Proximal rectus femoris tendon tear

Case contributed by Dr Dalia Ibrahim

Presentation

Soccer player. Complains of acute right hip pain after sprinting at football match

Patient Data

Age: 35-year-old
Gender: Male

Tear of the proximal (conjoined) tendon of the right rectus femoris just distal to its origin with a fluid filled gap and distal retraction of the tendon and muscle belly.

The rectus muscle shows edema and hemorrhagic signal.

Annotated image

Tear of the proximal (conjoined) tendon of the right rectus femoris just distal to its origin with a fluid filled gap and distal retraction of the tendon and muscle belly.

Case Discussion

The rectus femoris muscle has two tendinous origins, the direct or straight head, which arises from the anterior inferior iliac spine (AIIS), and the indirect or reflected head, which arises from the superior acetabular ridge and the posterolateral aspect of the hip joint capsule .

The two heads form a conjoined tendon.

The rectus femoris is the most commonly injured muscle of the quadriceps muscle group.

Proximal rectus femoris strains can occur at the junction of the conjoint tendon with the muscle belly.

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Case information

rID: 32470
Published: 12th Dec 2014
Last edited: 24th Nov 2015
Inclusion in quiz mode: Included

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