Acute quadriceps muscle strains - Magnetic resonance imaging features and prognosis

被引:118
作者
Cross, TM
Gibbs, N
Houang, MT
Cameron, M
机构
[1] Sydney Sports Med Ctr, N Syndey Orthopaed & Sports Med Ctr, Sydney, Australia
[2] Sydney Swans Football Club, Moore Pk, Australia
[3] Sydney CT & MR, Sydney, NSW, Australia
关键词
central tendon; rehabilitation interval;
D O I
10.1177/0363546503261734
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
Background: There has been no research examining the magnetic resonance imaging findings, and in turn the prognosis, for a series of acute quadriceps muscle strains. Hypothesis: The magnetic resonance imaging findings of acute quadriceps muscle strain injuries are helpful in predicting their prognosis. Study Design: Causal-comparative study. Method: Forty professional players of Australian Rules football were followed over 3 years. Magnetic resonance imaging examinations were performed within 24 to 72 hours of muscle-strain injury. Imaging features of muscle strain injury included the anatomical location, size (cross-sectional area and length), and site (proximal, middle, or distal). The time from injury to return to full training was termed the rehabilitation interval. Results: 25 clinical quadriceps muscle strain injuries occurred, with 15 cases involving the rectus femoris. The rectus femoris injuries could be further categorized into cases with straining about the central tendon (n = 7, mean rehabilitation interval = 26.9 days) or cases with straining in the periphery (n = 8, mean rehabilitation interval = 9.2 days). Six cases involved one of the vastus muscles (mean rehabilitation interval = 4.4 days). Three players had normal magnetic resonance imaging examinations (mean rehabilitation interval = 5.7 days). Conclusions: The rectus femoris-central tendon injury is the red flag diagnosis associated with a significantly longer rehabilitation interval. Clinical Relevance: Magnetic resonance imaging is helpful in predicting the prognosis for acute quadriceps strains.
引用
收藏
页码:710 / 719
页数:10
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