Hospital Universitario Príncipe de Asturias, Cr Alcalá-Meco s/n, Alcalá de Henares, Madrid, Spain.
Arch Orthop Trauma Surg. 2012 Mar;132(3):329-33. doi: 10.1007/s00402-011-1372-8. Epub 2011 Aug 13.
Muscle injuries are very common in athletes. Depending on the type of sport, muscle injuries represent approximately 9-54% of total injuries. The rectus femoris muscle is very important in specific sports, such as soccer and American football, because it is the muscle involved in movements, such as sprinting and kicking the ball. Therefore, we believe that these disabling injuries need special and prompt treatment to enable athletes to return to their sporting activities.
The aim of our study is to assess the results of surgical treatment of ruptures of the rectus femoris in professional soccer players by reattachment of the tendon. We identified ten proximal rectus femoris ruptures in professional soccer players belonging to the Spanish Football League.
Mean follow-up was 34.8 months (SD + 28.72). The mean age of the players was 27.4 years (SD + 4.14). In six cases (60%), the tendon was repaired by direct suture with non-absorbable sutures. In four cases, where there had been complete avulsion, bone anchoring sutures were used. There is no consensus regarding the optimal treatment for ruptures of the rectus femoris muscle. There are a few reports in the literature based on isolated experiences of different surgeons.
Surgical treatment has a lower recurrence rate in our hands; we believe that surgical treatment is indicated in these cases, for a complete functional recovery for professional soccer players.
肌肉损伤在运动员中非常常见。根据运动类型的不同,肌肉损伤约占总损伤的 9-54%。股直肌在足球和美式足球等特定运动中非常重要,因为它是参与冲刺和踢球等运动的肌肉。因此,我们认为这些致残性损伤需要特殊和及时的治疗,以使运动员能够重返运动活动。
我们的研究目的是评估通过肌腱重新附着治疗职业足球运动员股直肌撕裂的手术治疗结果。我们在西班牙足球联赛中发现了 10 名职业足球运动员的近端股直肌撕裂。
平均随访 34.8 个月(SD+28.72)。运动员的平均年龄为 27.4 岁(SD+4.14)。在 6 例(60%)中,肌腱通过非吸收缝线直接缝合修复。在 4 例完全撕脱的情况下,使用了骨锚定缝线。股直肌撕裂的最佳治疗方法尚无共识。文献中有一些基于不同外科医生的孤立经验的报告。
在我们手中,手术治疗的复发率较低;我们认为在这些情况下,手术治疗对于职业足球运动员的完全功能恢复是必要的。