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Quadriceps Contusion

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1. Quadriceps Contusion

, Contusion, thigh , Superficial bruising of thigh , Contusion of thigh (disorder) , contusion; quadriceps femoris Czech Zhmoždění stehna , Kontuze stehna Korean 넓적다리의 타박상 Hungarian A comb zúzódása , Véraláfutás a combon Derived from the NIH UMLS ( ) Related Topics in Hip Disorders About FPnotebook.com is a rapid access, point-of-care medical reference for primary care and emergency clinicians. Started in 1995, this collection now contains 6656 interlinked topic pages divided into a tree of 31 specialty (...) Quadriceps Contusion Quadriceps Contusion Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Quadriceps Contusion Quadriceps Contusion

2018 FP Notebook

2. Morel-Lavallee Lesion Initially Diagnosed as Quadriceps Contusion: Ultrasound, MRI, and Importance of Early Intervention Full Text available with Trip Pro

Morel-Lavallee Lesion Initially Diagnosed as Quadriceps Contusion: Ultrasound, MRI, and Importance of Early Intervention Morel-Lavallee lesions (MLL) are rare, closed degloving injuries caused by trauma that delivers a shearing force to the soft tissue most commonly of the hip. If not treated in the acute and subacute setting these lesions are often complicated by re-accumulation of fluid, infection, or chronic pain. We present a unique case of a recurrent, massive medial knee/thigh MLL (...) in which proper treatment was delayed due to initial diagnosis of a quadriceps contusion. We describe the ultrasound and magnetic resonance imaging findings of this patient and based on a review of recent literature propose that the initial management should have included early drainage/debridement, which likely could have prevented recurrence and significantly shortened the clinical course.

2015 Western Journal of Emergency Medicine

3. Quadriceps Contusion

, Contusion, thigh , Superficial bruising of thigh , Contusion of thigh (disorder) , contusion; quadriceps femoris Czech Zhmoždění stehna , Kontuze stehna Korean 넓적다리의 타박상 Hungarian A comb zúzódása , Véraláfutás a combon Derived from the NIH UMLS ( ) Related Topics in Hip Disorders About FPnotebook.com is a rapid access, point-of-care medical reference for primary care and emergency clinicians. Started in 1995, this collection now contains 6656 interlinked topic pages divided into a tree of 31 specialty (...) Quadriceps Contusion Quadriceps Contusion Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Quadriceps Contusion Quadriceps Contusion

2015 FP Notebook

4. Contusions (Treatment)

ahead of print. . Wankhede AG. The bruise which depicted the pattern of subjacent bone. Forensic Sci Int . 2009 Apr 15. 186(1-3):e5-7. . Media Gallery Athlete with a quadriceps strain. Place knee passively in 120º of flexion and immobilize with a double elastic wrap in a figure-8 fashion. This should occur within minutes of the injury. Used with permission courtesy of John Aronen, MD. Modified treatment of quadriceps contusion. Used with permission courtesy of John Aronen, MD. Rotator cuff injury (...) , Menetrey J, Somogyl G, et al. Development of approaches to improve the healing following muscle contusion. Cell Transplant . 1998 Nov-Dec. 7(6):585-98. . Nozaki M, Li Y, Zhu J, et al. Improved muscle healing after contusion injury by the inhibitory effect of suramin on myostatin, a negative regulator of muscle growth. Am J Sports Med . 2008 Dec. 36(12):2354-62. . Jackson DW, Feagin JA. Quadriceps contusions in young athletes. Relation of severity of injury to treatment and prognosis. J Bone Joint Surg

2014 eMedicine.com

5. Contusions (Overview)

mRNA in the contused skeletal muscle of rats: a possible marker for wound age estimation. Int J Legal Med . 2009 Jan 28. epub ahead of print. . Wankhede AG. The bruise which depicted the pattern of subjacent bone. Forensic Sci Int . 2009 Apr 15. 186(1-3):e5-7. . Media Gallery Athlete with a quadriceps strain. Place knee passively in 120º of flexion and immobilize with a double elastic wrap in a figure-8 fashion. This should occur within minutes of the injury. Used with permission courtesy of John (...) muscle contusions account for one third of all sports injuries. The quadriceps and gastrocnemius muscle groups are most often involved (see the images below). [ , , , ] A study that compared incidence, duration of absence and characteristics of indirect (strain) and direct (contusion) quadriceps and hamstring muscle injuries reported that these thigh injuries are more frequent than have been previously described. Direct injuries (contusion) are less frequent than indirect ones (strain), and players

