Filiz ÖZDEMİR, FATMA KIZILAY, Şeyma TOY, Zühal Ergünay ALTAY

Rectus femoris tendinopathy: a case report

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.

Keywords:

tendinopathy, rectus femoris, friction massage,

PDF

___

[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.