The rectus femoris muscle is the most frequently involved quadriceps muscle in strain pathologies. Muscle strains can hurt and can impede the progress you’re making in your physical fitness activities. In this stage of rehabilitation for ruptured rectus femoris tendon, more functional activities should be included. This website uses cookies to improve your experience.

This article on has been reviewed by a medical professional, as well as checked for facts, to assure the readers the best possible accuracy. Then if more research is required because something is not clear, an MRIwould be the option (Järvinen et al., 2005 ). American journal of roentgenology. A palpable, mildly tender mass was confirmed on clinical examination.

The symptoms of a rectus femoris rupture include: A sudden sharp pain at the front of the hip or in the groin usually whilst doing some explosive activity e.g. A rupture of the tendon at the top of the muscle near the hip can be caused by overuse or explosive loads on the muscle like sprint starts or kicking a ball. Location, severity and extent of the muscle injury and extent of muscle retraction can be determined on MRI and even subtle tears can be detected with a suitable MRI protocol and proper knowledge of anatomy. Apply pressure to these areas until the pain subsides. (Thompson et al., 2013). Most cases can be treated conservatively, similar to that of a rectus femoris rupture. This article does not provide medical advice. Sign Up for the Latest Health News and Tips, Home » General Health » Rectus Femoris Strain: Causes, Symptoms, Treatment, and Exercises.

CT can detect and characterise avulsion injuries. Interestingly enough, wearing high heels can sometimes result in the strain because of the awkward position the shoes put your feet in. At the moment of the injury, the player gets a lot of pain (a pinch) that leads him to stop. Sources A doctor may prescribe anti-inflammatory medication e.g. Three were active duty soldiers, three were military dependents, and one was a retired serviceman. Its function is to lift up the knee and straighten the leg. But with exercise comes the possibility of strain and injury, like a rectus femoris strain. This article contains incorrect information. Destruction phase: characterized by rupture and consequent necrosis of the myofibers, the formation of a hematoma between the ruptured muscle stumps and the reaction of the inflammatory cells (Järvinen, et al., 2005). 3 (1-4): 26-31. It will feel particularly tender when pressing in (palpating) where the tendon attaches at the front of the hip. The primary cause of rectus femoris tendon rupture is overuse through movements, such as kicking or other explosive movements, such as seen in sprint starts. (Ekstrand, Hägglund, & Waldén, 2011) indicate that most muscle injuries occur without contact, and that it is more frequent in acceleration, braking and falling movements. A rectus femoris avulsion fracture occurs when a strong contraction of the rectus femoris muscle pulls the tendon and a small piece of bone away from the attachment point. Some society journals require you to create a personal profile, then activate your society account, You are adding the following journals to your email alerts, Did you struggle to get access to this article? Keep your back straight and bend at the hips and waist as if you are sitting in an imaginary chair. Sports like sprinting, football, and soccer can easily cause a rectus femoris strain due to the practice of each, with very quick sprint starts. It is used to straighten the knee (knee extension) or lift the knee up (hip flexion). Simply select your manager software from the list below and click on download. Typical locations of rectus femoris muscle injuries include the origin of the direct and indirect head, the proximal myotendinous junction, the muscle belly, the muscle periphery with the fascia or myofascial unit and the distal myotendinous junction 4,5. The following are the Intrinsic factors (Table 2) and Extrinsic factors (Table 3) to have an injury to the Rectus Femoris: Save my name, email, and website in this browser for the next time I comment. Create a link to share a read only version of this article with your colleagues and friends. Rectus femoris muscle is a biaxial muscle, which means that it crosses two joints, namely the hip and knee joint. Stand in front of a bench or step with your feet shoulder-width apart. An MRI would be ideal, but for economic and availability reasons its use can be complicated; the ultrasound would be the other option, especially if the rupture is more superficial, and its use as a first diagnosis is preferred. If a complete rupture has occurred then it will be impossible to contract the muscle and a gap or deformity may be visible. You will find trigger points near the hip that hurt when pressed (though not all pain points are also trigger points). Patient should exercise patience and make a gradual return to complete activity levels following recovery from ruptured rectus femoris tendon.

