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Proximal Rectus Femoris Ruptures in Soccer Players

Proximal Rectus Femoris Ruptures in Soccer Players

Pedro Alvarez-Diaz, MD, PhD, Prof., SPAIN Diego Isaac Vásquez Cárdenas, MD, CHILE Eduard Alentorn-Geli, MD, PhD, MSc, FEBOT, FACGME, SPAIN David Barastegui, MD, PhD, MSc, SPAIN Xavier Cuscó, MD, SPAIN Jorge Ramirez Haua, MD, SPAIN Roberto Seijas-Vazquez, MD, PhD, Prof., SPAIN Gilbert Steinbacher, MD, SPAIN Patricia Laiz Boada, BSc, SPAIN Alfred Ferre, BPT, SPAIN Ramon Cugat Bertomeu, MD, PhD, SPAIN

Instituto Cugat. Hospital Quiron Barcelona. Mutualidad de Futbolistas Españoles.UIC-Barcelona, Barcelona, Barcelona, SPAIN


2023 Congress   ePoster Presentation   2023 Congress   Not yet rated

 

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Summary: The repair of PRF tears in professional and semi-professional soccer players yielded good results and allowed all patients to return to their preinjury sports level.


Introduction

Proximal rectus femoris (PRF) tears are relatively rare injuries among top-level athletes. PRF injuries are avulsions of both tendon heads (direct and reflected heads), of a single head and myotendinous. Some of this PRF injuries tend to progress to recurrent injuries.

Purpose

To describe a series of surgically treated PRF ruptures in soccer players ( Tegner 9-10) of the Instituto Cugat and the Mutualidad de Futbolistas Españoles between 2010-2020
Study Design: Case series; Level of evidence, 4.

Methods

36 cases of PRF injuries in professional soccer players treated surgically were retrospectively reviewed. Playing position, age, laterality, perioperative findings and return to play data were collected.

Results

Of the 36 PRF injuries, 17 were total avulsions (both heads), 2 were single-head tears and 17 were myotendinous union injury. Diagnosed through magnetic resonance imaging and later confirmed during surgery. All patients were males with a mean age of 26,41 (18-37). In 22 patients the injury mechanism was kicking and in 9 was sprinting. 21 of the injuries were on the right leg and 15 on the left. Most of the injuries were acute, 29, while only 7 were chronic. All 36 patients returned to their preinjury sports level, with a mean return to play of 19,87 weeks (14-36). The mean follow-up was 4,3 years (range from 1 to 10 years).

Conclusion

The repair of PRF tears in professional and semi-professional soccer players yielded good results and allowed all patients to return to their preinjury sports level.
Keywords: proximal rectus femoris injury; surgical treatment; sports injury; soccer


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