Clinical trial NCT04453592: Adductor Longus Tenotomy & the BKFO Test
Official title: The Effect of an Adductor Longus Tenotomy on the Bent Knee Fall Out Test
Study type: OBSERVATIONAL
Overall status: COMPLETED
Conditions: Adductor Tendinitis
Lead sponsor: Aspetar
Sponsor class: OTHER
Collaborators: name: Clinique du sport
First posted: 2020-07-01
Enrollment: 60
Sex: MALE
Minimum age (years): 18
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Observational model: CASE_ONLY
Time perspective: PROSPECTIVE
Sampling method: NON_PROBABILITY_SAMPLE
Study population: Athletes with groin pain are consecutively recruited from two clinics of a visceral surgeon specialized in groin pain in athletes. The clinics are located in Bordeaux and Paris, France, and patient population includes athletes from all over France.

Brief summary: The bent knee fall out test (BKFO) is a common test for hip adductor flexibility. It is unknown whether the BKFO actually tests the the adductors or potentially hip range of motion instead.

In this study, the BKFO test is performed in the operating theater before and after an adductor longus tenotomy.

Detailed description: Adductor-related groin pain is the most common type of groin pain in athletes, and pain at the proximal adductor longus insertion is a key finding in the diagnosis of longstanding groin pain. "Tightness" or "shortening" of the adductor longus is considered both a cause and effect of pain, that can lead to increased tension at the proximal insertion, thus playing a role in the persistence of longstanding adductor-related pain. For patients who do not respond sufficiently to non-surgical procedures, an adductor longus tenotomy is a surgical option that is considered to reduce tension at the proximal adductor longus insertion assisting in reduction of pain and return to sport.

The bent knee fall out test (BKFO) is one of the most commonly used tests to test adductor flexibility. This test involves a combined hip movement with hip flexion, abduction, and external rotation, and a high result is generally considered to be related to adductor muscle "tightness", specifically that of the adductor longus. It is uncertain whether the BKFO test is actually measuring adductor muscle flexibility or hip joint range of motion, as the test results may also be affected by a femoral head cam morphology. A slightly different test, called the Patrick FABER's test, involves a similar movement and is mainly used as a hip joint pain provocation test.

By cutting the adductor longus tendon, thereby removing the effect of potential adductor longus "tightness", it will be possible to show if and how much the flexibility of this muscle affects the BKFO test results. This will assist in future considerations of what this test is actually testing.

The aim of this study is to investigate the immediate effect of an adductor longus tenotomy on the results of the bent knee fall out test.

Eligibility criteria: Inclusion Criteria:

* adults (\>18 years old)
* athletes (recreational or elite)
* clinical diagnosis of adductor-related groin pain
* patients undergoing unilateral or bilateral adductor longus tenotomy by one general surgeon.

Exclusion Criteria:

* No specific exclusion criteria were present other than refusal to participate in the study.

Primary outcomes:
measure: Change in the Bent Knee Fall Out Test
timeFrame: Baseline pre-surgery and immediately after the surgery.
Secondary outcomes:
Other outcomes:
Locations:
city: Merignac
country: France
facility: Clinique du sport Bordeaux - Mérignac
Study officials:
References: