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Intramuscular Degloving Injury of the Rectus Femoris From Kickball: A Case Report and Review
Intramuscular degloving injuries (IDIs) are a rare and unique type of muscle injury where there is a dissociation between the inner and outer components of a particular muscle. This type of injury is seen exclusively within the rectus femoris (RF) muscle due to its unique muscle-within-a-muscle anat...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Cureus
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10440009/ https://www.ncbi.nlm.nih.gov/pubmed/37605671 http://dx.doi.org/10.7759/cureus.42230 |
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author | Meller, Leo Oca, Michael C Wilson, Katherine Allen, Matthew Smitaman, Edward Kalavacherla, Sandhya Vitale, Kenneth |
author_facet | Meller, Leo Oca, Michael C Wilson, Katherine Allen, Matthew Smitaman, Edward Kalavacherla, Sandhya Vitale, Kenneth |
author_sort | Meller, Leo |
collection | PubMed |
description | Intramuscular degloving injuries (IDIs) are a rare and unique type of muscle injury where there is a dissociation between the inner and outer components of a particular muscle. This type of injury is seen exclusively within the rectus femoris (RF) muscle due to its unique muscle-within-a-muscle anatomy and represents 9% of RF injuries. Despite the significance of this injury, limited knowledge exists regarding the mechanism, management, and prognosis of IDIs, and IDIs are not currently included among the various muscle injury classifications. We present a 38-year-old active male with a one-week history of acute onset right anterior mid-thigh pain and palpable lump after playing kickball. Right thigh MRI revealed an IDI of the RF muscle, edema within the inner and outer muscular portions of the muscle, and a retraction of the torn inner indirect myotendinous complex of the RF. He was managed with physical therapy while being advised to avoid aggressive quadriceps contractions, high-intensity, or high-impact exercise. This is the first reported case of an IDI that occurred in an older recreational athlete (versus young competitive athletes), and the first case of an IDI in a kicking sport other than soccer (kickball). This case emphasizes the importance of a broader awareness of this injury, and a heightened index of suspicion is advised in assessing potential IDIs to improve patient prognosis and rehabilitation. Given the limited understanding and rarity of this injury, we also provide a comprehensive review describing the IDI to the RF. |
format | Online Article Text |
id | pubmed-10440009 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Cureus |
record_format | MEDLINE/PubMed |
spelling | pubmed-104400092023-08-21 Intramuscular Degloving Injury of the Rectus Femoris From Kickball: A Case Report and Review Meller, Leo Oca, Michael C Wilson, Katherine Allen, Matthew Smitaman, Edward Kalavacherla, Sandhya Vitale, Kenneth Cureus Physical Medicine & Rehabilitation Intramuscular degloving injuries (IDIs) are a rare and unique type of muscle injury where there is a dissociation between the inner and outer components of a particular muscle. This type of injury is seen exclusively within the rectus femoris (RF) muscle due to its unique muscle-within-a-muscle anatomy and represents 9% of RF injuries. Despite the significance of this injury, limited knowledge exists regarding the mechanism, management, and prognosis of IDIs, and IDIs are not currently included among the various muscle injury classifications. We present a 38-year-old active male with a one-week history of acute onset right anterior mid-thigh pain and palpable lump after playing kickball. Right thigh MRI revealed an IDI of the RF muscle, edema within the inner and outer muscular portions of the muscle, and a retraction of the torn inner indirect myotendinous complex of the RF. He was managed with physical therapy while being advised to avoid aggressive quadriceps contractions, high-intensity, or high-impact exercise. This is the first reported case of an IDI that occurred in an older recreational athlete (versus young competitive athletes), and the first case of an IDI in a kicking sport other than soccer (kickball). This case emphasizes the importance of a broader awareness of this injury, and a heightened index of suspicion is advised in assessing potential IDIs to improve patient prognosis and rehabilitation. Given the limited understanding and rarity of this injury, we also provide a comprehensive review describing the IDI to the RF. Cureus 2023-07-21 /pmc/articles/PMC10440009/ /pubmed/37605671 http://dx.doi.org/10.7759/cureus.42230 Text en Copyright © 2023, Meller et al. https://creativecommons.org/licenses/by/3.0/This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. |
spellingShingle | Physical Medicine & Rehabilitation Meller, Leo Oca, Michael C Wilson, Katherine Allen, Matthew Smitaman, Edward Kalavacherla, Sandhya Vitale, Kenneth Intramuscular Degloving Injury of the Rectus Femoris From Kickball: A Case Report and Review |
title | Intramuscular Degloving Injury of the Rectus Femoris From Kickball: A Case Report and Review |
title_full | Intramuscular Degloving Injury of the Rectus Femoris From Kickball: A Case Report and Review |
title_fullStr | Intramuscular Degloving Injury of the Rectus Femoris From Kickball: A Case Report and Review |
title_full_unstemmed | Intramuscular Degloving Injury of the Rectus Femoris From Kickball: A Case Report and Review |
title_short | Intramuscular Degloving Injury of the Rectus Femoris From Kickball: A Case Report and Review |
title_sort | intramuscular degloving injury of the rectus femoris from kickball: a case report and review |
topic | Physical Medicine & Rehabilitation |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10440009/ https://www.ncbi.nlm.nih.gov/pubmed/37605671 http://dx.doi.org/10.7759/cureus.42230 |
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