2014 eMedicine.com

6. Contusions (Follow-up)

(Lond) . 2007 Mar. 68(3):148-51. . Sun JH, Wang YY, Zhang L, et al. Time-dependent expression of skeletal muscle troponin I mRNA in the contused skeletal muscle of rats: a possible marker for wound age estimation. Int J Legal Med . 2009 Jan 28. epub ahead of print. . Wankhede AG. The bruise which depicted the pattern of subjacent bone. Forensic Sci Int . 2009 Apr 15. 186(1-3):e5-7. . Media Gallery Athlete with a quadriceps strain. Place knee passively in 120º of flexion and immobilize with a double (...) Author: Michael A Herbenick, MD; Chief Editor: Sherwin SW Ho, MD Share Email Print Feedback Close Sections Sections Contusions Follow-up Return to Play Contusions, in particular quadriceps contusions, [ ] should be observed closely after injury until the hemorrhage has stopped, which usually occurs 24-48 hours after the injury. It is important to consider compartment syndrome or muscle rupture if the pain or girth of the affected area has not stabilized by 48 hours postinjury. See the images below

2014 eMedicine.com

7. Contusions (Diagnosis)

mRNA in the contused skeletal muscle of rats: a possible marker for wound age estimation. Int J Legal Med . 2009 Jan 28. epub ahead of print. . Wankhede AG. The bruise which depicted the pattern of subjacent bone. Forensic Sci Int . 2009 Apr 15. 186(1-3):e5-7. . Media Gallery Athlete with a quadriceps strain. Place knee passively in 120º of flexion and immobilize with a double elastic wrap in a figure-8 fashion. This should occur within minutes of the injury. Used with permission courtesy of John (...) muscle contusions account for one third of all sports injuries. The quadriceps and gastrocnemius muscle groups are most often involved (see the images below). [ , , , ] A study that compared incidence, duration of absence and characteristics of indirect (strain) and direct (contusion) quadriceps and hamstring muscle injuries reported that these thigh injuries are more frequent than have been previously described. Direct injuries (contusion) are less frequent than indirect ones (strain), and players

2014 eMedicine.com

8. Delayed presentation of compartment syndrome of the thigh secondary to quadriceps trauma and vascular injury in a soccer athlete Full Text available with Trip Pro

in a good functional outcome at 2-years follow-up.A high index of suspicion for compartment syndrome is needed in all severe quadriceps contusion. Vascular injury can cause thigh compartment syndrome in sports trauma. MRI findings of deep thigh muscle swelling and "blow-out" tear of the vastus lateralis are strongly suggestive of severe quadriceps injury, and may be a harbinger of delayed thigh compartment syndrome.Copyright © 2015 The Authors. Published by Elsevier Ltd.. All rights reserved. (...) Delayed presentation of compartment syndrome of the thigh secondary to quadriceps trauma and vascular injury in a soccer athlete Compartment syndrome isolated to the anterior thigh is a rare complication of soccer injury. Previous reports in the English literature on sports trauma-related compartment syndrome of the thigh are vague in their description of the response of thigh musculature to blunt trauma, magnetic resonance imaging (MRI) findings of high-risk features of compartment syndrome

2015 International journal of surgery case reports

9. Epidemiological and clinical outcome comparison of indirect ('strain') versus direct ('contusion') anterior and posterior thigh muscle injuries in male elite football players: UEFA Elite League study of 2287 thigh injuries (2001-2013). Full Text available with Trip Pro

Epidemiological and clinical outcome comparison of indirect ('strain') versus direct ('contusion') anterior and posterior thigh muscle injuries in male elite football players: UEFA Elite League study of 2287 thigh injuries (2001-2013). Data regarding direct athletic muscle injuries (caused by a direct blunt or sharp external force) compared to indirect ones (without the influence of a direct external trauma) are missing in the current literature--this distinction has clinical implications.To (...) compare incidence, duration of absence and characteristics of indirect and direct anterior (quadriceps) and posterior thigh (hamstring) muscle injuries.30 football teams and 1981 players were followed prospectively from 2001 until 2013. The team medical staff recorded individual player exposure and time-loss injuries. Muscle injuries were defined as indirect or direct according to their injury mechanism.In total, 2287 thigh muscle injuries were found, representing 25% of all injuries. Two thousand

