'Serious thigh muscle strains': beware the intramuscular tendon which plays an important role in difficult hamstring and quadriceps muscle strains

Br J Sports Med. 2016 Feb;50(4):205-8. doi: 10.1136/bjsports-2015-095136. Epub 2015 Oct 30.

Abstract

Why do some hamstring and quadriceps strains take much longer to repair than others? Which injuries are more prone to recurrence? Intramuscular tendon injuries have received little attention as an element in 'muscle strain'. In thigh muscles, such as rectus femoris and biceps femoris, the attached tendon extends for a significant distance within the muscle belly. While the pathology of most muscle injures occurs at a musculotendinous junction, at first glance the athlete appears to report pain within a muscle belly. In addition to the musculotendinous injury being a site of pathology, the intramuscular tendon itself is occasionally injured. These injuries have a variety of appearances on MRIs. There is some evidence that these injuries require a prolonged rehabilitation time and may have higher recurrence rates. Therefore, it is important to recognise the tendon component of a thigh 'muscle strain'.

Keywords: Hamstring; Injuries; Muscle; Quadriceps.

Publication types

  • Review

MeSH terms

  • Athletic Injuries / etiology*
  • Athletic Injuries / pathology
  • Athletic Injuries / physiopathology
  • Humans
  • Magnetic Resonance Imaging
  • Muscle, Skeletal / injuries*
  • Recovery of Function / physiology
  • Recurrence
  • Rupture / etiology
  • Rupture / pathology
  • Rupture / physiopathology
  • Sprains and Strains / etiology*
  • Sprains and Strains / pathology
  • Sprains and Strains / physiopathology
  • Tendon Injuries / etiology*
  • Tendon Injuries / pathology
  • Tendon Injuries / physiopathology
  • Thigh / injuries*