Rectus femoris origin partial tear

Case contributed by Dr Andrew Dixon

Presentation

Elite cyclist. Anterior hip pain with deep squats.

Patient Data

Age: 30
Gender: Male

Partial tearing and tendinosis involving the deep aspect fibres of rectus femoris at the AIIS attachment. The superficial insertional fibres are preserved as is the capsular attachment or rectus femoris. Normal appearance of the iliopsoas tendon complex and iliopsoas bursa. Normal appearing hamstring and gluteal tendon insertions. There is no hip joint effusion. Fraying of the anterosuperior acetabular labrum with linear signal through the labral base and early acetabular rim cartilage degeneration. The hip joint cartilage is otherwise preserved with normal subchondral marrow signal. Normal femoral head neck junction offset with no features to suggest CAM type femoral-acetabular impingement. No neurovascular abnormalities identified within the imaged field.

Case Discussion

Rectus femoris origin tendinosis and partial tear.

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Case information

rID: 34974
Case created: 18th Mar 2015
Last edited: 6th Jan 2016
Inclusion in quiz mode: Included

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