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Apophyseal Avulsion of the Rectus Femoris Tendon Origin in Adolescent Soccer Players

Apophyseal avulsions of the rectus femorus tendon (RFT) at the anterior inferior iliac spine (AIIS) can occur in adolescents, often while performing soccer. Patient-reported outcomes (PROMs) and time to return to sport of these patients are relatively unknown. Therefore, the aim of this study was to...

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Autores principales: Weel, Hanneke, Joosten, A. J. Peter, van Bergen, Christiaan J. A.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9320601/
https://www.ncbi.nlm.nih.gov/pubmed/35884000
http://dx.doi.org/10.3390/children9071016
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author Weel, Hanneke
Joosten, A. J. Peter
van Bergen, Christiaan J. A.
author_facet Weel, Hanneke
Joosten, A. J. Peter
van Bergen, Christiaan J. A.
author_sort Weel, Hanneke
collection PubMed
description Apophyseal avulsions of the rectus femorus tendon (RFT) at the anterior inferior iliac spine (AIIS) can occur in adolescents, often while performing soccer. Patient-reported outcomes (PROMs) and time to return to sport of these patients are relatively unknown. Therefore, the aim of this study was to assess the PROMs and return to sports of patients with AIIS avulsions and compare the results with those reported in the literature. This is a case series of seven consecutive patients presenting at our hospital between 2018 and 2020 with an apophyseal avulsion of the RFT from the AIIS. The patients were assessed with use of the WOMAC and Tegner scores and return to sports was evaluated. All patients were male soccer players (median age 13 years; range, 12–17). They were all initially treated non-operatively. One of the patients subsequently needed excision surgery of a heterotopic ossification because of non-transient hip impingement. All other patients recovered after a period of relative rest. Median time to return to sports was 2.5 months (range, 2–3). At a median follow-up of 33 months (range, 18–45), the WOMAC (median, 100; range, 91–100) and Tegner scores (median, 9; range, 5–9) were high. In accordance with the existing literature, most patients with apophyseal avulsions of the AIIS recover well with non-operative treatment. However, the avulsion can lead to hip impingement due to heterotopic ossifications possibly needing surgical excision. Sport resumption is achievable after 2–3 months, and patient-reported outcomes are highly satisfactory in the long term.
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spelling pubmed-93206012022-07-27 Apophyseal Avulsion of the Rectus Femoris Tendon Origin in Adolescent Soccer Players Weel, Hanneke Joosten, A. J. Peter van Bergen, Christiaan J. A. Children (Basel) Article Apophyseal avulsions of the rectus femorus tendon (RFT) at the anterior inferior iliac spine (AIIS) can occur in adolescents, often while performing soccer. Patient-reported outcomes (PROMs) and time to return to sport of these patients are relatively unknown. Therefore, the aim of this study was to assess the PROMs and return to sports of patients with AIIS avulsions and compare the results with those reported in the literature. This is a case series of seven consecutive patients presenting at our hospital between 2018 and 2020 with an apophyseal avulsion of the RFT from the AIIS. The patients were assessed with use of the WOMAC and Tegner scores and return to sports was evaluated. All patients were male soccer players (median age 13 years; range, 12–17). They were all initially treated non-operatively. One of the patients subsequently needed excision surgery of a heterotopic ossification because of non-transient hip impingement. All other patients recovered after a period of relative rest. Median time to return to sports was 2.5 months (range, 2–3). At a median follow-up of 33 months (range, 18–45), the WOMAC (median, 100; range, 91–100) and Tegner scores (median, 9; range, 5–9) were high. In accordance with the existing literature, most patients with apophyseal avulsions of the AIIS recover well with non-operative treatment. However, the avulsion can lead to hip impingement due to heterotopic ossifications possibly needing surgical excision. Sport resumption is achievable after 2–3 months, and patient-reported outcomes are highly satisfactory in the long term. MDPI 2022-07-08 /pmc/articles/PMC9320601/ /pubmed/35884000 http://dx.doi.org/10.3390/children9071016 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Weel, Hanneke
Joosten, A. J. Peter
van Bergen, Christiaan J. A.
Apophyseal Avulsion of the Rectus Femoris Tendon Origin in Adolescent Soccer Players
title Apophyseal Avulsion of the Rectus Femoris Tendon Origin in Adolescent Soccer Players
title_full Apophyseal Avulsion of the Rectus Femoris Tendon Origin in Adolescent Soccer Players
title_fullStr Apophyseal Avulsion of the Rectus Femoris Tendon Origin in Adolescent Soccer Players
title_full_unstemmed Apophyseal Avulsion of the Rectus Femoris Tendon Origin in Adolescent Soccer Players
title_short Apophyseal Avulsion of the Rectus Femoris Tendon Origin in Adolescent Soccer Players
title_sort apophyseal avulsion of the rectus femoris tendon origin in adolescent soccer players
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9320601/
https://www.ncbi.nlm.nih.gov/pubmed/35884000
http://dx.doi.org/10.3390/children9071016
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