scholarly journals Arthroscopic excision of heterotopic ossification in the rectus femoris muscle causing extra-articular anterior hip impingement

SICOT-J ◽  
2018 ◽  
Vol 4 ◽  
pp. 41 ◽  
Author(s):  
Naoki Nakano ◽  
Laughter Lisenda ◽  
Vikas Khanduja
Keyword(s):  
Heterotopic Ossification ◽  
Rectus Femoris ◽  
Range Of Movement ◽  
Left Groin ◽  
Large Lesion ◽  
Hip Impingement ◽  
Arthroscopic Excision ◽  
History Of ◽  
Rectus Femoris Muscle ◽  
Femoris Muscle

Subspine impingement is an extra-articular hip impingement syndrome that usually occurs when there is abnormal contact between an enlarged or malorientated anterior inferior iliac spine (AIIS) and the distal anterior femoral neck in straight flexion of the hip. We present the case of a 13-year-old boy with a history of left groin pain and loss of range of movement of the hip for over six months following an avulsion fracture of the AIIS during a game of rugby. He was diagnosed with subspine impingement secondary to a large lesion of heterotopic ossification in the rectus femoris; this was dissected and extracted from the muscle in toto arthroscopically. This case highlights the importance of heterotopic ossification after injury as an important cause for subspine impingement in the young adult hip. This is the first report and describes subspine impingement secondary to a large lesion of heterotopic ossification.

scholarly journals Bilateral Simultaneous Heterotopic Ossification of the Reflected Head of Rectus Femoris Muscle: A Case Report and Review of the Literature

2014 ◽  
Vol 2014 ◽  
pp. 1-3
Author(s):  
Murat Tonbul ◽  
Seyma Ozen ◽  
Ayse Tuba Tonbul
Keyword(s):  
Heterotopic Ossification ◽  
Full Range ◽  
Rectus Femoris ◽  
Unique Case ◽  
Benign Condition ◽  
Bony Mass ◽  
Intramuscular Hemorrhage ◽  
The Right ◽  
Rectus Femoris Muscle ◽  
Femoris Muscle

Lamellar bone formation in an abnormal location is defined as heterotopic ossification. It commonly occurs around the hip joint and most often involves the abductor muscles. It is a benign condition; however, its etiology remains largely unknown. Most previously reported cases have been due to trauma or intramuscular hemorrhage. In this paper, we present a case of bilateral heterotopic ossification of the reflected head of rectus femoris muscle without antecedent trauma or any other known cause, as the first and unique case in the literature. She was treated by excision of the right symptomatic bony mass via a modified Smith-Petersen approach. Postoperatively, she received 75 mg indomethacin daily for six weeks. She was pain-free and obtained full range of motion 3 weeks after the first intervention.

scholarly journals Central Tendon Injury Impairs Regional Neuromuscular Activation of the Rectus Femoris Muscle

Sports ◽  
2021 ◽  
Vol 9 (11) ◽  
pp. 150
Author(s):  
Yoshiaki Kubo ◽  
Kohei Watanabe ◽  
Koichi Nakazato ◽  
Koji Koyama ◽  
Kenji Hiranuma
Keyword(s):  
Functional Role ◽  
Rectus Femoris ◽  
Tendon Injury ◽  
Proximal Region ◽  
Neuromuscular Activation ◽  
Injured Region ◽  
History Of ◽  
Hip Flexion ◽  
Rectus Femoris Muscle ◽  
Femoris Muscle

We aimed to uncover which rectus femoris strain injury types affect regional activation within the rectus femoris. The rectus femoris has a region-specific functional role; the proximal region of the rectus femoris contributes more than the middle and distal regions during hip flexion. Although a history of strain injury modifies the region-specific functional role within the rectus femoris, it was not obvious which rectus femoris strain injury types affect regional activation within it. We studied 12 soccer players with a history of rectus femoris strain injury. Injury data were obtained from a questionnaire survey and magnetic resonance imaging. To confirm the region-specific functional role of the rectus femoris, surface multichannel electromyographic signals were recorded. Accordingly, eight legs had a history of central tendon injury, four had a history of myofascial junction injury, and four had a healed strain injury. When the injury was limited to the central tendon, the region-specific functional role disappeared. The region-specific functional role was confirmed when the injury was outside the central part. The neuromuscular function was also inhibited when the longitudinal range of the injured region was long. Our findings suggest that a central tendon injury with a long injury length impairs regional neuromuscular activation of the rectus femoris muscle.

scholarly journals Electromyographic Analysis of Traditional and Nontraditional Abdominal Exercises: Implications for Rehabilitation and Training

2006 ◽  
Vol 86 (5) ◽  
pp. 656-671 ◽  
Author(s):  
Rafael F Escamilla ◽  
Eric Babb ◽  
Ryan DeWitt ◽  
Patrick Jew ◽  
Peter Kelleher ◽  
...  
Keyword(s):  
Muscle Activity ◽  
Latissimus Dorsi ◽  
Rectus Femoris ◽  
Rectus Abdominis ◽  
Oblique Muscle ◽  
Emg Activity ◽  
Internal Oblique ◽  
Rectus Femoris Muscle ◽  
Femoris Muscle ◽  
Roll Out

