Management of proximal rectus femoris injuries - do we know what we're doing?: A systematic review.

Avulsions Rectus Femoris Return Treatment

Journal

Biology of sport
ISSN: 0860-021X
Titre abrégé: Biol Sport
Pays: Poland
ID NLM: 8700872

Informations de publication

Date de publication:
Apr 2023
Historique:
received: 16 09 2021
revised: 29 01 2022
accepted: 04 05 2022
medline: 20 4 2023
pubmed: 20 4 2023
entrez: 20 04 2023
Statut: ppublish

Résumé

Rectus femoris (RF) injury is a concern in sports. The management RF strains/tears and avulsion injuries need to be clearly outlined. A systematic review of literature on current management strategies for RF injuries, and to ascertain the efficacy thereof by the return to sport (RTS) time and re-injury rates. Literature search using Medline via PubMed, WorldCat, EMBASE, SPORTDiscus. Eligible studies were reviewed. Thirty-eight studies involving hundred and fifty-two participants were included. Majority (n = 138; 91%) were males, 80% (n = 121) sustained RF injury from kicking and 20% (n = 31) during sprinting. The myotendinous (MT), (n = 27); free tendon (FT), (n = 34), and anterior-inferior iliac spine (AIIS), (n = 91) were involved. Treatment was conservative (n = 115) or surgical (n = 37) across the subgroups. 73% (n = 27) of surgical treatments followed failed conservative treatment. The mean RTS was shorter with successful conservative treatment (MT: 1, FT: 4, AIIS avulsion: 2.9 months). Surgical RTS ranged from 2-9 months and 18 months with labral involvement. With either group, there was no re-injury within 24 months follow-up. With low certainty of evidence RF injury occurs mostly from kicking, resulting in a tear or avulsion at the FT and AIIS regions with or without a labral tear. With low certainty, findings suggest that successful conservative treatment provides a shortened RTS. Surgical treatment remains an option for failed conservative treatment of RF injuries across all subgroups. High-level studies are recommended to improve the evidence base for the treatment of this significant injury.

Identifiants

pubmed: 37077795
doi: 10.5114/biolsport.2023.116454
pii: 116454
pmc: PMC10108758
doi:

Types de publication

Journal Article

Langues

eng

Pagination

497-512

Informations de copyright

Copyright © Biology of Sport 2023.

Déclaration de conflit d'intérêts

The authors declare no conflict of interest.

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Auteurs

Lone Bogwasi (L)

Section Sports Medicine, Faculty of Health Sciences, University of Pretoria, Pretoria, South Africa.

Louis Holtzhausen (L)

Section Sports Medicine, Faculty of Health Sciences, University of Pretoria, Pretoria, South Africa.
Aspetar Orthopedic and Sports Medicine Hospital, Weill-Cornell Medical College; Qatar.
Department of Exercise and Sports Sciences, University of the Free State, Bloemfontein, South Africa.

Dina Christa Janse van Rensburg (DC)

Section Sports Medicine, Faculty of Health Sciences, University of Pretoria, Pretoria, South Africa.
Medical Board Member, World Netball, Manchester, UK.

Audrey Jansen van Rensburg (A)

Section Sports Medicine, Faculty of Health Sciences, University of Pretoria, Pretoria, South Africa.

Tanita Botha (T)

Department of Statistics, Faculty of Natural and Agricultural Sciences, University of Pretoria, Pretoria, South Africa.

Classifications MeSH