Verletzung des M. obturatorius internus – eine seltene Differenzialdiagnose beim Fußballspieler

Zusammenfassung

Hintergrund: Läsionen/Irritationen des Musculus obturatorius internus (MOI) sind selten, verschiedene Differenzialdiagnosen sind möglich.

Patient: Der Artikel beschreibt den Casus einer Verletzung des MOI bei einem Vertragsfußballer.

Ergebnis: Die schmerzhafte Innenrotation im Hüftgelenk war bei der klinischen Untersuchung richtungsweisend, das MRT das bildgebende Verfahren der Wahl, mittels Bewegungsanalyse konnte eine funktionelle Fehlstellung detektiert werden.

Schlussfolgerung: Die funktionelle Behandlung sowie der orthopädietechnische Ausgleich eventueller Deformitäten sind für eine schnelle Rekonvaleszenz notwendig.

Abstract

Background: Lesions/irritations of the obturator internus muscle (OIM) are rare, several differential diagnoses are possible.

Patient: This paper describes the case of an OIM injury in a professional football player.

Results: On clinical examination, painful internal rotation of the hip joint was an indication for a lesion/irritation of the OIM. MRI was the procedure of choice for imaging. Movement analysis served to detect a functional malposition.

Conclusion: A short recovery time requires functional treatment as well as the use of orthopaedic aids to correct possible deformities.

Schlüsselwörter

Musculus obturatorius internus - Biomechanik - Pathomechanik - Verletzung - Schaden

Key words

obturator internus muscle - biomechanics - pathomechanics - injury - overuse injury

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