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What Are Muscle Tendon Injuries of the Pelvis?

Muscle tendon injuries of the pelvis involve damage to the tendons and muscles that attach around the pelvic region. These injuries are especially common in athletes but can affect anyone due to overuse, poor mechanics, or trauma. They may range from mild strains to full-thickness tears, often causing pain, instability, and limited movement in the hip and groin area.

Types of Muscle Tendon Injuries of the Pelvis

Several key muscles and tendons around the pelvis are susceptible to injury. The most commonly affected include:

  • Hip Flexor Strains (Iliopsoas or Rectus Femoris): Caused by forceful kicking or sprinting
  • Adductor Injuries: Groin injuries common in soccer, hockey, and football
  • Hamstring Origin Injuries: Affect the upper hamstring where it attaches to the pelvis, often due to sprinting
  • Gluteal Tendinopathy: Pain over the outer hip, often due to overuse or poor biomechanics
  • Rectus Abdominis or Sports Hernia: A strain near the pubic bone from twisting or explosive movements

Each type varies in severity and treatment needs, so accurate diagnosis is crucial.

Causes of Muscle Tendon Injuries of the Pelvis

These injuries can be caused by a variety of factors, including:

  • Sudden explosive movements such as sprinting or jumping
  • Repetitive overuse during long training sessions or competitive sports
  • Improper warm-ups or lack of flexibility
  • Direct trauma to the pelvis or hip
  • Muscle imbalances or poor posture placing uneven stress on tissues

What Are the Symptoms of Muscle Tendon Injuries of the Pelvis?

Common symptoms to watch for include:

  • Localized pain in the groin, hip, or buttocks
  • Swelling or bruising at the injury site
  • Weakness or tightness in the hip or leg
  • Pain during movement, especially running, kicking, or changing direction
  • Decreased range of motion in the hip or pelvis

How Are Muscle Tendon Injuries of the Pelvis Diagnosed?

A physical exam, along with imaging such as MRI or ultrasound, helps determine the type and severity of the injury. Functional tests may also assess strength and range of motion.

What Are the Treatment Options for Muscle Tendon Injuries of the Pelvis?

Treatment may include:

  • Rest and modified activity
  • Physical therapy for strength and flexibility
  • Anti-inflammatory medications
  • Surgery for complete tears or chronic, non-healing injuries
  • American Orthopaedic Society for Sports Medicine
  • Arthroscopy Association of North America
  • International Society for Hip Arthroscopy
  • American Academy of Orthopaedic Surgeons
  • Ambra Health
  • NHLPA