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MINERVA ORTOPEDICA E TRAUMATOLOGICA
A Journal on Orthopedics and Traumatology
Minerva Ortopedica e Traumatologica 1999 February;50(1):35-8
Description of a case of suprapubic rupture of the rectus abdominis muscle in a football player
Prete F., Mariani G.
The authors report a myotendinous lesion caused by an indirect trauma to the left rectus abdominis muscle in a professional football player. They provide a short analysis of the biomechanical involvement of muscles in the abdominal wall during football. This case is regarded as relatively rare owing to the context of occurrence, the onset of painful symptoms at the start of pre-championship training, and the subtle clinical symptoms resembling pubalgia in a brevilineal athlete with a tendency to lumbar lordosis. In fact, these individuals show constant hypertone of the abdominal muscles, resulting in the complete forward flexion of the trunk owing to the hypovalidity of the iliopsoas muscle. The authors emphasise that a technical athletic gesture, like heading the football with a frontal impact, in disharmony and with considerable delay, may be responsible for this muscular lesion. It is therefore suggested that all traumatologists and athletic trainers monitoring this sector should carry out an ultrasonographic examination of the suprapubic region in all anomalous recto-adductor syndromes caused by seasonal onset and work burden, occurring in morphotypes similar to the case reported by the authors.