(510) 793-2404
Your Guide to Understanding Sports Hernias and the
 Medical Treatment of
 Sports Hernias
by William Brown, MD
Advanced Medical Treatment for Sports Related Hernias

Adductor Tenotomy

ABSTRACT

This study evaluates the efficacy of adductor longus tenotomy in athletes with chronic tendinopathy refractory to conservative management. In a retrospective case series we report our experience with 109 male athletes who underwent unilateral adductor tenotomy during the period 2000 – 2005, all of whom responded to a detailed questionnaire. The criterion for tenotomy was chronic adductor origin pain which prevented training or playing (Level 4), limited training or playing (Level 3), or affected performance (Level 2) and which had failed to respond to conservative management including rest, rehabilitation and/or local steroid injection. Level 1 performance is classified as optimal performance with no pain. 99 of the 109 patients (91 % ) reported improvement. Best results were achieved in patients with maximum discomfort preoperatively (Level 4) with 32 of 38 (84 % ) patients returning to Level 1 performance. In conclusion, adductor tenotomy in athletes with severely incapacitating pain (Level 3 / 4) which fails to respond to conservative management offers the best opportunity of returning to competitive sport.

Download the complete study on Adductor Tenotomy here.

William Brown, MD
Sports Hernia Specialist

Dr. Brown has been performing sports hernia surgeries and providing specialized rehabilitation programs since 1999.

His clients include the San Jose Sharks, San Jose Sabercats and the San Jose Earthquakes sports teams as well as athletes from the NFL, AFL, NBA, NBL and the United States Soccer League. Athletes from all over the United States as well as from 15 foreign countries have sought out Dr. Brown's expertise.

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