Sports Medicine

Tearing of the Anterior Cruciate Ligament (ACL)

Tearing of the anterior cruciate ligament (ALC) is the most common athletic injury in field sports like soccer, rugby and football, as well as in basketball and a number of other sports that require rapid deceleration and sudden directional changes. Nearly 100,000 Americans suffer an ACL injury each year, the majority being female athletes. When […]

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July 8, 2014

Hamstring Strain Rehabilitation

Considered fairly common among both amature and professional athletes, a hamstring strain involves some type of strain or injury to a group of muscles located along the back of the thigh. Typical causes of hamstring strain include not warming up before exercising, having a previous injury in the same general location or a previous hamstring […]

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September 11, 2014

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In this instance, an athlete was originally diagnosed with minor quadriceps muscle strain and was treated for four weeks, with unsatisfactory results. When he came to our clinic, the muscle was not healing, and the patients’ muscle tissue had already begun to atrophy.

Upon examination using MSUS, we discovered that he had a full muscle thickness tear that had been overlooked by his previous provider. To mitigate damage and promote healing, surgery should have been performed immediately after the injury occurred. Because of misdiagnosis and inappropriate treatment, the patient now has permanent damage that cannot be corrected.

The most important advantage of Ultrasound over MRI imaging is its ability to zero in on the symptomatic region and obtain imaging, with active participation and feedback from the patient. Using dynamic MSUS, we can see what happens when patients contract their muscles, something that cannot be done with MRI. From a diagnostic perspective, this interaction is invaluable.

Dynamic ultrasonography examination demonstrating
the full thickness tear and already occurring muscle atrophy
due to misdiagnosis and not referring the patient
to proper diagnostic workup

Demonstration of how very small muscle defect is made and revealed
to be a complete tear with muscle contraction
under diagnostic sonography (not possible with MRI)

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Complete tear of rectus femoris
with large hematoma (blood)

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Separation of muscle ends due to tear elicited
on dynamic sonography examination

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