Denervation Edema of Hamstring Muscles Following Acute Strain Injury

J Orthop Sports Phys Ther. 2019 Oct;49(10):761. doi: 10.2519/jospt.2019.8598.

Abstract

A 20-year-old male American football player sustained a first-time, left hamstring strain injury (HSI) during competition. Magnetic resonance imaging indicated involvement of the biceps femoris long head (BFLH) and semitendinosus (ST). Following 3 weeks of rehabilitation, the athlete returned to competition without further incident. Fourteen weeks after injury, magnetic resonance imaging was repeated as part of an ongoing study monitoring HSI recovery. Despite full athletic function, imaging revealed atrophy and increased signal intensity of the BFLH and a portion of the ST. Further testing and examination indicated subacute denervation edema. J Orthop Sports Phys Ther 2019;49(10):761. doi:10.2519/jospt.2019.8598.

Keywords: denervation edema; hamstring; lower extremity; magnetic resonance imaging.

Publication types

  • Case Reports

MeSH terms

  • Acute Disease
  • Athletic Injuries / complications*
  • Denervation
  • Edema / diagnostic imaging*
  • Football / injuries
  • Hamstring Muscles / diagnostic imaging*
  • Hamstring Muscles / injuries*
  • Hamstring Muscles / innervation
  • Humans
  • Magnetic Resonance Imaging
  • Male
  • Soft Tissue Injuries / complications*
  • Sprains and Strains / complications*
  • Young Adult