Abstract：
UNASSIGNED: While injuries to the abdominal oblique muscles near their origin at the lower ribs are commonly seen in sports that require explosive trunk rotational movements such as baseball and tennis, there are few reports in the literature of avulsion injuries to these muscles from their distal attachments at the iliac crest. We present the case of two collegiate male hockey players who suffered such injuries as a result of a direct impact mechanism while rotated at the waist. These injuries should be suspected when patients have significant pain in the lower abdominal region worsened by flexion and rotation of the trunk and can be accurately characterized by musculoskeletal ultrasound or MRI. With a conservative rehabilitation program focused on core, hip adductor, and hip flexor strengthening, our athletes were able to return to game participation within 6 wk of the initial injury.
摘要：
■虽然在棒球和网球等需要爆炸性躯干旋转运动的运动中，腹部斜肌在下肋骨附近的损伤很常见，在文献中，很少有关于这些肌肉从其远端附着物处撕脱伤的报道。我们介绍了两名大学男子曲棍球运动员的情况，他们在腰部旋转时因直接撞击机制而遭受了这种伤害。当患者下腹部区域因躯干弯曲和旋转而严重疼痛时，应怀疑这些损伤，并且可以通过肌肉骨骼超声或MRI准确表征。有了一个专注于核心的保守康复计划，髋内收肌,和髋屈肌加强，我们的运动员能够在最初受伤后的6周内恢复比赛。
