Journal of Medical Council of Iran
مجله علمی پژوهشی سازمان نظام پزشکی
Volume 42, Issue 3 (2024)
jmciri 2024, 42(3): 57-62 |
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Angoorani H, Farshadfar K, Jafari Fesharaki M. Non-Contact Flexor Digitorum Longus Muscle Tear in an Elite Athlete’s Leg: Case Report. jmciri 2024; 42 (3) :57-62
URL: http://jmciri.ir/article-1-3330-en.html
URL: http://jmciri.ir/article-1-3330-en.html
Sports Medicine, Department of Sports and Exercise Medicine, School of Medicine, Rasoul-e-Akram Hospital, Iran University of Medical Sciences, Tehran, Iran
Abstract: (755 Views)
Abstract
Introduction: Isolated Flexor Digitorum Longus (FDL) muscle tear is extremely rare and so far, a handful of cases have been reported in the literature. Proper diagnosis and treatment will reduce the complications caused by this tear and helps to reduce the burden of the injury to the athlete and team.
Case Presentation: A 38-year-old professional athletics male, presented with medial tibial pain that started while running. He did not have any history of diabetes, infectious and inflammatory joint diseases, and the use of drugs such as fluoroquinolone and corticosteroids and supplements containing it, statins, and other drugs that damaged the tendons was not reported. He presented with right leg claudication, despite normal lower limb alignment. Ultrasonography revealed evidence of a grade 3 strain of the FDL muscle with extensive hematoma. MRI confirmed the diagnosis of a grade 3 FDL strain. Treatment included hematoma aspiration, injection of Platelet rich plasma (PRP) in the train side under ultrasound guidance, physiotherapy and specific rehabilitation protocol. The patient adhered to the rehabilitation program and reported significant improvement in pain and function.
Conclusions: So far, only a few case reports have reported the rupture of this muscle spontaneously or after ankle dislocation or malleolus and talus fracture. The treatment was effective based on the patient’s response. Careful attention should be given to similar cases to ensure accurate diagnosis and appropriate treatment.
Introduction: Isolated Flexor Digitorum Longus (FDL) muscle tear is extremely rare and so far, a handful of cases have been reported in the literature. Proper diagnosis and treatment will reduce the complications caused by this tear and helps to reduce the burden of the injury to the athlete and team.
Case Presentation: A 38-year-old professional athletics male, presented with medial tibial pain that started while running. He did not have any history of diabetes, infectious and inflammatory joint diseases, and the use of drugs such as fluoroquinolone and corticosteroids and supplements containing it, statins, and other drugs that damaged the tendons was not reported. He presented with right leg claudication, despite normal lower limb alignment. Ultrasonography revealed evidence of a grade 3 strain of the FDL muscle with extensive hematoma. MRI confirmed the diagnosis of a grade 3 FDL strain. Treatment included hematoma aspiration, injection of Platelet rich plasma (PRP) in the train side under ultrasound guidance, physiotherapy and specific rehabilitation protocol. The patient adhered to the rehabilitation program and reported significant improvement in pain and function.
Conclusions: So far, only a few case reports have reported the rupture of this muscle spontaneously or after ankle dislocation or malleolus and talus fracture. The treatment was effective based on the patient’s response. Careful attention should be given to similar cases to ensure accurate diagnosis and appropriate treatment.
Type of Study: case report |
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