Avulsão do tendão reto femoral em atleta amador: relato de caso diagnosticado pela ressonância magnética
DOI:
https://doi.org/10.5433/1679-0367.2021v42n2p243Palavras-chave:
Traumatismos dos tendões, Imagem de ressonância magnética, Músculo quadríceps, Coxa da pernaResumo
Introdução: o músculo reto femoral é o músculo mais frequentemente lesado do grupo quadríceps durante chutes e corridas repetitivas, apesar de suas avulsões serem raras. A dor localizada na coxa proximal e a incapacidade de flexionar o quadril e/ou estender o joelho associado à história do paciente de contração violenta ou alongamento forçado do grupo muscular do quadríceps femoral podem indicar uma avulsão do reto femoral.Objetivo: relatar um caso e revisar a literatura acerca desta lesão incomum.
Materiais e Métodos: revisão do prontuário, registro fotográfico do método diagnóstico e revisão da literatura.
Resultados: homem de 46 anos com dor localizada no quadril esquerdo com irradiação para a coxa por três meses após cair no chão com a região dolorida em um jogo de futebol. A dor começou subitamente uma semana após a queda. A ressonância magnética do quadril apresentava avulsão completa do reto femoral esquerdo, distando 2 cm da espinha ilíaca anterior inferior com efusão líquida adjacente.
Conclusão: este relato demonstra a dificuldade de diagnosticar essa lesão, pois o seu exame físico é inespecífico, podendo simular patologias mais complexas, necessitando de exames complementares para seu correto diagnóstico.
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Referências
Bordalo-Rodrigues M, Rosenberg ZS. MR imaging of the proximal rectus femoris musculotendinous unit. MagnReson Imaging Clin N Am 2005;13:717–25
Brophy RH, Wright RW, powell JW, Matava MJ. Injuries to kickers in American football: the National Football League experience. Am J Sports Med. 2010;38(6):1166–73.
Dean CS, Arbeloa-Gutierrez L, Chahla J, Pascual-Garrido C. Proximal rectusfemorisavulsionrepair. Arthrosc Tech. 2016;5:e545–9.
Ekstrand J, Hagglund M, Walden M. Epidemiology of muscle injuries in professional football (soccer). Am J Sports Med. 2011 Jun;39(6):1226-32. doi: 10.1177/0363546510395879.
Ekstrand J, Hagglund M, Walden M. Injury incidence and injury patterns in professional football: the UEFA injury study. Br J Sports Med. 2011; 45(7):553–8.
Gamradt SC, Brophy RH, Barnes R, Warren RF, Thomas Byrd JW, Kelly BT. Nonoperative treatment for proximal avulsion of the rectus femoris in professional American football. Am J Sports Med. 2009;37(7):1370–74.
Garcia VV, Duhrkop DC, Seijas R, Ares O, Cugat R Surgical treatment of proximal ruptures of the rectus femoris in professional soccer players. ArchOrthop Trauma Surg. 2012 Mar;132(3):329-33. doi: 10.1007/s00402-011-1372-8.
Garcia VV, Duhrkop DC, Seijas R, Ares O, Cugat R. Surgical treatment of proximal ruptures of the rectus femoris in professional soccer players. ArchOrthop Trauma Surg2012;132(3):329–33
Garrett WE Jr. Muscle strain injuries. Am J Sports Med. 1996; 24[suppl 6]:S2–S8.
Gyftopoulos S, Rosenberg ZS, Schweitzer ME, Bordalo-Rodrigues M. Normal Anatomy and Strains of the Deep Musculotendinous Junction of the Proximal Rectus Femoris: MRI Features. AJR Am J Roentgenol. 2008 Mar;190(3):W182-6. doi: 10.2214/AJR.07.2947.
Hapa O, Bedi A, Gursan O, et al. Anatomic footprint of the direct head of the rectus femoris origin: cadaveric study and clinical series of hips after arthroscopic anterior inferior iliac spine/subspine decompression. Arthroscopy. 2013;29:1932–40.
Hasselmann CT, Best TM. An explanation for various rectus femoris strain injuries using previously undescribed muscle architecture. Am J Sports Med. 1995;23(4):493–9.
Hsu JC, Fischer DA, Wright RW.proximal rectus femoris avulsions in national football league kickers: a report of 2 cases. Am J Sports Med.2005;33(7):1085–7
Hughes C, Hasselman CT, Best, Martinez S, Garrett WE Jr. Incomplete, intrasubstance strain injuries of the rectus femoris muscle. Am J Sports Med 1995;23:500-6.
Hughes CT, Hasselman CT, Best TM, Martinez S, Garrett WE Jr. An explanation for various rectus femoris strain injuries using previously undescribed muscle architecture. Am J Sports Med 1995; 23:493–9.
