A Common Complication Of Quadriceps Contusion With A Rare Presentation

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A Common Complication Of Quadriceps Contusion With A Rare Presentation - Page #4

Working Diagnosis: Myositis ossificans Treatment: Conservative management. Removing the athlete from play and initiation of early physical therapy after a possible period of immobilization. Ice and compressive therapy is continued until range of motion and pain improves. Outcome: At 6 weeks post injury, patient denied pain. No tenderness was elicited over mid femur or rectus femoris on physical exam. There was full 5/5 pain free strength with knee extension. He was cleared for soccer, with full return to sports. Author's Comments: Myositis ossificans (MO) commonly occurs in adolescent athletes and typically takes 2 to 4 weeks to appear on plain radiographs. This case helps demonstrate that MO should be part of the differential in classic presentation of quadriceps contusion and that evidence of it can be noted on plain radiograph as early as 8 days post injury. Editor's Comments: Considering the presentation it would also be good to broaden the differential to include hematoma (I realize it wasn't palpated but still is in differential), bony contusion and much less likely Morel Lavallee lesion. References: Timothy J Von Fange, M. (2016, August). Quadriceps muscle and tendon injuries. Retrieved September 2016, from UpToDate: http://www.uptodate.com/contents/quadriceps-muscle-and-tendon-injuries?source=search_result&search=quadriceps+muscle+and+tendon+injuries&selectedTitle=1%7E150 Aronen JG, Garrick JG, Chronister RD, McDevitt ER. Quadriceps contusions: clinical results of immediate immobilization in 120 degrees of knee flexion. Clin J Sport Med 2006; 16:383. Return To The Case Studies List.		Back
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