Rectus femoris tendinopathy: a case report

Yıl 2019, Cilt: 5 Sayı: 6, 1031 - 1035, 04.11.2019

Filiz Özdemir , Fatma Kızılay , Şeyma Toy , Zühal Altay

https://doi.org/10.18621/eurj.461932

Öz

Tendinopathy
may not be noticed in the differential diagnosis due to the complaint of pain
spreading to the leg in the presence of nerve radiculopathy in the lumbar
discopathy which is seen more frequently in the clinic shows similarity to the
leg pain of musculus rectus femoris tendinopathy which is rarely seen. This
situation leads to time, labor force and economic loss for both the patient and
the health professionals. The case referred to the hospital with severe lower
extremity pain and the complaint of incapability to walk. Despite the absence
of findings in the imaging reports supporting a discopathy; conventional
physiotherapy, intramuscular injection, and nerve blockage treatments were administered
for the discopathy due to the clinical presentation. However, the complaints of
the patient did not recover. The patient who had pain with a maneuver during
exercise training was evaluated regarding tendinopathy and m.rectus femoris
tendinitis was diagnosed with ultrasonography. The pain, quality of life and
lower extremity functions of the patient were evaluated before and after
treatment. The isolated deep transverse friction massage was applied on the
tendon for the treatment. A positive change in pain, quality of life and lower
extremity function scores was obtained after the five sessions of treatment. 

Anahtar Kelimeler

tendinopathy, rectus femoris, friction massage

Kaynakça

• [1] Yüksel İ. Manual therapy in orthopedic problems, Ankara:Kalkan Publishing, 2017:38-57.
• [2] Furlan A, Duso M. Rehabilitation medicine for elderly patients. Cham: Springer, 2018:237-47.
• [3] Poddubnyy D, Van Tubergen A, Landewé R, Sieper J, Van der Heijde D. Development of an ASAS-endorsed recommendation for the early referral of patients with a suspicion of axial spondyloarthritis. Ann Rheum Dis 2015;74:1483-7.
• [4] Husseini JS, Chang CY, Palmer WE. Imaging of tendons of the knee: much more than just the extensor mechanism. J Knee Surg 2018;31:141-54.
• [5] Ware JE, Snow KK, Kosinski M, Gandek B. SF-36 health survey: Manual and interpretation guide 2017; The Health Institute, New England Medical Center: Boston, 1993.
• [6] Mehta SP, Fulton A, Quach C, Thistle M, Toledo C, Evans NA Measurement properties of the lower extremity functional scale: a systematic review. J Orthop Sports Phys Ther 2016;46:200-16.
• [7] Dragoni S, Bernetti A. Rectus femoris tendinopathy. In: The Lower Limb Tendinopathies. Cham: Springer, 2016:67-84.
• [8] Yang JH, Oh KJ. Endoscopic treatment of calcific tendinitis of the rectus femoris in a patient with intractable pain. J Orthop Sci 2013;18:1046-9.
• [9] Mehallo CJ, Drezner JA, Bytomski JR. Practical management: nonsteroidal antiinflammatory drug (NSAID) use in athletic injuries. Clin J Sport Med 2006;16:170-4.
• [10] Joseph MF, Taft K, Moskwa M, Denegar CR. Deep friction massage to treat tendinopathy: a systematic review of a classic treatment in the face of a new paradigm of understanding. J Sport Rehabil 2012;21:343-53.
• [11] Loew LM, Brosseau L, Tugwell P, Wells GA, Welch V, Shea B, et al. Deep transverse friction massage for treating lateral elbow or lateral knee tendinitis. The Cochrane database of systematic reviews. 2014;11:CD003528.
• [12] Olaussen M, Holmedal Ø, Mdala I, Brage S, Lindbæk M. Corticosteroid or placebo injection combined with deep transverse friction massage, Mills manipulation, stretching and eccentric exercise for acute lateral epicondylitis: a randomised, controlled trial. BMC Musculoskelet Disord 2015;16: 122.