Paper # 78: Surgical Treatment of Proximal Ruptures of the Rectus Femoris in Professional Soccer Player

Proximal Rectus Femoris Avulsion Repair

“…10 Patients were back to playing after 6 to 12 weeks after injury. The largest case series of surgical treatment of proximal rectus femoris injuries were performed by García et al 2 and Irmola et al 6 García et al reported 10 cases of injury to the direct arm of the rectus femoris in professional soccer players who were treated surgically. Nine of the cases underwent augmentation with plasma rich in growth factors at the end of the procedure.…”

“…3,5 Reattachment with suture anchors is the gold standard for operative fixation. 2,6,7 We propose a double-row suture, as in rotator cuff repair, with 2 anchors to give more strength to the suture and prevent potential failures with early rehabilitation.…”

“…P roximal rectus femoris tendon avulsions are rare and account for approximately 1.5% of hip lesions that occur during sports. 1 This lesion is more frequent in athletes practicing sports that involve sprinting and kicking, 2 such as track and field, football, rugby, and soccer. The cause of these tendinous tears is still unknown, and a wide range of risk factors have been suggested within the literature.…”

“…4 Although standard treatment is nonoperative management, good results have been reported with surgical treatment in a select group of patients, particularly high-level athletes. 2,3,[5][6][7][8] The purpose of this technical note is to describe the method for surgical repair of the proximal direct arm of the rectus femoris to its origin at the anterior inferior iliac spine (AIIS).…”