Alexa De la Fuente Hagopian, Samantha Cervantes Valadez, Lauren Abigail Hoffpauir, Matthew Nungesser, Joshua Harris, Anthony Echo
{"title":"完全性长内收肌撕裂的异位骨化：相关因素和手术结果的回顾性分析。","authors":"Alexa De la Fuente Hagopian, Samantha Cervantes Valadez, Lauren Abigail Hoffpauir, Matthew Nungesser, Joshua Harris, Anthony Echo","doi":"10.1007/s10029-026-03764-x","DOIUrl":null,"url":null,"abstract":"<p><strong>Purpose: </strong>Heterotopic ossification (HO) is a rare but recognized complication of adductor longus tears, and the factors that predispose patients to its development are not well characterized. The purpose of this study was to identify factors associated with the development of HO following adductor longus tears and to describe outcomes after surgical management.</p><p><strong>Methods: </strong>A retrospective review was conducted of 132 patients surgically treated for adductor longus tears by a single surgeon between January 2016 and January 2025. Patients were classified by tear severity (partial versus complete) and by symptom chronicity (acute versus chronic, using a six-month cutoff). HO was identified on MRI or CT. All patients had failed prior conservative management and underwent surgical excision, with pain and range of motion assessed at six months postoperatively.</p><p><strong>Results: </strong>Of the 132 patients, 87 had partial tears and 45 had complete tears. HO was identified in 10 of 45 patients (22%) with complete tears and in none of the 87 patients with partial tears. Among patients with HO, 60% had acute injuries and 40% had chronic injuries. Surgical excision led to significant improvement in pain and range of motion at six months in all patients.</p><p><strong>Conclusion: </strong>HO following adductor longus injury occurred exclusively in complete avulsions, regardless of injury chronicity, and surgical excision was associated with substantial functional recovery.</p>","PeriodicalId":13168,"journal":{"name":"Hernia","volume":"30 1","pages":""},"PeriodicalIF":2.7000,"publicationDate":"2026-07-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Heterotopic Ossification in Complete Adductor Longus Tears: A Retrospective Analysis of Associated Factors and Surgical Outcomes.\",\"authors\":\"Alexa De la Fuente Hagopian, Samantha Cervantes Valadez, Lauren Abigail Hoffpauir, Matthew Nungesser, Joshua Harris, Anthony Echo\",\"doi\":\"10.1007/s10029-026-03764-x\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Purpose: </strong>Heterotopic ossification (HO) is a rare but recognized complication of adductor longus tears, and the factors that predispose patients to its development are not well characterized. The purpose of this study was to identify factors associated with the development of HO following adductor longus tears and to describe outcomes after surgical management.</p><p><strong>Methods: </strong>A retrospective review was conducted of 132 patients surgically treated for adductor longus tears by a single surgeon between January 2016 and January 2025. Patients were classified by tear severity (partial versus complete) and by symptom chronicity (acute versus chronic, using a six-month cutoff). HO was identified on MRI or CT. All patients had failed prior conservative management and underwent surgical excision, with pain and range of motion assessed at six months postoperatively.</p><p><strong>Results: </strong>Of the 132 patients, 87 had partial tears and 45 had complete tears. HO was identified in 10 of 45 patients (22%) with complete tears and in none of the 87 patients with partial tears. Among patients with HO, 60% had acute injuries and 40% had chronic injuries. Surgical excision led to significant improvement in pain and range of motion at six months in all patients.</p><p><strong>Conclusion: </strong>HO following adductor longus injury occurred exclusively in complete avulsions, regardless of injury chronicity, and surgical excision was associated with substantial functional recovery.</p>\",\"PeriodicalId\":13168,\"journal\":{\"name\":\"Hernia\",\"volume\":\"30 1\",\"pages\":\"\"},\"PeriodicalIF\":2.7000,\"publicationDate\":\"2026-07-14\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Hernia\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1007/s10029-026-03764-x\",\"RegionNum\":2,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"SURGERY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Hernia","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1007/s10029-026-03764-x","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"SURGERY","Score":null,"Total":0}
Heterotopic Ossification in Complete Adductor Longus Tears: A Retrospective Analysis of Associated Factors and Surgical Outcomes.
Purpose: Heterotopic ossification (HO) is a rare but recognized complication of adductor longus tears, and the factors that predispose patients to its development are not well characterized. The purpose of this study was to identify factors associated with the development of HO following adductor longus tears and to describe outcomes after surgical management.
Methods: A retrospective review was conducted of 132 patients surgically treated for adductor longus tears by a single surgeon between January 2016 and January 2025. Patients were classified by tear severity (partial versus complete) and by symptom chronicity (acute versus chronic, using a six-month cutoff). HO was identified on MRI or CT. All patients had failed prior conservative management and underwent surgical excision, with pain and range of motion assessed at six months postoperatively.
Results: Of the 132 patients, 87 had partial tears and 45 had complete tears. HO was identified in 10 of 45 patients (22%) with complete tears and in none of the 87 patients with partial tears. Among patients with HO, 60% had acute injuries and 40% had chronic injuries. Surgical excision led to significant improvement in pain and range of motion at six months in all patients.
Conclusion: HO following adductor longus injury occurred exclusively in complete avulsions, regardless of injury chronicity, and surgical excision was associated with substantial functional recovery.
期刊介绍：
Hernia was founded in 1997 by Jean P. Chevrel with the purpose of promoting clinical studies and basic research as they apply to groin hernias and the abdominal wall . Since that time, a true revolution in the field of hernia studies has transformed the field from a ”simple” disease to one that is very specialized. While the majority of surgeries for primary inguinal and abdominal wall hernia are performed in hospitals worldwide, complex situations such as multi recurrences, complications, abdominal wall reconstructions and others are being studied and treated in specialist centers. As a result, major institutions and societies are creating specific parameters and criteria to better address the complexities of hernia surgery.
Hernia is a journal written by surgeons who have made abdominal wall surgery their specific field of interest, but we will consider publishing content from any surgeon who wishes to improve the science of this field. The Journal aims to ensure that hernia surgery is safer and easier for surgeons as well as patients, and provides a forum to all surgeons in the exchange of new ideas, results, and important research that is the basis of professional activity.
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