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Background: Although posterior thigh muscle strains are common in athletes, there are no reports regarding isolated gracilis muscle injuries. The authors present a case series of 7 elite athletes with isolated gracilis muscle ruptures.

Purpose: To present the injury pattern, clinical presentation, diagnosis, and outcome of gracilis muscle ruptures.

Study Design: Case series; Level of evidence, 4.

Methods: This is a retrospective review of 7 elite athletes with posterior thigh pain (3 dancers, 2 soccer players, 1 tae kwon do player, 1 tennis player). In all athletes, the injury occurred during thigh adduction with the hip internally rotated, as clearly evident at ultrasound scans performed 1 to 20 days after the injury. Management included an initial rest period, followed by physiotherapy and gradual return to sports activities.

Results: According to the ultrasound scans, the lesions were in the proximal-middle third junction of the thigh …