MUSCULOSKELETAL IMAGING

Shoulder 19

Overview

ADDUCTOR INJURY As stress around the pubic symphysis progresses tears can develop in the anteroinferior margins of the pubic plate In the past these have been referred to as secondary clefts Occasionally they extend laterally to undercut the common adductor tendon attachment

Enthesopathy may develop at the common adductor attachment with traction changes in the underlying bone These are frequently asymptomatic Myotendinous junction tears can also occur more distally in the complex Tears are also reported in the obturator externis, adductor brevis and gracilis muscles