@article{ref1,
title="Surgical management of rectus femoris avulsion among professional soccer players",
journal="Orthopaedic journal of sports medicine",
year="2017",
author="Sonnery-Cottet, Bertrand and Barbosa, Nuno Camelo and Tuteja, Sanesh and Gardon, Roland and Daggett, Matt and Monnot, Damien and Kajetanek, Charles and Thaunat, Mathieu",
volume="5",
number="1",
pages="e2325967116683940-e2325967116683940",
abstract="BACKGROUND: Rectus femoris injuries are common among athletes, especially in kicking sports such as soccer; however, proximal rectus femoris avulsions in athletes are a relatively rare entity. <br><br>PURPOSE/HYPOTHESIS: The purpose of this study was to describe and report the results of an original technique of surgical excision of the proximal tendon remnant followed by a muscular suture repair. Our hypothesis was that this technique limits the risk of recurrence in high-level athletes and allows for rapid recovery without loss of quadriceps strength. STUDY DESIGN: Case series; Level of evidence, 4. <br><br>METHODS: Our retrospective series included 5 players aged 31.8 ± 3.9 years with acute proximal rectus femoris avulsion injuries who underwent a surgical resection of the proximal tendon between March 2012 and June 2014. Four of these players had recurrent rectus femoris injuries in the 9 months before surgery, while 1 player had surgery after a first injury. Mean follow-up was 18.2 ± 12.6 months, and minimum follow-up was 9 months. We analyzed the age, sex distribution, physical examination outcomes, type and mechanism of injury, diagnosis, treatment and complications during surgery, postoperative follow-up, and time to return to play. The Lower Extremity Functional Scale (LEFS) and Marx scores were obtained at 3-month follow-up, and isokinetic tests were performed before return to sports. A telephone interview was completed to determine the presence of recurrence at an average follow-up of 18.2 months. <br><br>RESULTS: At 3-month follow-up, all patients had Marx activity scores of 16 and LEFS scores of 80. Return to the previous level of play occurred at a mean of 15.8 ± 2.6 weeks after surgery, and none of the athletes suffered a recurrence. Isokinetic test results were comparable between both sides. <br><br>CONCLUSION: The surgical treatment of proximal rectus femoris avulsions, consisting of resection of the tendinous part of the muscle, is a reliable and safe technique allowing a fast recovery in professional athletes.<p /> <p>Language: en</p>",
language="en",
issn="2325-9671",
doi="10.1177/2325967116683940",
url="http://dx.doi.org/10.1177/2325967116683940"
}