AI Article Synopsis
- The pre-pubic aponeurotic complex (PPAC) is a fibrous structure in the pelvis that can be injured during certain movements, particularly in athletes.
- A case study of a 23-year-old decathlete showed successful treatment of a PPAC lesion using ultrasound-guided botulinum toxin and platelet-rich plasma therapies, leading to complete recovery.
- Follow-up after three years indicated the athlete returned to full activity without pain, suggesting this combined treatment might be a promising option for PPAC injuries.
Article Abstract
Introduction: The pre-pubic aponeurotic complex (PPAC) is a fibrous capsule which lines the anterior of the pubic symphysis. The PPAC may be injured during pelvic torsional movements and single-stance maneuvers.
Case Report: This case report describes a PPAC lesion in a 23-year-old professional male athlete specializing in decathlon on a national level. The lesion was treated with US-guided infiltration therapy with botulinum toxin (BTX) and platelet-rich plasma therapy (PRPt) to the longus adductor (LA) and rectus abdominis (RA) muscles. The magnetic resonance imaging control performed at 24 weeks after BTX infiltration and PRPt showed a total restitution ad integrum of the lesion area. At a 3-year follow-up, the subject no longer complained of pain and was restored to his pre-injury level of sport.
Conclusion: The distention of LA and RA obtained by BTX infiltration coupled with PRPt allowed PPAC to heal. The BTX infiltrative therapy coupled with PRPt may represent a new and promising treatment for PPAC lesions.
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Source |
|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11458203 | PMC |
| http://dx.doi.org/10.13107/jocr.2024.v14.i10.4812 | DOI Listing |
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