A rare case of vastus intermedius tear in a middle-aged gentleman: a case report

Published: September 3, 2024
Abstract Views: 45
PDF: 57
Publisher's note
All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.

Authors

Although quadriceps strain is fairly common, reports of isolated vastus intermedius tears are rare. We highlight the case of a middle-aged gentleman who sustained this injury when he slipped while bending down, with a 'pop' sound. Subsequently, he experienced pain, swelling, and reduced knee flexion, but was able to extend his knee fully. A plain radiograph revealed an non-displaced chip avulsion fracture of the patella, which was immobilized with an above-knee back slab. A sonogram revealed a grade 2 tear. During the acute stage, we treated the patient conservatively with progressive rehabilitation and physiotherapy. Six weeks later, the patient reported a good recovery. We admittedly considered platelet-rich plasma as an adjunct to augment the healing process of the avulsed tendon if recovery was unsatisfactory. In conclusion, vastus intermedius strains can be successfully treated conservatively with timely rehabilitation, paying attention to progress along the healing process as demonstrated in this case.

Dimensions

Altmetric

PlumX Metrics

Downloads

Citations

How to Cite

A rare case of vastus intermedius tear in a middle-aged gentleman: a case report. (2024). Advancements in Health Research, 1(1). https://doi.org/10.4081/ahr.2024.13
Cross TM, Gibbs N, Houang MT, Cameron M. Acute quadriceps muscle strains. Am J Sports Med 2004;32:710-9. DOI: https://doi.org/10.1177/0363546503261734
Brukner P, Clarsen B, Clarsen B, et al. Brukner & Khan’s Clinical Sports Medicine, revised: Injuries. 5th ed. Sydney, McGraw Hill; 2017.
Drake RL, Vogl W, Mitchell AM. Gray’s anatomy for students. Philadelphia, Churchill Livingstone; 2009.
Hughes C, Hasselman CT, Best TM et al. Incomplete, intrasubstance strain injuries of the rectus femoris muscle. Am J Sports Med 1995;23:500-6. DOI: https://doi.org/10.1177/036354659502300422
Pietsch S, Green B, Schache AG, Pizzari T. Epidemiology of quadriceps muscle strain injuries in elite male Australian football players. Scand J Med Sci Sports 2023;34:e14542. DOI: https://doi.org/10.1111/sms.14542
Weber M, Knechtle B, Lutz B et al. Nonoperative treatment of a complete distal rectus femoris muscle tear. Clin J Sport Med 2010;20:493-4. DOI: https://doi.org/10.1097/JSM.0b013e3181fb5385
Pasta G, Nanni G, Molini L, Bianchi S. Sonography of the quadriceps muscle: Examination technique, normal anatomy, and traumatic lesions. J Ultrasound 2010;13:76-84. DOI: https://doi.org/10.1016/j.jus.2010.07.004
Draghi F, Zacchino M, Canepari M, et al. Muscle injuries: ultrasound evaluation in the acute phase. J Ultrasound 2013;16:209-14. DOI: https://doi.org/10.1007/s40477-013-0019-8
Järvinen TAH, Järvinen TLN, Kääriäinen M, et al. Muscle injuries: biology and treatment. Am J Sports Med 2005;33:745-64. DOI: https://doi.org/10.1177/0363546505274714
Peetrons P. Ultrasound of muscles. Eur Radiol 2002;12:35-43. DOI: https://doi.org/10.1007/s00330-001-1164-6
Pruna R, Andersen T, Clarsen B, McCall A. Muscle injury guide: prevention of and return to play from muscle injuries. 1st ed. Barcelona, Barça Innovation Hub; 2018.
Schneider-Kolsky ME, Hoving JL, Warren P, et al. A comparison between clinical assessment and magnetic resonance imaging of acute hamstring injuries. Am J Sports Med.2006;34:1008-15. DOI: https://doi.org/10.1177/0363546505283835
Ishøi L, Krommes K, Husted RS, et al. Diagnosis, prevention and treatment of common lower extremity muscle injuries in sport – grading the evidence: a statement paper commissioned by the Danish Society of Sports Physical Therapy (DSSF). Br J Sports Med 2020;54:528-37. DOI: https://doi.org/10.1136/bjsports-2019-101228
Erdurmuş ÖY, Oguz AB, Genc S ,et al. Comparison of the effects PRICE and POLICE treatment protocols on ankle function in patients with ankle sprain. Ulus Travma Acil Cerrahi Derg 2023;29:920-8. DOI: https://doi.org/10.14744/tjtes.2023.29797
Bleakley C, McDonough S, MacAuley D. The use of ice in the treatment of acute soft-tissue injury: a systematic review of randomized controlled trials. Am J Sport Med 2004;32:251-61. DOI: https://doi.org/10.1177/0363546503260757
Kary JM. Diagnosis and management of quadriceps strains and contusions. Curr Rev Musculoskelet Med 2010;3:26-31. DOI: https://doi.org/10.1007/s12178-010-9064-5
A Hamid MS, Mohamed Ali MR, Yusof A, et al. Platelet-rich plasma injections for the treatment of hamstring injuries: a randomized controlled trial. Am J Sports Med 2014;42:2410-8. DOI: https://doi.org/10.1177/0363546514541540

How to Cite

A rare case of vastus intermedius tear in a middle-aged gentleman: a case report. (2024). Advancements in Health Research, 1(1). https://doi.org/10.4081/ahr.2024.13

Similar Articles

You may also start an advanced similarity search for this article.