Xavier Yanguas

12
Injuries of the deep fascia of the rectus femoris Different possibili7es of evolu7on Xavier Yanguas Leyes Medical Department FCBarcelona 5th MuscleTech Network Workshop Barcelona, 14th and 15th October 2013

description

Injuries of the deep fascia of the rectus femoris. Different possibilities of evolution

Transcript of Xavier Yanguas

Page 1: Xavier Yanguas

Injuries  of  the  deep  fascia  of  the  rectus  femoris  Different  possibili7es  of  evolu7on  

Xavier  Yanguas  Leyes    Medical  Department  FCBarcelona  

5th  MuscleTech  Network  Workshop  Barcelona,  14th  and  15th  October  2013  

Page 2: Xavier Yanguas

5th  MuscleTech  Network  Workshop  Barcelona,  14th  and  15th  October  2013  

Common  sites  of  muscletendinous  jun7on’s  injuries  

Taken  with  permission  of  Ramon  Balius  (Masson,  2005)  

Page 3: Xavier Yanguas

5th  MuscleTech  Network  Workshop  Barcelona,  14th  and  15th  October  2013  

•   Silent  evolu?on  without  symptoms  as  an  incidental  finding.  

•   Symptoms  and  signs  with  a  normal  recovery  and  return-­‐to-­‐play.  

•   Symptoms  and  signs  with  a  normal  recovery  but  with  a  re-­‐injury.    

Page 4: Xavier Yanguas

5th  MuscleTech  Network  Workshop  Barcelona,  14th  and  15th  October  2013  

CASE  1    

Professional   football  player.  Ultrasound  exam  for  no  muscle   related  reasons.   Incidental  finding.  No  days  off.  Evolu?on  un?l  the  resolu?on:  10  days  without  symptoms,  playing  and  training  normaly.  

Page 5: Xavier Yanguas

5th  MuscleTech  Network  Workshop  Barcelona,  14th  and  15th  October  2013  

Page 6: Xavier Yanguas

CASE  2  

Professional  football  player.  2  weeks  training  and  playing  with  some  discomfort.  During  a  training  session  he   feels  a  prick   in  his   leS  thigh,   this  ?me  “stronger   than  the  previous  days”.  7  days  off.  Return  to  play  without  incidents.  

5th  MuscleTech  Network  Workshop  Barcelona,  14th  and  15th  October  2013  

Page 7: Xavier Yanguas

CASE  3    Professional  football  player.  He  feels  a  prick  in  his  right  thigh  during  a  side-­‐cuVng  maneuver.  4  weeks  of  days  off.  He  didn’t  understand  the  reason  to  stop  because  he  felt  very  well  at  4-­‐5  days.    

5th  MuscleTech  Network  Workshop  Barcelona,  14th  and  15th  October  2013  

Page 8: Xavier Yanguas

5th  MuscleTech  Network  Workshop  Barcelona,  14th  and  15th  October  2013  

Page 9: Xavier Yanguas

5th  MuscleTech  Network  Workshop  Barcelona,  14th  and  15th  October  2013  

Page 10: Xavier Yanguas

Unexpected  evolu?on  at  the  moment  of  the  return-­‐to-­‐play.                                                                                                                        He  feels  a  prick  in  the  same  thigh  during  a  shoot  to  goal.    

4  weeks  

Page 11: Xavier Yanguas

Unexpected  evolu?on  at  the  moment  of  the  return-­‐to-­‐play.                                                                                                                        He  feels  a  prick  in  the  same  thigh  during  a  shoot  to  goal.    

Page 12: Xavier Yanguas

Special  thanks  to:    Xavier  Alomar,  Lluis  Til,  Ricard  Pruna,  Xavi  López,  Xavi  Zamora,  Carles  MarYn,  Jaume  Langa.