Hughes CT, Hasselman CT, Best TM, Martinez S, Garrett WE Jr. Incomplete, intrasubstance strain injuries of the rectus femoris muscle. Am J Sports Med. 1995 Jul-Aug;23(4):500-6. doi: 10.1177/036354659502300422.
Irmola T, Heikkila JT, Orava S, Sarimo J. Total proximal tendon avulsion of the rectus femoris muscle. Scand J Med Sci Sports. 2007;17(4):378–82.
IrmolaT,HeikkiläJ T,OravaS,SarimoJ. total proximal tendon avulsion of the rectus femoris muscle. Scand J Med Sci Sports. 2007 Aug;17(4):378-82. doi: 10.1111/j.1600-0838.2006.00564.x.
Lasse Lempainen, JussiKosola, RicardPruna, JordiPuigdellivol, JuhaRanne, Sakari Orava. Operative Treatment of Proximal Rectus Femoris Injuries in Professional Soccer Players: A Series of 19 Cases. Orthop J Sports Med. 2018 Oct; 6(10)
Lempainen L, Kosola J, Pruna R, Puigdellivol J, Ranne J, Orava S. Operative treatment of proximal rectus femoris injuries in professional soccer players: a series of 19 cases. Orthop J Sports Med. 2018 Oct 2;6(10):2325967118798827.
Mendiguchia J, Alentorn-Geli E, Idoate F, Myer GD. Rectus femoris muscle injuries in football: a clinically relevant review of mechanisms of injury, risk factors and preventive strategies. Br J Sports Med. 2013;47(6):359–66.
Orchard JW. Intrinsic and extrinsic risk factors for muscle strains in australian football. Am J Sports Med 2001;29(3):292–7.
Ouellette H, Thomas BJ, Nelson E, Torriani M. MR imaging of rectus femoris origin injuries. Skeletal Radiol. 2006;35(9):665–72.
Ouellette H, Thomas BJ, Nelson E, Torriani M. MR Imaging of Rectus Femoris Origin Injuries. Skeletal Radiol. 2006 Sep;35(9):665-72. doi: 10.1007/s00256-006-0162-9.
Temple HT, Kuklo TR, Sweet DE, Gibbons CL, MurpheyetMD. Rectus femoris muscle tear appearing as a pseudotumor. Am J Sports Med1998 Jul-Aug;26(4):544-8. doi: 10.1177/03635465980260041301.
Ueblacker P, Müller-Wohlfahrt HW, Hinterwimmer S, Imhoff AB, Feucht MJ. Suture anchor repair of proximal rectus femoris avulsions in elite football players.Knee Surg Sports TraumatolArthrosc. 2015 Sep;23(9):2590-4. doi: 10.1007/s00167-014-3177-0.
Yildiz C, Aydin T, Yildiz Y, Kalyon TA, Basbozkurt M. Anterior inferior iliac spine apophyseal avulsion fracture. J South OrthopAssoc 2003: 12(1): 38–40.
Brophy RH, Wright RW, powell JW, Matava MJ. Injuries to kickers in American football: the National Football League experience. Am J Sports Med. 2010;38(6):1166–73.
Dean CS, Arbeloa-Gutierrez L, Chahla J, Pascual-Garrido C. Proximal rectusfemorisavulsionrepair. Arthrosc Tech. 2016;5:e545–9.
Ekstrand J, Hagglund M, Walden M. Epidemiology of muscle injuries in professional football (soccer). Am J Sports Med. 2011 Jun;39(6):1226-32. doi: 10.1177/0363546510395879.
Ekstrand J, Hagglund M, Walden M. Injury incidence and injury patterns in professional football: the UEFA injury study. Br J Sports Med. 2011; 45(7):553–8.
Gamradt SC, Brophy RH, Barnes R, Warren RF, Thomas Byrd JW, Kelly BT. Nonoperative treatment for proximal avulsion of the rectus femoris in professional American football. Am J Sports Med. 2009;37(7):1370–74.
Garcia VV, Duhrkop DC, Seijas R, Ares O, Cugat R Surgical treatment of proximal ruptures of the rectus femoris in professional soccer players. ArchOrthop Trauma Surg. 2012 Mar;132(3):329-33. doi: 10.1007/s00402-011-1372-8.
Garcia VV, Duhrkop DC, Seijas R, Ares O, Cugat R. Surgical treatment of proximal ruptures of the rectus femoris in professional soccer players. ArchOrthop Trauma Surg2012;132(3):329–33
Garrett WE Jr. Muscle strain injuries. Am J Sports Med. 1996; 24[suppl 6]:S2–S8.