If there has been a complete rupture of rectus femoris tendon, then treatment comprises of surgery. A magnetic resonance imaging grading scheme proposed for myotendinous injury 4-6,10: The bull’s eye sign seen on axial images indicates a deep intramuscular degloving injury. JC , Drez D Jr (eds): Orthopaedic Sports Medicine: Principles and Practice. (Thomas et al., 2010). But, what happens when it gets injured? While there are many easy ways to take care of a rectus femoris strain, the best way of dealing with a rectus femoris strain is to not get it in the first place. Pasta G, Nanni G, Molini L, Bianchi S. Sonography of the quadriceps muscle: Examination technique, normal anatomy, and traumatic lesions. Pathophysiology. . However, the severity of your symptoms depend on whether the rupture is partial or complete. This includes avoiding activities which produce pain. Stretching exercise to include all the other muscle groups should also be done throughout the rehab program.

This is an inflammatory reaction to repeated stress on the soft bony attachment. A rupture of the tendon at the top of the muscle near the hip can result from overuse or explosive loads on the muscle such as in kicking or sprinting. A partial rupture of muscle can lead to inflammation after the initial rupture has healed. This is because the area is one of the last to fully harden from cartilage to bone, Apophysitis may develop first. You are to rest the muscle and avoid or limit as much as possible any movement that uses that muscle. Recently, a new pattern of tear of the RF muscle has been recognized, termed the “intramuscular degloving injury of the RF” 21 .

If the tendon has torn completely then you will need an operation to repair it. The rectus femoris tendon can rupture or become inflamed in upper region close to where it originates at the hip. Conditions which can mimic the presentation and/or the appearance of a rectus femoris muscle injury include: ADVERTISEMENT: Supporters see fewers/no ads, Please Note: You can also scroll through stacks with your mouse wheel or the keyboard arrow keys. 52 (5): 474-481. We’re going to examine rectus femoris strain. In order to avoid re-injury, strengthening the rectus femoris muscles is very important. It must be understood that an injury tends to be multifactorial, this does not mean that because that factor exists, the athlete is injured, but rather that the risk of injury is greater (Hägglund, Waldén, & Ekstrand, 2013). Due to overstretching the muscle which results in tearing of the muscle fibers of the rectus femoris. Hughes C, Hasselman CT, Best TM, Martinez S, Garrett WE.

Patient’s return to full former activity can take anywhere up to 7-15 days or even longer. The main cause of this is overuse through kicking or explosive movements as in sprint starts. This is also vice versa, as both muscle groups are affected be each other. Any type of exercise should not be initiated if it causes pain. 14. In addition to size, it is the involvement of the adjacent connective tissue, the endomysium, the perimysium, the epimysium and the fascia that distinguishes a rupture from a moderate partial muscle tear (Mueller-Wohlfahrt et al., 2013). The numbers in the parentheses (1, 2, 3) are clickable links to peer-reviewed scientific papers. Patient can start stretching exercises as soon as they do not cause pain. (Mueller-Wohlfahrt et al., 2013) recommend classifying structural injuries based on anatomical findings, since there are tears that are partial (micro-tears, with a smaller or moderate diameter) and then complete tears. Kary JM. If you are reading this, there’s a good chance that you are doing something for your physical health on a regular basis. MRI Web Clinic - May 2014. Here we explain the more common, and less common causes…, Pain at the front of the thigh is also known…, A thigh contusion is also known as a dead leg…, The PRICE principles are the gold standard set for treating…, A thigh strain or quadriceps strain is a tear in…, Thigh strain rehabilitation exercises should include both stretching and strengthening…, Here we outline and explain thigh stretching exercises which are….

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