor tendon insertion (on the pubic bone inferior to pubic tubercle)
-Trigger points along adductor longus

Question 4

Resist

Answer 4

Squeeze test w/ 0 degrees hip flexion
Squeeze test w/ 45 degrees hip and 90 degrees knee flexion
Outer-range adduction
-Pain w/resisted adduction (squeeze test)
-Cross-over sign (imaging)

Question 5

Stretch

Answer 5

Passive Adductor stretch
FABER test
-Pain on adductor stretch

Question 6

Measure

Answer 6

• bent knee fallout test and

- side lying hip abduction

Question 7

Who is it common in

Answer 7

Most common clinical entity in acute and chronic hip
and groin injuries
● Sports with kicking, changes of direction
● Males>female