case_images: PMC11221341_01
case_images: Pre-operative coronal short tau inversion recovery (STIR) magnetic resonance image reveals in (A) marrow edema within the right parasymphyseal pubis (solid arrow) and a central fluid cleft along the articular disc of the pubic symphysis (open arrow), and in (B) a left anterosuperior acetabulum labral tear. Sagittal proton density fat-suppressed sequence images demonstrate disc protrusions at L4/5 and L5/S1 (C) and increased signal along the insertion of the left rectus abdominis (D) when compared to the right (E).
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case_images: PMC11221341_01_ijspt_2024_19_7_120209_232890.jpg
case_images: attachment-232890
case_images: There was stripping of the common adductor/rectus abdominis aponeurosis from the anterior pubic body, right greater than left with mild articular cortical irregularity at the pubic symphysis (Figure 1).
case_images: Ultrasound-guided platelet-rich plasma (PRP) (A) Thickened and disrupted adductor tendon attachment to pubic tubercle (B) Initial trajectory of needle tip and injection of PRP.
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case_images: PMC11221341_01_ijspt_2024_19_7_120209_232891.jpg
case_images: attachment-232891
case_images: Subsequently, 5 ml of PRP was delivered through a 20-gauge needle. (Figure 2A ) Risks, including infection, bleeding, nerve damage, and pain at the injection site were thoroughly discussed with the patient.