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Diagnosis and management of quadriceps strains and contusions

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Abstract

Injuries to the quadriceps muscle group occur frequently in sports and athletic activities. Muscle strains and contusions constitute the majority of these injuries. The clinical presentation and assessment of quadriceps strains and contusions are reviewed along with discussion of appropriate imaging used in diagnosis. Treatment protocols for acute injuries are reviewed including rehabilitation techniques frequently utilized during recovery. Special consideration is given to discussing the criteria for return to sports for athletes after injury. Myositis ossificans is a potentially disabling complication from quadriceps contusions and risk factors, prevention, and treatment are reviewed.

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References

  1. Hughes C, Hasselman CT, Best TM, et al. Incomplete, intrasubstance strain injuries of the rectus femoris muscle. Am J Sports Med. 1995;23:500–6.

    Article  PubMed  Google Scholar 

  2. Hasselman CT, Best TM, Hughes C, et al. An explanation for various rectus femoris strain injuries using previously undescribed muscle architecture. Am J Sports Med. 1995;23:493–9.

    Article  CAS  PubMed  Google Scholar 

  3. Garrett WE. Muscle strain injuries. Am J Sports Med. 1996;24:S2–8.

    Article  PubMed  Google Scholar 

  4. Young JL, Laskowski ER, Rock MG. Thigh injuries in athletes. Mayo Clin Proc. 1993;68:1099–106.

    CAS  PubMed  Google Scholar 

  5. Cross TM, Gibbs N, Houang MT, et al. Acute quadriceps muscle strains: magnetic resonance imaging features and prognosis. Am J Sports Med. 2004;32:710–9.

    Article  PubMed  Google Scholar 

  6. Järvinen TAH, Järvinen TLN, Kääriäinen M, et al. Muscle injuries: biology and treatment. Am J Sports Med. 2005;33:745–64.

    Article  PubMed  Google Scholar 

  7. Best TM. Muscle-tendon injuries in young athletes. Clin Sports Med. 1995;14:669–86.

    CAS  PubMed  Google Scholar 

  8. Mair SD, Seaber AV, Glisson RR, et al. The role of fatigue in susceptibility to acute muscle strain injury. Am J Sports Med. 1996;24:137–43.

    Article  CAS  PubMed  Google Scholar 

  9. Webber A. Acute soft-tissue injuries in the young athlete. Clin Sports Med. 1988;7:611–24.

    CAS  PubMed  Google Scholar 

  10. La S, Fessell DP, Femino JE, et al. Sonography of partial thickness quadriceps tendon tears with surgical correlation. J Ultrasound Med. 2003;22:1323–9.

    PubMed  Google Scholar 

  11. Takebayashi S, Takasawa H, Banzai Y, et al. Sonographic findings in muscle strain injury: clinical and MR imaging correlation. J Ultrasound Med. 1995;14:899–905.

    CAS  PubMed  Google Scholar 

  12. Bencardino JT, Rosenberg ZS, Brown RR, et al. Traumatic musculotendinous injuries of the knee: diagnosis with MR imaging. RadioGraphics. 2000;20:S103–20.

    PubMed  Google Scholar 

  13. DeLee JC, Drez D, Miller MD. Orthopaedic sports medicine: principles and practice. 2nd ed. Philadelphia, PA: Saunders; 2003.

    Google Scholar 

  14. Garrett WE. Muscle strain injuries: clinical and basic aspects. Med Sci Sports Exerc. 1990;22:436–43.

    PubMed  Google Scholar 

  15. 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 Sport Med. 2004;32:251–61.

    Article  Google Scholar 

  16. Mehallo CJ, Drezner JA, Bytomski JR. Practical management: nonsteroidal anti-inflammatory drug use in athletic injuries. Clin J Sport Med. 2006;16:170–4.

    Article  PubMed  Google Scholar 

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

    CAS  PubMed  Google Scholar 

  18. Beiner JM, Jokl P. Muscle contusion injury and myositis ossificans traumatica. Clin Orthop Relat Res. 2002;403S:S110–9.

    Article  Google Scholar 

  19. Orchard J, Best TM, Verrall GM. Return to play following muscle strains. Clin J Sport Med. 2005;15:436–41.

    Article  PubMed  Google Scholar 

  20. Beiner JM, Jokl P. Muscle contusion injuries: current treatment options. J Am Acad Orthop Surg. 2001;9:227–37.

    CAS  PubMed  Google Scholar 

  21. Jackson DW, Feagin JA. Quadriceps contusions in young athletes. J Bone Joint Surg. 1973;55A:95–105.

    Google Scholar 

  22. Ryan JB, Wheeler JH, Hopkinson WJ, et al. Quadriceps contusion: West Point update. Am J Sports Med. 1991;19:299–304.

    Article  CAS  PubMed  Google Scholar 

  23. Aronen JG, Garrick JG, Chronister RD, et al. Quadriceps contusions: clinical results of immediate immobilization in 120 degrees of knee flexion. Clin J Sport Med. 2006;16:383–7.

    Article  PubMed  Google Scholar 

  24. Fijn R, Koorevaar RT, Brouwers RBJ. Prevention of heterotopic ossification after total hip replacement with NSAIDs. Pharm World Sci. 2003;25:138–45.

    Article  CAS  PubMed  Google Scholar 

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Authors and Affiliations

  1. St. Vincent Family Medicine Residency Program, St. Vincent Sports Performance, 8414 Naab Road, Suite 160, Indianapolis, IN, 46260, USA

    Joel M. Kary

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  1. Joel M. Kary
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Correspondence to Joel M. Kary.

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Kary, J.M. Diagnosis and management of quadriceps strains and contusions. Curr Rev Musculoskelet Med 3, 26–31 (2010). https://doi.org/10.1007/s12178-010-9064-5

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