Varane's injury that will prevent him from playing the semifinal against Chelsea

Raphael Varane, Real Madrid footballer, suffers a muscle injury in the abductor area of ​​the right lower limb, according to what the club's medical staff reported. This problem is added to that suffered by Dani Carvajal, so that coach Zinedine Zidane faces new challenges to complete the squad that Chelsea has to face this Wednesday.

The injury in question is somewhat nonspecific, so some clarification about this body area and its implication in football are worthwhile. This is so because, for sure, the abductor and adductor muscles of the lower limb are, in fact, a set of fibers that receive another nomenclature in anatomy.

The classic designation that describes them when it comes to a disorder associated with sports responds to the movements they exercise. As we will see below, Varane's muscle injury can be the cause of confusion between different clinical pictures.

What is abduction and adduction?

Saying that Varane has a muscle injury to a leg abductor is very generic. Actually, we do not know with certainty which portion of the musculoskeletal system has been affected.

In a colloquial way, the adductor and abductor muscles are those of the hip, that is, those that, antagonizing each other, are able to bring a lower limb closer to the midline of the body or move it away. These are complementary and opposite kinetics that footballers demand in their training sessions and in games.

On the one hand, adduction is the approach towards the midline. When an athlete has to bring his foot back towards the axis because he stretched it for some reason, then he is adducing.

Unlike, abduction is the removal of a part of the body from the imaginary central line that we can draw as an axis. A soccer player, then, abducts when he lifts his leg and stretches it to the side in a maneuver to reach the ball, for example.

In soccer there are abduction and adduction movements of the lower limb all the time, due to the mechanics of the game.

What muscles are involved?

It is logical, therefore, to imagine that there cannot be a single muscle responsible for making these complex movements. Which leads us to say that Varane's muscle injury is found in an area between one or more of the following muscle structures:

  • Gluteal muscles: There are 3 gluteal muscles and they are located in successive layers that overlap. They are the oldest, the middle and the youngest. The first is the most superficial and supports the body position. The second is a large hip abductor, allowing the thigh to move out of the midline. Finally, the gluteus minimus does the same as the middle, although with a much more discreet power.
  • Pyramidal: this muscle is a triangle and from there it derives its name. Joins the sacrum with the femur.
  • Tensor fascia lata: Small and with a more sophisticated name, its attachment to the fascia lata makes it an important part of the mechanism that links the hip to the knee, thus it is involved in movements that would seem distant from its initial insertion. Its hypertrophy can sometimes be mistaken for a tumor.
  • Sartorius: this is a particular muscle because of its length. It is actually the longest in the entire human body and runs down the front of the thigh to attach to the tibia.

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What injury does Varane have?

As well we anticipate, it is difficult to establish the specific Varane lesion in this context and with the information available. Any of the muscles that generate hip abduction can be injured, and the severity will depend on whether it is a severe contracture, strain, or complete tear.

The Real Madrid footballer underwent an MRI, which is the rigorous study to determine the diagnosis in these cases. After that, the technical director was informed that he could not count on the athlete for this Wednesday.

In itself, there are 3 situations that can be considered as possible:

  1. Distension: the abductor strain picture is what is known as groin strain. It is a disorder of the pelvis that involves excessive stretching of the ligaments and muscles in the area, after moving the lower limb too far from the midline. For example, when taking to the field to look for a ball. It is not operated on and heals with rest. Its presentation is more frequent in athletes with previous knee surgery.
  2. Break: A muscle fiber break, whatever happens in the area, will always represent gravity. Traditionally, in medicine, this abductor problem is classified into three degrees. The first is the mildest and resembles distension, since few fibers are involved. Grades 2 and 3 are serious and are usually located in the areas closest to the tendon union with the bones, so they require a complete evaluation to determine the need for surgery or not.
  3. Contusion: contusions stem from trauma. A forceful blow to the thigh or hip can cause a bruise to form within some of the abducting muscles. This limits movement and causes functional impotence, forcing rest until the fluid that accumulates in the area is reabsorbed.

The thigh and hip contain large, powerful muscles. His injuries cause conspicuous functional impotences.

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Varane injury to the abductors requires rest

Something is clear, beyond the non-specificity of abductor injuries: Raphael Varane must rest. This is the indicated treatment for athletes experiencing the condition.

The approach is usually complemented with local cold, immobilization, the use of an analgesic or anti-inflammatory according to the requirements of the patient and the professional prescription, as well as the evaluation of a rehabilitation plan. The complications in the future are not usually many, but at the level of professional football demand it is known that you have to be attentive to repetitive injuries.