2015 British Journal of Sports Medicine

10. Quadriceps Injury (Diagnosis)

, 2017 Author: Thomas M DeBerardino, MD; Chief Editor: Craig C Young, MD Share Email Print Feedback Close Sections Sections Quadriceps Injury Overview Background Several types of quadriceps injuries can occur, the most common being the quadriceps contusion, which is painful and disabling. The usual cause of the quadriceps contusion is a direct blow to the anterior thigh from an object or another person (eg, helmet, knee). Very rarely, this injury can be severe enough to progress to an acute (...) quadriceps injuries range from simple strains to more complex and disabling muscle ruptures. See the image below. Modified treatment of quadriceps contusion. Used with permission courtesy of John Aronen, MD. Other types of quadriceps injuries include strains of the quadriceps tendon, complete and partial tears of the quadriceps tendon, and fascial rupture of the quadriceps muscle. Specific areas of the quadriceps are affected for each of these diagnoses. The classic quadriceps strain occurs

2014 eMedicine.com

11. Quadriceps Injury (Treatment)

are candidates for excision of the partial tear if they do not improve with a rehabilitation program and the diagnosis is confirmed by MRI. Consultations An orthopedic surgeon should be consulted for compartment syndrome or quadriceps rupture (complete or partial) at the insertion on the patella. Other Treatment For a quadriceps contusion, immediately putting the knee in 120° of flexion (first 10 min) tamponades the hemorrhage and limits muscle spasm. This provides a more rapid return to normal range (...) with permission courtesy of John Aronen, MD. Simple contusion care Immobilize knee in 120° of flexion with elastic bandage or adjustable knee brace for 24 hours. This should be completed by wrapping the knee in a figure-8 fashion with 2- X 6-inch ACE wraps that have been sewn together end-to-end. Crutches are needed. Apply ice for 20 minutes every 2-3 hours. Discontinue 120° of flexion at 24 hours and begin electrical stimulation and/or passive stretching, followed by icing. Begin active pain-free quadriceps

2014 eMedicine.com

12. Quadriceps Injury (Overview)

Author: Thomas M DeBerardino, MD; Chief Editor: Craig C Young, MD Share Email Print Feedback Close Sections Sections Quadriceps Injury Overview Background Several types of quadriceps injuries can occur, the most common being the quadriceps contusion, which is painful and disabling. The usual cause of the quadriceps contusion is a direct blow to the anterior thigh from an object or another person (eg, helmet, knee). Very rarely, this injury can be severe enough to progress to an acute compartment (...) quadriceps injuries range from simple strains to more complex and disabling muscle ruptures. See the image below. Modified treatment of quadriceps contusion. Used with permission courtesy of John Aronen, MD. Other types of quadriceps injuries include strains of the quadriceps tendon, complete and partial tears of the quadriceps tendon, and fascial rupture of the quadriceps muscle. Specific areas of the quadriceps are affected for each of these diagnoses. The classic quadriceps strain occurs

2014 eMedicine.com

13. Quadriceps Injury (Follow-up)

in 2-5 days. A protective pad larger than the area of contusion should be worn for the remainder of the season. Next: Complications Myositis ossificans may occur at 3 or more months postinjury. Previous Next: Prevention Remove player from activity at the time of initial injury because the risk of a more severe injury is increased when the player is already in a weakened state. Protective padding should be worn in sports with high risk for quadriceps injury and by players who have already sustained (...) such an injury. Previous Next: Prognosis If treated properly, a full recovery is expected, although recovery times vary from days to months. Previous Next: Education For patient education resources, see the , as well as . Previous References Ryan JB, Wheeler JH, Hopkinson WJ, Arciero RA, Kolakowski KR. Quadriceps contusions. West Point update. Am J Sports Med . 1991 May-Jun. 19(3):299-304. . Eckard TG, Kerr ZY, Padua DA, Djoko A, Dompier TP. Epidemiology of Quadriceps Strains in National Collegiate Athletic

