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Lower Limb Muscle Strains

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This chapter describes the common presentations of muscle strains in the lower limb, beginning from the groin and sports hernias and ending with plantaris strains of the lower leg. Each muscle group and compartment presented in this chapter presents with its most common injury and most common muscle: the biceps femoris of the hamstring, the rectus femoris of the quadriceps, and the gastrocnemius muscle of the calf. In addition to these commonly presented injuries, the chapter commences with an understanding of grading of muscle strains in anatomical, clinical, and imaging description.


  • Sports hernias
  • Athletic pubalgia
  • Quadriceps injuries
  • Hamstring injuries
  • Calf injuries
  • Grade of muscle strains

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  1. Grassi A, Quaglia A, Canata GL, Zaffagnini S. An update on the grading of muscle injuries: a narrative review from clinical to comprehensive systems. Joints. 2016;4(1):39–46.

    CrossRef  Google Scholar 

  2. Brown A, Abrahams A, Remedios D, Chadwick SJ. Sports hernia: a clinical update. Br J Gen Pract. 2013;63:e235–7.

    CrossRef  Google Scholar 

  3. Miller MD, Thompson SR, Hart JA. Review of orthopaedics. 6th ed. Philadelphia: Elsevier-Saunders; 2008.

    Google Scholar 

  4. Daniels CJ, Scali F. Clinical brief: recognition and treatment of the elusive sports hernia. Top Integr Health Care. 2012;3(3)

    Google Scholar 

  5. Kachingwe AF, Grech S. Proposed algorithm for the management of athletes with athletic pubalgia (sports hernia); a case series. J Ortho Sports Phys. 2008;38(12):768–81.

    CrossRef  Google Scholar 

  6. Brunker P. Hamstring injuries: prevention and treatment. Br J Sports Med. 2015;49:1241–4.

    CrossRef  Google Scholar 

  7. Reurink G, Goudswaard GJ, Moen MH. Platelet rich plasma injections in acute muscle injury. N Engl J Med. 2014;370:2546–7.

    CrossRef  CAS  Google Scholar 

  8. A Hamid MS, Mohamed Ali MR, Yusof A. Platelet- rich plasma injections for the treatment of hamstring injuries; a randomized controlled trial. Am J Sports Med. 2014;42:2410–8.

    CrossRef  Google Scholar 

  9. Kary JM. Diagnosis and management of quadriceps strains and contusions. Curr Rev Musculoskelet Med. 2010;3:26–31.

    CrossRef  Google Scholar 

  10. Beiner JM, Jokl P, Cholewicki J. The effect of anabolic steroids and corticosteroids on healing of muscle contusion injury. Am J Sports Med. 1999;27:2–9.

    CrossRef  CAS  Google Scholar 

  11. Dixon JB. Gastrocnemius vs. soleus strain: how to differentiate and deal with calf muscle injuries. Curr Rev Muscoskelet Med. 2009;2:74–7.

    CrossRef  Google Scholar 

  12. Armfield DR, Kim DH, Towers JD, Bradley JP, Robertson DD. Sports-related muscle injury in the lower extremity. Clin Sports Med. 2006;25:803–42.

    CrossRef  Google Scholar 

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Correspondence to Katerina Hatzantoni .

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Hatzantoni, K., Khan, W.S. (2020). Lower Limb Muscle Strains. In: Iyer, K., Khan, W. (eds) Orthopedics of the Upper and Lower Limb. Springer, Cham.

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-43285-0

  • Online ISBN: 978-3-030-43286-7

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