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Intramuscular degloving injury of the rectus femoris: a case report and review of the literature


MOJ Sports Medicine
Pedro Leonel Almeida, Tiago Félix, Pedro Coelho, Álvaro Brandão, Cláudia Dinis, Jorge Caldas

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Abstract

Intramuscular degloving injuries of the rectus femoris are rare but clinically significant lesions, characterized by separation of the inner bipennate (indirect) muscle component from the outer unipennate (direct) component. Recognition is essential, as these injuries differ from classic musculotendinous strains in both imaging appearance and prognosis.

We report the case of a 31-year-old male amateur soccer player who presented with right anterior thigh pain of sudden onset during training. Physical examination and radiologic findings are presented later in the article. This case highlights the importance of recognizing intramuscular degloving lesions, a distinct injury pattern described in the literature through MRI series and case reports. The pathophysiology, diagnostic imaging, management strategies, and outcomes are reviewed with reference to scientific evidence.

 

Keywords

sports,muscular components,anatomy predisposes,outer unipennate

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