Diagnostic Musculoskeletal Ultrasound in the Evaluation of Adductor Longus Injuries: Implications for Rehabilitation Providers

Adductor longus injuries represent a significant clinical challenge in sports medicine and rehabilitation, given their impact on athletic performance and risk for recurrence. Diagnostic musculoskeletal ultrasound (MSK-US) provides a dynamic, cost-effective, and radiation-free modality for evaluating adductor pathology, including tendinopathy, partial tears, and complete ruptures. This article reviews the role of MSK-US in the assessment of adductor longus injuries, emphasizing sonographic anatomy, diagnostic accuracy, and clinical utility. Special attention is given to the integration of ultrasound findings into rehabilitation decision-making, including early injury characterization, monitoring tissue healing, and guiding safe return-to-sport progression. For rehabilitation providers, proficiency in the use and interpretation of MSK-US enhances diagnostic precision and supports a more personalized, evidence-informed rehabilitation approach. Clinical Implications: Competency in MSK-US evaluation of the adductor longus enables rehabilitation professionals to contribute meaningfully to early diagnosis, injury grading, and interdisciplinary care decisions.