https://doi.org/10.4081/ejtm.2024.12846
Lower limb acute onset muscle pain: what do we have to look for? A case of isolated rupture of the rectus femoris
Published: 18 October 2024
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All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.
Authors
Acute muscle pain is muscle soreness that occurs during or within 24 hours of strenuous activity. Possible causes of acute muscle pain include localized muscle trauma, muscle tear, contusion with acute hemorrhage, or acute compartment syndrome. Isolated ruptures of the rectus femoris muscle are rare clinical conditions that result from excessive muscle strain following an abrupt contraction, incorrect movement, or sudden snap that exceeds the physiological limit of strain that the muscle can withstand. To date, there are few published reports evaluating the results of non-invasive treatment of such injuries. Herein, we report an unusual case of isolated distal rectus femoris tear in a 46-year-old female patient with no risk factors, who initially presented with extensor muscle weakness and pain and was treated conservatively with functional rest, physiotherapy, and cryotherapy.
SantAnna JPC, Pedrinelli A, Hernandez AJ, Fernandes TL. Muscle Injury: Pathophysiology, Diagnosis, and Treatment. Rev Bras Ortop (Sao Paulo) 2022;57:1-13.
DOI: https://doi.org/10.1055/s-0041-1731417
Schmidt AH. Acute compartment syndrome. Injury 2017;48:S22-s25.
DOI: https://doi.org/10.1016/j.injury.2017.04.024
Mueller-Wohlfahrt HW, Haensel L, Mithoefer K, et al. Terminology and classification of muscle injuries in sport: the Munich consensus statement. Br J Sports Med 2013;47:342-50.
DOI: https://doi.org/10.1136/bjsports-2012-091448
Tidball JG: Mechanisms of muscle injury, repair, and regeneration. Compr Physiol 2011;1:2029-62.
DOI: https://doi.org/10.1002/cphy.c100092
Musat CL, Niculet E, Craescu M, et al. Pathogenesis of musculotendinous and fascial injuries after physical exercise - short review. Int J Gen Med 2023;16:5247-54.
DOI: https://doi.org/10.2147/IJGM.S432749
Hollabaugh WL, Sin A, Walden RL, et al. Outcomes of activity-related lower extremity muscle tears after application of the british athletics muscle injury classification: a systematic review. Sports Health 2023:19417381231195529.
DOI: https://doi.org/10.1177/19417381231195529
Fernandes TL, Pedrinelli A, Hernandez AJ. Muscle injury - physiopathology, diagnosis, treatment and clinical presentation. Rev Bras Ortop 2011;46:247-55.
DOI: https://doi.org/10.1016/S2255-4971(15)30190-7
Hamilton B, Valle X, Rodas G, Til L, et al. Classification and grading of muscle injuries: a narrative review. Br J Sports Med 2015;49:306.
DOI: https://doi.org/10.1136/bjsports-2014-093551
Bleakley CM, Davison G. Management of acute soft tissue injury using Protection Rest Ice Compression and Elevation: Recommendations from the Association of Chartered Physiotherapists in Sports and Exercise Medicine (ACPSM) [Executive Summary]. Association of Chartered Physiotherapists in Sports and Exercise Medicine. 2010;Execut:1-24.
Garcia C, Karri J, Zacharias NA, Abd-Elsayed A. Use of cryotherapy for managing chronic pain: an evidence-based narrative. Pain Ther 2021;10:81-100.
DOI: https://doi.org/10.1007/s40122-020-00225-w
Khoshnevis S, Craik NK, Diller KR. Cold-induced vasoconstriction may persist long after cooling ends: an evaluation of multiple cryotherapy units. Knee Surg Sports Traumatol Arthrosc 2015;23:2475-83.
DOI: https://doi.org/10.1007/s00167-014-2911-y
Fontana JM, Alito A, Piterà P, et al. Whole-Body Cryostimulation in post-COVID rehabilitation for patients with obesity: a multidisciplinary feasibility study. Biomedicines 2023;11.
DOI: https://doi.org/10.3390/biomedicines11113092
Bouzigon R, Dupuy O, Tiemessen I, et al. Cryostimulation for post-exercise recovery in athletes: a consensus and position paper. Front Sports Act Living 2021;3:688828.
DOI: https://doi.org/10.3389/fspor.2021.688828
Hotfiel T, Seil R, Bily W, et al. Nonoperative treatment of muscle injuries - recommendations from the GOTS expert meeting. J Exp Orthop 2018;5:24.
