Proximal Injury

Proximal nonapophyseal avulsions of the rectus femoris tendon have been described but considered rare, although with increasing awareness of intra-artic-ular hip pathology and imaging of unilateral hips, recognition may increase. A recent case report describes injury in two professional football kickers in the NFL [35]. Each had MR findings of retraction of the direct head (1 and 3.5 cm). Both were treated conservatively with the patient with the 1-cm retraction injury ultimately returning to competition. Another case report describes a surgically corrected chronic rupture of proximal myotendinous junction of the rec-tus femoris in a soccer player with good clinical outcome [36] (Fig. 11).

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