2014 eMedicine.com

14. Quadriceps Tendon Tear-MRI

Quadriceps Tendon Tear-MRI Quadriceps Tendon Tear-MRI - Sumer's Radiology Blog Top Ad unit 728 × 90 Radiology News radiology Quadriceps Tendon Tear-MRI Quadriceps Tendon Tear-MRI Case Details: 66 yrs male clinically suspected to be of quadriceps tendon rupture shows on MRI lateral aspect of the tendon displaying incomplete rupture with post elements more involved with soft tissue hematoma in the vicinity / MR ridge sign of patella with patellar bruises with no significant retraction of tendon (...) Teaching points by Dr MGK Murthy MRI Tech- AS Roy Quadriceps Tendon (QT) is multi layered , formed by rectus femoris ( most superficial component) (becomes tendinous 3-5cm from superior pole patella) / Vastus medialis (becomes tendinous few mm above patella) &Vastus lateralis(3-4cm above patella tendinous) compromising middle layer with deep layer of QT formed by vastus intermedius. Blood supply is by descending branches of lateral circumflex artery/ descending/ medial & lateral geniculate arteries

2015 Sumer's Radiology Blog

15. Diagnosis and management of quadriceps strains and contusions Full Text available with Trip Pro

Diagnosis and management of quadriceps strains and contusions Injuries to the quadriceps muscle group occur frequently in sports and athletic activities. Muscle strains and contusions constitute the majority of these injuries. The clinical presentation and assessment of quadriceps strains and contusions are reviewed along with discussion of appropriate imaging used in diagnosis. Treatment protocols for acute injuries are reviewed including rehabilitation techniques frequently utilized during (...) recovery. Special consideration is given to discussing the criteria for return to sports for athletes after injury. Myositis ossificans is a potentially disabling complication from quadriceps contusions and risk factors, prevention, and treatment are reviewed.

2010 Current reviews in musculoskeletal medicine

16. Noninvasive Nonpharmacological Treatment for Chronic Pain

in the review. Many trials did not report harms, withdrawals due to adverse events, or differences between compared interventions in risk of harms or withdrawals. Reported harms varied in scope and specification. Results were considered insufficient for many interventions. Trials that did report such data generally found infrequent occurrences of nonserious treatment-related adverse events (e.g., discomfort, soreness, bruising, increased pain, worsening of symptoms), few withdrawals from nonpharmacological

2020 Effective Health Care Program (AHRQ)

17. Overview of musculoskeletal pain

-extremity paraesthesia brought on by ambulation and relieved by sitting. Sport-related injuries may be generally categorised as acute or chronic; the range of medical conditions potentially resulting from sport- or exercise-related injuries is wide. More than 90% of all sport-related injuries are either contusions or strains. Jarvinen MJ, Lehto MU. The effects of early mobilisation and immobilisation on the healing process following muscle injuries. Sports Med. 1993;15:78-89. http://www.ncbi.nlm.nih.gov (...) characterised by a combination of pain, swelling, and impaired performance. Common sites include the rotator cuff (supraspinatus tendon), wrist extensors (lateral epicondyle) and pronators (medial epicondyle), patellar and quadriceps tendons, and Achilles' tendon. Tenosynovitis of the hand and wrist is a group of entities with a common pathology involving the extrinsic tendons of the hand and wrist and their corresponding retinacular sheaths. It usually starts as tendon irritation manifesting as pain

2018 BMJ Best Practice

18. Management of symptomatic hypermobility in children and young people

? Postural problems ? Easy bruising – this is benign and not of concern ? Clicking joints – joints can click spontaneously or be clicked deliberately and can be performed safely many times a day. This only becomes a concern if it becomes habitual and obsessive impacting on quality of life. ? Reduced coordination and balance – poor proprioception leading to clumsiness and reduced balance, poor core stability leading to difficulties with fine motor control such as handwriting. However, hand function (...) that move over two joints may become tight despite generalised hypermobility Muscle strength ? Baseline assessment of muscle strength very important and research suggests is related to development of symptoms if submaximal. Kendall Muscle Strength Scale (0-10) provides a score that monitors change over time ? Specific muscles to consider depending on the area affected: o Inner-range quadriceps (SLR without a quadriceps lag) o Hip abductors, specifically gluteus medius o Hip extensors, specifically

2019 British Society for Rheumatology

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