DOI: https://doi.org/10.1186/s40634-018-0139-3
Ramos LA, de Carvalho RT, Abdalla RJ, Ingham SJ. Surgical treatment for muscle injuries. Curr Rev Musculoskelet Med 2015;8:188-92.
DOI: https://doi.org/10.1007/s12178-015-9272-0
McCall A, Pruna R, Van der Horst N, et al. Exercise-based strategies to prevent muscle injury in male elite footballers: an expert-led delphi survey of 21 practitioners belonging to 18 teams from the big-5 european leagues. Sports Med 2020;50:1667-81.
DOI: https://doi.org/10.1007/s40279-020-01315-7
Partenheimer A, Warnhoff M, Lill H. Management of muscle trauma in popular sports. Unfallchirurgie (Heidelb) 2023;126:895-903.
DOI: https://doi.org/10.1007/s00113-023-01377-y
Maffulli N, Oliva F, Frizziero A, et al. ISMuLT Guidelines for muscle injuries. Muscles Ligaments Tendons J 2013;3:241-9.
DOI: https://doi.org/10.32098/mltj.04.2013.02
Mense S. Muscle pain: mechanisms and clinical significance. Dtsch Arztebl Int 2008;105:214-9.
DOI: https://doi.org/10.3238/arztebl.2008.0510c
Igolnikov I, Gallagher RM, Hainline B. Chapter 39 - Sport-related injury and pain classification. In: Handbook of Clinical Neurology. Volume 158. Hainline B, Stern RA (eds.). Elsevier; 2018:423-430
DOI: https://doi.org/10.1016/B978-0-444-63954-7.00039-2
Smart KM, Blake C, Staines A, et al. Mechanisms-based classifications of musculoskeletal pain: part 3 of 3: symptoms and signs of nociceptive pain in patients with low back (± leg) pain. Man Ther 2012;17:352-57.
DOI: https://doi.org/10.1016/j.math.2012.03.002
Wiig H. Pathophysiology of tissue fluid accumulation in inflammation. J Physiol 2011;589:2945-53.
DOI: https://doi.org/10.1113/jphysiol.2011.206136
Rivera Rosado E, Soler Salas A. Isolated rectus femoris muscle tear in a non-athletic patient: a case report. Bol Asoc Med P R 2016;108:81-83.
Knapik DM, Alter TD, Ganapathy A, et al. Isolated, full-thickness proximal rectus femoris injury in competitive athletes: a systematic review of injury characteristics and return to play. Orthop J Sports Med 2023;11:23259671221144984.
DOI: https://doi.org/10.1177/23259671221144984
Gabbett TJ. The training-injury prevention paradox: should athletes be training smarter and harder? Br J Sports Med 2016;50:273-80.
DOI: https://doi.org/10.1136/bjsports-2015-095788
Knight K, Brucker J, Stoneman P, Rubley M. Muscle injury management with cryotherapy. Athletic Therapy Today 2000;5:26-30.
DOI: https://doi.org/10.1123/att.5.4.26
Bayer M, Hoegberget-Kalisz M, Jensen M, et al. Role of tissue perfusion, muscle strength recovery and pain in rehabilitation after acute muscle strain injury: A randomized controlled trial comparing early and delayed rehabilitation. Scandinavian J Med Sci Sports 2018;28.
DOI: https://doi.org/10.1111/sms.13269
Widodo AF, Tien CW, Chen CW, Lai SC. Isotonic and isometric exercise interventions improve the hamstring muscles' strength and flexibility: a narrative review. Healthcare (Basel) 2022;10.
DOI: https://doi.org/10.3390/healthcare10050811
Alito A, Quartarone A, Leonardi G, et al. Brown adipose tissue human biomarkers: Which one fits best? A narrative review. Medicine (Baltimore) 2022;101:e32181.
DOI: https://doi.org/10.1097/MD.0000000000032181
How to Cite
Portaro, S., Felice, C., Leonardi, G., Milardi, D., Bruschetta, D., Leonetti, D., Scarcella, E., Tisano, A., & Alito, A. (2024). Lower limb acute onset muscle pain: what do we have to look for? A case of isolated rupture of the rectus femoris. European Journal of Translational Myology. https://doi.org/10.4081/ejtm.2024.12846
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