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Research & Investigations in Sports Medicine

Chronic Avulsion of the Proximal Rectus Femoris Tendon with Significant Defect: A Successful Surgical Management

  • Open or Close Mathieu Angers-Goulet1*, Nicolas Janelle2 and Étienne L Belzile1,3

    1 Department of Surgery, Université Laval, Canada

    2 Department of Kinesiology, Université Laval, Canada

    3 Department of Orthopaedic Surgery, CHU de Québec-Université Laval, Canada

    *Corresponding author: Mathieu Angers-Goulet, MD, Orthopaedic Surgeon Resident, CHU de, Québec-Université Laval, 1401, 18e rue, Quebec City, QC G1J 1Z4, Canada

Submission: August 23, 2018; Published: September 24, 2018

DOI: 10.31031/RISM.2018.04.000578

ISSN: 2577-1914
Volume4 Issue1


Background: Rupture of the proximal rectus femoris tendon has been well documented in the literature because of a bony avulsion of the anteroinferior iliac spine predominantly in the active adolescent population. Most of these ruptures are treated non-operatively with good functional outcomes. However, when conservative treatments fail, surgery is an option.

Purpose: To describe a rare case of successful surgical management of a chronic ruptured proximal rectus femoris tendon.

Results: The patient progressively returned to competitive sports without any symptoms at four months post tendon repair. At final follow-up two years after surgical repair, the patient has a University of California, Los Angeles activity score of 10, and a Non-Arthritic Hip Score of 95/100.

Conclusion: Tendon avulsion of the rectus femoris muscle is a rare entity in the adult population. Surgical management of chronic tendon avulsion of the rectus femoris proved to be efficient and can be recommended when conservative treatment fails.

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