Traumatic soft tissue strain injuries of the lower extremities in high-performance athletes
DOI:
https://doi.org/10.53903/01212095.321Keywords:
Athletic injuries, Magnetic resonance imaging, Avulsion, FasciaAbstract
Traumatic soft-tissue strain injuries of the lower imbs are rare in the general population but occur more frequently in high-performance athletes. It is essential to understand the imaging characteristics of these injuries in order to make an accurate diagnosis, enable optimal treatment, and ensure an early and safe return to competition. A series of cases are presented illustrating the most common traumatic injuries of the lower limbs from the hip to the ankle, including avulsion fractures of the hip and the knee; and a traction injury of the flexor retinaculum of the ankle.
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Agten CA, Sutter R, Buck FM, Pfirrmann CWA. Hip Imaging in athletes: sports imaging series. Radiology. 2016;280(2):351-69.
Albtoush OM, Bani-Issa J, Zitzelsberger T, Springer F. Avulsion injuries of the pelvis and hip. RoFo: Fortschritte Auf Dem Gebiete Der Rontgenstrahlen Und Der Nuklearmedizin [Internet]. 2020;192(5):431-40.
Nachtrab O, Cassar-Pullicino VN, Lalam R, Tins B, Tyrrell PNM, Singh J. Role of MRI in hip fractures, including stress fractures, occult fractures, avulsion fractures. Eur J Radiol. 2012;81(12):3813-23.
Bencardino JT, Mellado JM. Hamstring injuries of the hip. Magn Reson Imaging Clin N Am. 2005;13(4):677-90.
Yu JS, Petersilge C, Sartoris D, Patbria M, Resnick D. MR imaging of inj uries of the extensor mechanism of the knee1. RadioGraphics. 1994;(14):541-51.
Wangwinyuvirat M, Dirim B, Pastore D, Pretterklieber M, Frank A, Haghighi P, et al. Prepatellar quadriceps continuation: MRI of cadavers with gross anatomic and histologic correlation. Am J Roentgenol. 2009;192(3):W111-6.
Fazal MA, Moonot P, Haddad F. Radiographic features of acute patellar tendon rupture. Orthop Surg. 2015;7(4):338-42.
Fritz B, Fritz J. MR imaging of acute knee injuries. Radiol Clin North Am. 2023;61(2):261-80.
Helito PVP, Bartholomeeusen S, Claes S, Rodrigues MB, Helito CP. Magnetic resonance imaging evaluation of the anterolateral ligament and the iliotibial band in acute anterior cruciate ligament injuries associated with segond fractures. Arthrosc J Arthrosc Relat Surg. 2020;36(6):1679-86.
Porrino J, Maloney E, Richardson M, Mulcahy H, Ha A, Chew FS. The anterolateral ligament of the knee: MRI appearance, association with the segond fracture, and historical perspective. Am J Roentgenol. 2015;204(2):367-73.
Claes S, Vereecke E, Maes M, Victor J, Verdonk P, Bellemans J. Anatomy of the anterolateral ligament of the knee. J Anat. 013;223(4):321-8.
Campos JC, Chung CB, Lektrakul N, Pedowitz R, Trudell D, Yu J, et al. Pathogenesis of the Segond fracture: anatomic and MR imaging evidence of an iliotibial tract or anterior oblique band avulsion. Radiology. 2001;219(2):381-6.
Karthikeyan I, Gregory KM, Beale D, Prem H, Gavvala SN, Botchu R. Isolated, periosteal stripping injuries of the flexor retinaculum: Case series of 3 patients with clinico-radiological review. J Clin Orthop Trauma. 2023;36:102082.
Lewis SD, Chew FS. Ankle medial flexor retinaculum avulsion fracture. Radiology Case Reports. 2019;14(9):1144-7.
Demondion X, Canella C, Moraux A, Cohen M, Bry R, Cotten A. Retinacular disorders of the ankle and foot. Semin Musculoskelet Radiol. 2010;14(03):281-91.
Numkarunarunrote N, Malik A, Aguiar RO, Trudell DJ, Resnick D. Retinacula of the foot and ankle: MRI with anatomic correlation in cadavers. Am J Roentgenol. 2007;188(4):W348-54.
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