Gyftopoulos S, Rosenberg ZS, Schweitzer ME, Bordalo-Rodrigues M. Normal Anatomy and Strains of the Deep Musculotendinous Junction of the Proximal Rectus Femoris: MRI Features. AJR Am J Roentgenol. 2008 Mar;190(3):W182-6. doi: 10.2214/AJR.07.2947.
Hapa O, Bedi A, Gursan O, et al. Anatomic footprint of the direct head of the rectus femoris origin: cadaveric study and clinical series of hips after arthroscopic anterior inferior iliac spine/subspine decompression. Arthroscopy. 2013;29:1932–40.
Hasselmann CT, Best TM. An explanation for various rectus femoris strain injuries using previously undescribed muscle architecture. Am J Sports Med. 1995;23(4):493–9.
Hsu JC, Fischer DA, Wright RW.proximal rectus femoris avulsions in national football league kickers: a report of 2 cases. Am J Sports Med.2005;33(7):1085–7
Hughes C, Hasselman CT, Best, Martinez S, Garrett WE Jr. Incomplete, intrasubstance strain injuries of the rectus femoris muscle. Am J Sports Med 1995;23:500-6.
Hughes CT, Hasselman CT, Best TM, Martinez S, Garrett WE Jr. An explanation for various rectus femoris strain injuries using previously undescribed muscle architecture. Am J Sports Med 1995; 23:493–9.
Hughes CT, Hasselman CT, Best TM, Martinez S, Garrett WE Jr. Incomplete, intrasubstance strain injuries of the rectus femoris muscle. Am J Sports Med. 1995 Jul-Aug;23(4):500-6. doi: 10.1177/036354659502300422.
Irmola T, Heikkila JT, Orava S, Sarimo J. Total proximal tendon avulsion of the rectus femoris muscle. Scand J Med Sci Sports. 2007;17(4):378–82.
IrmolaT,HeikkiläJ T,OravaS,SarimoJ. total proximal tendon avulsion of the rectus femoris muscle. Scand J Med Sci Sports. 2007 Aug;17(4):378-82. doi: 10.1111/j.1600-0838.2006.00564.x.
Lasse Lempainen, JussiKosola, RicardPruna, JordiPuigdellivol, JuhaRanne, Sakari Orava. Operative Treatment of Proximal Rectus Femoris Injuries in Professional Soccer Players: A Series of 19 Cases. Orthop J Sports Med. 2018 Oct; 6(10)
Lempainen L, Kosola J, Pruna R, Puigdellivol J, Ranne J, Orava S. Operative treatment of proximal rectus femoris injuries in professional soccer players: a series of 19 cases. Orthop J Sports Med. 2018 Oct 2;6(10):2325967118798827.
Mendiguchia J, Alentorn-Geli E, Idoate F, Myer GD. Rectus femoris muscle injuries in football: a clinically relevant review of mechanisms of injury, risk factors and preventive strategies. Br J Sports Med. 2013;47(6):359–66.
Orchard JW. Intrinsic and extrinsic risk factors for muscle strains in australian football. Am J Sports Med 2001;29(3):292–7.
Ouellette H, Thomas BJ, Nelson E, Torriani M. MR imaging of rectus femoris origin injuries. Skeletal Radiol. 2006;35(9):665–72.
Ouellette H, Thomas BJ, Nelson E, Torriani M. MR Imaging of Rectus Femoris Origin Injuries. Skeletal Radiol. 2006 Sep;35(9):665-72. doi: 10.1007/s00256-006-0162-9.
Temple HT, Kuklo TR, Sweet DE, Gibbons CL, MurpheyetMD. Rectus femoris muscle tear appearing as a pseudotumor. Am J Sports Med1998 Jul-Aug;26(4):544-8. doi: 10.1177/03635465980260041301.
Ueblacker P, Müller-Wohlfahrt HW, Hinterwimmer S, Imhoff AB, Feucht MJ. Suture anchor repair of proximal rectus femoris avulsions in elite football players.Knee Surg Sports TraumatolArthrosc. 2015 Sep;23(9):2590-4. doi: 10.1007/s00167-014-3177-0.
Yildiz C, Aydin T, Yildiz Y, Kalyon TA, Basbozkurt M. Anterior inferior iliac spine apophyseal avulsion fracture. J South OrthopAssoc 2003: 12(1): 38–40.
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2021-09-28
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Almeida TAF de, Braun MAA, Duarte ML, Santos LR dos, Silva M de QP da. Avulsão do tendão reto femoral em atleta amador: relato de caso diagnosticado pela ressonância magnética. Semin. Cienc. Biol. Saude [Internet]. 28º de setembro de 2021 [citado 26º de dezembro de 2024];42(2):243-8. Disponível em: https://ojs.uel.br/revistas/uel/index.php/seminabio/article/view/39215
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