Test your knowledge: pain in the upper leg after mild trauma
Past week a patient was seen in practice, suffering from pain in the anterior region his right upper leg, after a simple and not powerful pass during soccer.
The pain was not severe (NRS 4/10) and there were no severe limitations in his activity pattern. Walking, walking up and down the stairs and cycling did not lead no problems or pain. However, there were two things he could not do: performing a squat and stretching his quadriceps.
A history-taking, physical and ultrasonographic examination were performed. In the picture below you can see two of the ultrasound images that were taken during the procedure.
Do you know what is wrong with this man’s upper leg?
The images are from his upper leg, anterior side, rectus femoris tendon - a complete rupture of the myotendinous junction of his right rectus femoris was present!
After examination, a colleague was alerted to confirm the diagnosis and the patient’s General Practitioner was contacted to discuss what to do. It was agreed to refer the patient to an orthopedic surgeon for further examination and probably surgery.
Are there any other treatment options?