Abstract
The quadriceps are the major muscle group of the anterior thigh. This muscle group consists of four separate muscles that converge together to form a common tendon that attaches to the superior patella. While the main function of this muscle group is knee extension, it also plays an important role in knee stabilization and hip motion. The quadriceps muscle group is susceptible to both overuse injury (tendinopathies, strains) and severe injury (tendon tears, compartment syndrome). Severe injury in the quadriceps is rare, but it is important to have a high index of suspicion for timely diagnosis and treatment.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Quiring DP, Warfel JH. The extremities. 2nd ed. Philadelphia: Lea & Febiger; 1963.
Garner RM, Gausden BE, Berkes TM, Nguyen GJ, Lorich GD. Extensor mechanism injuries of the knee: demographic characteristics and comorbidities from a review of 726 patient records. J Bone Joint Surg Am. 2015;97(19):1592–6.
Clayton RAE, Court-Brown CM. The epidemiology of musculoskeletal tendinous and ligamentous injuries. Injury. 2008;39:1338–44.
Ilan DI, Tejwani N, Keschner M, Leibman M. Quadriceps tendon rupture. J Am Acad Orthop Surg. 2003;11(3):192–200.
Pope JD, Plexousakis MP. Quadriceps tendon rupture. Treasure Island: StatPearls Publishing; 2018.
Yepes H, Tang M, Morris SF, Stanish WD. Relationship between hypovascular zones and patterns of rupture of the quadriceps tendon. J Bone Joint Surg Am. 2008;90:2135–41.
Nori S. Quadriceps tendon rupture. J Family Med Prim Care. 2018;7(1):257–60.
Kary JM. Diagnosis and management of quadriceps strains and contusions. Curr Rev Musculoskelet Med. 2010;3:26–31.
Järvinen TAH, Järvinen TLN, Kääriäinen M, Kalimo H, Järvinen M. Muscle injuries: biology and treatment. Am J Sports Med. 2005;33(5):745–64, 20p.
Bleakley C, McDonough S, MacAuley D. The use of ice in the treatment of acute soft-tissue injury: a systematic review of randomized controlled trials. Am J Sports Med. 2004;32:251–61.
Beiner JM, Jokl P. Muscle contusion injuries: current treatment options. J Am Acad Orthop Surg. 2001;9(4):227–37.
Ryan JB, Wheeler JH, Hopkinson WJ, Arciero RA, Kolakowski KR. Quadriceps contusions: west point update. Am J Sports Med. 1991;19:299–304.
Jackson DW, Feagin JA. Quadriceps contusions in young athletes: relation of severity of injury to treatment and prognosis. J Bone Joint Surg Am. 1973;55:95–105.
Beiner JM, Jokl PJ. Muscle contusion injuries: current treatment options. Am Acad Orthop Surg. 2001;9(4):227–37.
Jackson DW, Feagin JA. Quadriceps contusion in young athletes. J Bone Joint Surg Am. 1973;55:95–105.
Walczak BE, Johnson CN, Howe BM. Myositis ossificans. J Am Acad Orthop Surg. 2015;23(10):612–22, ISSN: 1940-5480.
Macfarlane RJ, Ng BH, Gamie Z, Masry MA, Velonis S, Schizas C, et al. Pharmacological treatment of heterotopic ossification following hip and acetabular surgery. Expert Opin Pharmacother. 2008;9(5):767–86.
Baird EO, Kang QK. Prophylaxis of heterotopic ossification – an updated review. J Orthop Surg Res. 2009;4:12. Published online 2009 Apr 20.
Barthel T, Baumann B, Noth U, Eulert J. Prophylaxis of heterotopic ossification after total hip arthroplasty (a prospective randomized study comparing indomethacin and meloxicam). Acta Orthop Scand. 2002;73:611–4.
Mani-Babu S, Wolman R, Keen R. Quadriceps traumatic myositis ossificans in a football player: management with intravenous pamidronate. Clin J Sport Med. 2014;24(5):e56–8.
Torrance DA, Degraauw C. Treatment of post-traumatic myositis ossificans of the anterior thigh with extracorporeal shock wave therapy. J Can Chiropr Assoc. 2011;55(4):240–6.
Buselli P, Coco V, Notarnicola A, Messina S, Saggini R, Tafuri S, et al. Shock waves in the treatment of post-traumatic myositis ossificans. Ultrasound Med Biol. 2010;6(3):397–409.
Thorndike A. Myositis ossificans traumatica. J Bone Joint Surg. 1940;22:315–23.
Kalenak A. Saphenous nerve entrapment. Oper Tech Sports Med. 1996;4(1):40–5.
Mozes M, Ouaknine G, Nathan H. Saphenous nerve entrapment simulating vascular disorder. Surgery. 1975;77:299–303.
Tarlow SD, Achterman CA, Hayhurst J, et al. Acute compartment syndrome in the thigh complicating fracture of the femur. A report of three cases. J Bone Joint Surg Am. 1986;68:1439–43.
Robinson D, On E, Halperin N. Anterior compartment syndrome of the thigh in athletes-indications for conservative treatment. J Trauma. 1992;32:183–6.
Diaz JA, Fischer DA, Rettig AC, et al. Severe quadriceps muscle contusions in athletes: a report of three cases. Am J Sports Med. 2003;31:289–93.
Riede U, Schmid MR, Romero J. Conservative treatment of an acute compartment syndrome of the thigh. Arch Orthop Trauma Surg. 2007;127:269–75.
Bidwell JP, Gibbons CE, Godsiff S. Acute compartment syndrome of the thigh after weight training. Br J Sports Med. 1996;30:264–5.
Bertoldo U, Nicodemo A, Pallavicini J, et al. Acute bilateral compartment syndrome of the thigh induced by spinning training. Injury. 2003;34:791–2.
Uzel A-P, Bulla A, Henri S. Compartment syndrome of the thigh after blunt trauma: a complication not to be ignored. Musculoskelet Surg. 2013;97:81–3.
Burns BJ, Sproule BJ, Smyth H. Acute compartment syndrome of the anterior thigh following quadriceps strain in a footballer. Br J Sports Med. 2004;38:218–20.
Khan FY. Rhabdomyolyis: a review of the literature. Neth J Med. 2009;67(9):272–83.
Knochel JP. Catastrophis medical events with exhaustive exercise: “White collar rhabdomyolysis”. Kidney Int. 1990;38:709–19.
Kim J, Lee J, Kim S, Ryu HY, Cha KS, et al. Exercise-induced rhabdomyolysis mechanisms and prevention: A literature review. J Sport Health Sci. 2016;5:324–33.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2021 Springer Nature Switzerland AG
About this chapter
Cite this chapter
Davis, K., Rizzone, K. (2021). Quadriceps Tendon Injury. In: Coleman, N. (eds) Common Pediatric Knee Injuries. Springer, Cham. https://doi.org/10.1007/978-3-030-55870-3_14
Download citation
DOI: https://doi.org/10.1007/978-3-030-55870-3_14
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-030-55869-7
Online ISBN: 978-3-030-55870-3
eBook Packages: MedicineMedicine (R0)