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Prepubic aponeurotic complex injuries: a structured narrative review.

Andrea Bisciotti¹, Gian N Bisciotti^2,3, Cristiano Eirale³

¹IRCCS Humanitas Research Hospital, Rozzano, Milan, Italy.

The Journal of Sports Medicine and Physical Fitness

|August 31, 2022

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This summary is machine-generated.

The prepubic aponeurotic complex (PPAC) is a key anatomical structure. Understanding its anatomy, imaging, and treatment is crucial for differentiating PPAC injuries from adductor longus injuries.

Area of Science:

Anatomy
Radiology
Sports Medicine

Background:

The prepubic aponeurotic complex (PPAC) is an anatomical structure crucial for pelvic stability.
Its complex composition can lead to diagnostic challenges, often mimicking adductor longus tendon injuries.

Purpose of the Study:

To provide a comprehensive review of the prepubic aponeurotic complex (PPAC).
To elucidate the anatomy, clinical presentation, imaging characteristics, and treatment options for PPAC injuries.

Main Methods:

A systematic literature search was conducted across major databases (PubMed/MEDLINE, Scopus, ISI, EXCERPTA).
Inclusion of original articles, case series, and review articles without language or publication date restrictions.

Main Results:

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The PPAC is formed by the confluence of multiple muscles, ligaments, and periosteum.
PPAC injuries present clinically similar to adductor longus injuries, necessitating advanced imaging like MRI for differentiation.
Typical MRI findings aid in distinguishing PPAC injuries from other conditions.

Conclusions:

Accurate diagnosis of PPAC injuries relies on understanding its anatomy and characteristic MRI findings.
Treatment for PPAC injuries can be conservative (medical therapies) or surgical.
This review offers valuable insights for clinicians managing PPAC-related conditions.