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Surgical treatment of proximal ruptures of the rectus femoris in professional soccer players

  • Arthroscopy and Sports Medicine
  • Published:
Archives of Orthopaedic and Trauma Surgery Aims and scope Submit manuscript

Abstract

Introduction

Muscle injuries are very common in athletes. Depending on the type of sport, muscle injuries represent approximately 9–54% of total injuries. The rectus femoris muscle is very important in specific sports, such as soccer and American football, because it is the muscle involved in movements, such as sprinting and kicking the ball. Therefore, we believe that these disabling injuries need special and prompt treatment to enable athletes to return to their sporting activities.

Aim

The aim of our study is to assess the results of surgical treatment of ruptures of the rectus femoris in professional soccer players by reattachment of the tendon. We identified ten proximal rectus femoris ruptures in professional soccer players belonging to the Spanish Football League.

Results

Mean follow-up was 34.8 months (SD + 28.72). The mean age of the players was 27.4 years (SD + 4.14). In six cases (60%), the tendon was repaired by direct suture with non-absorbable sutures. In four cases, where there had been complete avulsion, bone anchoring sutures were used. There is no consensus regarding the optimal treatment for ruptures of the rectus femoris muscle. There are a few reports in the literature based on isolated experiences of different surgeons.

Conclusion

Surgical treatment has a lower recurrence rate in our hands; we believe that surgical treatment is indicated in these cases, for a complete functional recovery for professional soccer players.

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References

  1. Irmola T, Heikkilä JT (2007) Total proximal tendon avulsion of the rectus femoris muscle. Scand J Med Sci Sports 17:378–382

    PubMed  CAS  Google Scholar 

  2. Zarins B, Ciullo JV (1983) Acute muscle and tendon injuries in athletes. Clin Sports Med 2:167–182

    PubMed  CAS  Google Scholar 

  3. Arnason A, Sigurdsson SB, Gudmundsson A, Holme I, Engebretsen L, Bahr R (2004) Risk factors for injuries in football. Am J Sports Med 32(1):5S–16S

    Article  PubMed  Google Scholar 

  4. Ekstrand J, Hägglund M, Waldén M (2011) Epidemiology of muscle injuries in professional football (soccer). Am J Sports Med 39:1226–1232

    Article  PubMed  Google Scholar 

  5. Hasselman CT, Best TM, Hughes C et al (1995) An explanation for various rectus femoris strain injuries using previously undescribed muscle architecture. Am J Sports Med 23:493–499

    Article  PubMed  CAS  Google Scholar 

  6. Hughes C 4th, Hasselman CT, Best TM, Martinez S, Garrett WE Jr (1995) Incomplete, intrasubstance strain injuries of the rectus femoris muscle. Am J Sports Med 23(4):500–506

    Article  PubMed  Google Scholar 

  7. Arnason A, Gudmundsson A, Dahl HA, Jóhannsson E (1996) Soccer injuries in Iceland. Scand J Med Sci Sports 6(1):40–45

    Article  PubMed  CAS  Google Scholar 

  8. Gamradt SC, Brophy RH (2009) Nonoperative treatment for proximal avulsion of the rectus femoris in professional American football. Am J Sports Med 37:1370–1374

    Article  PubMed  Google Scholar 

  9. Hsu JC, Fischer DA, Wright RW (2005) Proximal rectus femoris avulsions in national football league kickers: a report of 2 cases. Am J Sports Med 33:1085–1087

    Article  PubMed  Google Scholar 

  10. Straw R, Colclough K, Geutjens G (2003) Surgical repair of a chronic rupture of the rectus femoris muscle at the proximal musculotendinous junction in a soccer player. Br J Sports Med 37(2):182–184

    Article  PubMed  CAS  Google Scholar 

  11. Sánchez M, Anitua E, Azofra J, Andía I, Padilla S, Mujika I (2007) Comparison of surgically repaired Achilles tendon tears using platelet-rich fibrin matrices. Am J Sports Med 35(2):245–251

    Article  PubMed  Google Scholar 

  12. Boutin RD, Fritz RC, Steinbach LS (2002) Imaging of sports-related muscle injuries. Radiol Clin North Am 40(2):333–362 (vii)

    Article  PubMed  Google Scholar 

  13. Ehman RL, Berquist TH (1986) Magnetic resonance imaging of musculoskeletal trauma. Radiol Clin North Am 24:291–319

    PubMed  CAS  Google Scholar 

  14. Ouellette H, Thomas BJ, Nelson E, Torriani M (2006) MR imaging of rectus femoris origin injuries. Skeletal Radiol 35:665–672

    Article  PubMed  Google Scholar 

  15. Renstrom PA (1992) Tendon and muscle injuries in the groin area. Clin Sports Med 11:815–831

    PubMed  CAS  Google Scholar 

  16. Rajasekhar C, Kumar KS, Bhamra MS (2001) Avulsion fractures of the anterior inferior iliac spine: the case for surgical intervention. Int Orthop 24:364–365

    Article  PubMed  CAS  Google Scholar 

  17. Metzmaker JN, Pappas AM (1985) Avulsion fractures of the pelvis. Am J Sports Med 13:349–358

    Article  PubMed  CAS  Google Scholar 

  18. Rossi F, Dragoni S (2001) Acute avulsion fractures of the pelvis in adolescent competitive athletes: prevalence, location and sports distribution of 203 cases collected. Skeletal Radiol 30:127–131

    Article  PubMed  CAS  Google Scholar 

  19. Saluan PM, Weiker GG (1997) Avulsion of the anterior inferior iliac spine. Orthopedics 20:558–559

    PubMed  CAS  Google Scholar 

  20. Temple HT, Kuklo TR, Sweet DE et al (1998) Rectus femoris muscle appearing as a pseudotumor. Am J Sports Med 26:544–548

    PubMed  CAS  Google Scholar 

  21. Cross MJ, Vandersluis R, Wood D et al (1998) Surgical repair of chronic complete hamstring tendon rupture in the adult patient. Am J Sports Med 26:785–789

    PubMed  CAS  Google Scholar 

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Conflict of interest

The authors declare that they have no conflict of interest.

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Authors and Affiliations

  1. Hospital Universitario Príncipe de Asturias, Cr Alcalá-Meco s/n, Alcalá de Henares, 28805, Madrid, Spain

    Víctor Vaquerizo García

  2. Hospital Universitario Marqués de Valdecilla, Avda. Valdecilla s/n, 39008, Santander, Spain

    Daniel Casas Duhrkop

  3. Orthopaedic Surgery Department, Fundación García Cugat, Hospital Quirón Barcelona, ISAKOS Approved Teaching Center, Pza. Alfonso Comín 5–7, 08023, Barcelona, Spain

    Roberto Seijas, Oscar Ares & Ramón Cugat

  4. Spanish Soccer Federation, Catalonian Soccer Players Insurance Company, Catalonia, Spain

    Ramón Cugat

Authors
  1. Víctor Vaquerizo García
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  2. Daniel Casas Duhrkop
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  3. Roberto Seijas
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  4. Oscar Ares
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  5. Ramón Cugat
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Correspondence to Víctor Vaquerizo García.

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García, V.V., Duhrkop, D.C., Seijas, R. et al. Surgical treatment of proximal ruptures of the rectus femoris in professional soccer players. Arch Orthop Trauma Surg 132, 329–333 (2012). https://doi.org/10.1007/s00402-011-1372-8

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  • DOI: https://doi.org/10.1007/s00402-011-1372-8

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