Abstract Background and Purpose. Performing nontraditional abdominal exercises with devices such as abdominal straps, the Power Wheel, and the Ab Revolutionizer has been suggested as a way to activate abdominal and extraneous (nonabdominal) musculature as effectively as more traditional abdominal exercises, such as the crunch and bent-knee sit-up. The purpose of this study was to test the effectiveness of traditional and nontraditional abdominal exercises in activating abdominal and extraneous musculature. Subjects. Twenty-one men and women who were healthy and between 23 and 43 years of age were recruited for this study. Methods. Surface electromyography (EMG) was used to assess muscle activity from the upper and lower rectus abdominis, external and internal oblique, rectus femoris, latissimus dorsi, and lumbar paraspinal muscles while each exercise was performed. The EMG data were normalized to maximum voluntary muscle contractions. Differences in muscle activity were assessed by a 1-way, repeated-measures analysis of variance. Results. Upper and lower rectus abdominis, internal oblique, and latissimus dorsi muscle EMG activity were highest for the Power Wheel (pike, knee-up, and roll-out), hanging knee-up with straps, and reverse crunch inclined 30 degrees. External oblique muscle EMG activity was highest for the Power Wheel (pike, knee-up, and roll-out) and hanging knee-up with straps. Rectus femoris muscle EMG activity was highest for the Power Wheel (pike and knee-up), reverse crunch inclined 30 degrees, and bent-knee sit-up. Lumbar paraspinal muscle EMG activity was low and similar among exercises. Discussion and Conclusion. The Power Wheel (pike, knee-up, and roll-out), hanging knee-up with straps, and reverse crunch inclined 30 degrees not only were the most effective exercises in activating abdominal musculature but also were the most effective in activating extraneous musculature. The relatively high rectus femoris muscle activity obtained with the Power Wheel (pike and knee-up), reverse crunch inclined 30 degrees, and bent-knee sit-up may be problematic for some people with low back problems.

Ultrasonographic Morphologic Changes of the Central Aponeurosis of the Rectus Femoris Muscle in Individuals With Knee Osteoarthritis

2016 ◽  
Vol 32 (3) ◽  
pp. 241-246
Author(s):  
Yusuke Takahashi ◽  
Kyoji Okada ◽  
Akira Saito ◽  
Isao Saito ◽  
Kazuo Kinoshita ◽  
...  
Keyword(s):  
Knee Osteoarthritis ◽  
Rectus Femoris ◽  
Rectus Femoris Muscle ◽  
Femoris Muscle ◽  
Morphologic Changes

scholarly journals Reliability Limits Of The Modified Thomas Test For Assessing Rectus Femoris Muscle Flexibility About The Knee Joint

2008 ◽  
Vol 43 (5) ◽  
pp. 470-476 ◽  
Author(s):  
Jason D. Peeler ◽  
Judy E. Anderson
Keyword(s):  
Knee Joint ◽  
Intraclass Correlation ◽  
Rectus Femoris ◽  
Scoring Systems ◽  
Nonparametric Tests ◽  
Method Error ◽  
Statistical Reliability ◽  
Active Population ◽  
Rectus Femoris Muscle ◽  
Femoris Muscle

Abstract Context: The modified Thomas test is commonly used in the clinical setting to assess flexibility about the thigh region. Objective: To evaluate the clinical reliability of the modified Thomas test for evaluating the flexibility of the rectus femoris muscle about the knee joint. Design: Descriptive laboratory study using a test-retest design. Setting: Institution-based clinical orthopaedic setting. Patients Or Other Participants: Fifty-seven individuals between the ages of 18 and 45 years with no history of trauma participated. Of those, 54 completed the study. Intervention(s): Three Board-certified athletic therapists with an average of 12.67 years of sport medicine expertise assessed rectus femoris flexibility using pass/fail and goniometer scoring systems. A retest session was completed 7 to 10 days later. Main Outcome Measure(s): Parametric and nonparametric tests were used to compare participants' test-retest results. Results: Chance-corrected κ values (intrarater x¯  =  0.40, 95% confidence interval [CI]  =  0.30, 0.54; interrater x¯  =  0.33, 95% CI  =  0.23, 0.41) indicated generally poor levels of reliability for pass/fail scoring. Intraclass correlation coefficient (ICC) values (intrarater x¯  =  0.67, 95% CI  =  0.55, 0.76; interrater x¯  =  0.50, 95% CI  =  0.40, 0.60) indicated fair to moderate levels of reliability for goniometer data. Measurement error values (standard error of measurement  =  7°, method error  =  6°, and coefficient of variation  =  13%) and Bland-Altman plots (with 95% limits of agreement) further demonstrated the degree of intrarater variance for each examiner when conducting the test. Conclusions: These results call into question the statistical reliability of the modified Thomas test and provide clinicians with important information regarding its reliability limits when used to clinically assess flexibility of the rectus femoris muscle about the knee joint in a physically active population. More research is needed to ascertain the variables that may confound the statistical reliability of this orthopaedic technique.

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