Quadriceps Muscle Contusion

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Clinically Relevant Anatomy[edit | edit source]


The Quadriceps femoris is a hip flexor and a knee extender. This muscle is composed of 4 subcomponents:
-M. Rectus femoris
-M. Vastus medialis
-M. Vastus lateralis
-M. Vastus intermedius
The rectus femoris originates at the ilium, it is the only muscle that is participating in both functions; flexion of the hip and extension of the knee. The other three parts are only involved in the extension of the knee.
The M. rectus femoris is even the most superficial part of the Quadriceps and it crosses the hip and the knee joints. Innervation of these muscles is by the femoral nerve.

Mechanism of Injury / Pathological Process
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Clinical Presentation[edit | edit source]

Definition
Charley horse/cork thigh/dead leg
A quadriceps contusion is a traumatic blow, a deep bruise to the anterior lateral or medial aspect of the thigh. If examination confirms an area of swelling and tenderness with terrible pain on passive stretch and active contraction, the diagnosis is a Quadriceps contusion with resultant hematoma. The contusion is the result of an external force that can damage the muscle but can’t eliminate its function completely. Quadriceps contusions can lead to two serious complications: compartment syndrome Compartment Syndrome and myositis ossificans.


Description
A contusion is the most common acute thigh injury in contact sport such as football, rugby and basketball. In sports such as football, cricket, soccer and lacrosse, a ball, helmet or shoulder pad at high speed may cause a contusion. Localised bleeding may increase tissue pressure and tissue damage. The bleeding can be intramuscular or intermuscular. The intramuscular hematoma is more painful and restrictive of range of motion than the intermuscular hematoma.

Diagnostic Procedures[edit | edit source]

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Outcome Measures[edit | edit source]

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Management / Interventions
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Differential Diagnosis
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Key Evidence[edit | edit source]

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Resources
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A way of finding information about a Quadriceps contusion is visiting databases such as PubMed and Web of Knowledge and reading books in the library. The keywords or combinations of the keywords that were most successful were: ‘contusion’, ‘quadriceps contusion’, ‘thigh contusion’, ‘quadriceps contusion and treatment’, diagnostic procedure’ and ‘treatment procedure’...

Case Studies[edit | edit source]

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References[edit | edit source]

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