{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,6]],"date-time":"2026-10-06T18:43:25Z","timestamp":1791312205234,"version":"4.3.1"},"reference-count":16,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2014,7,17]],"date-time":"2014-07-17T00:00:00Z","timestamp":1405555200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2014,7,17]],"date-time":"2014-07-17T00:00:00Z","timestamp":1405555200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/www.springer.com\/tdm"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Knee surg. sports traumatol. arthrosc."],"published-print":{"date-parts":[[2015,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Purpose<\/jats:title><jats:p>To report the results of suture anchor repair of proximal rectus femoris avulsions in elite football players.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Four professional football players (first\u2010team regulars of European first division football clubs) underwent suture anchor repair of complete proximal rectus femoris avulsions with significant tendon retraction. The following parameters were analysed: demographic data, mechanism of injury, type of injury, classification according to the Munich consensus statement, time between injury and surgery, time between surgery and full participation in training and availability for match and\/or competition selection (return to play\/RTP), and time between surgery and the comeback to the first official league match (return to competition\/RTC). Radiographic evaluation was performed by magnetic resonance imaging (MRI) obtained pre\u2010operatively and at 6 and 12 weeks post\u2010operatively. All players were followed for at least 24\u00a0months after return to play to exclude recurrence.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Mean age at surgery was 30 \u00b1 2 years. All injuries occurred while kicking a ball, with the dominant leg affected in all patients. The injury was considered acute in three cases and chronic in one case. According to the Munich classification, all injures were type 4. Mean time to surgery was 60 \u00b1 88\u00a0days (range, 8\u2013191), mean time to RTP was 111 \u00b1 15\u00a0days (range, 100\u2013134), and mean time to RTC was 140 \u00b1 23\u00a0days (range, 114\u2013166). Follow\u2010up MRIs demonstrated anatomically reinserted tendons with decreasing signal intensity over time in all cases. After a mean follow\u2010up of 35 \u00b1 6\u00a0months, all players were still competing at the same level as before the injury without re\u2010injury.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Suture anchor repair of proximal rectus femoris avulsions allows unrestricted return to play in professional elite football players. Return to play can be expected at approximately 16 weeks post\u2010operatively.<\/jats:p><\/jats:sec><jats:sec><jats:title>Level of evidence<\/jats:title><jats:p>Case series, IV.<\/jats:p><\/jats:sec>","DOI":"10.1007\/s00167-014-3177-0","type":"journal-article","created":{"date-parts":[[2014,7,16]],"date-time":"2014-07-16T03:01:10Z","timestamp":1405479670000},"page":"2590-2594","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":32,"title":["Suture anchor repair of proximal rectus femoris avulsions in elite football players"],"prefix":"10.1002","volume":"23","author":[{"given":"Peter","family":"Ueblacker","sequence":"first","affiliation":[{"name":"MW Center for Orthopedics and Sports Medicine 80331 Munich Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hans\u2010Wilhelm","family":"M\u00fcller\u2010Wohlfahrt","sequence":"additional","affiliation":[{"name":"MW Center for Orthopedics and Sports Medicine 80331 Munich Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stefan","family":"Hinterwimmer","sequence":"additional","affiliation":[{"name":"Department for Orthopedic Sports Medicine Technical University Munich Munich Germany"},{"name":"Sportsclinic Germany Munich Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andreas B.","family":"Imhoff","sequence":"additional","affiliation":[{"name":"Department for Orthopedic Sports Medicine Technical University Munich Munich Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matthias J.","family":"Feucht","sequence":"additional","affiliation":[{"name":"Department for Orthopedic Sports Medicine Technical University Munich Munich Germany"},{"name":"Department of Orthopedic Surgery and Traumatology Freiburg University Hospital Freiburg Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2014,7,17]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1177\/0363546509357836"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1177\/0363546510395879"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1136\/bjsm.2009.060582"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1177\/036354657800600407"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1177\/0363546509333477"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00402\u2010011\u20101372\u20108"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1055\/s\u20100031\u20101273753"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.1177\/036354659502300421"},{"key":"e_1_2_6_10_1","doi-asserted-by":"publisher","DOI":"10.1177\/0363546504273045"},{"key":"e_1_2_6_11_1","doi-asserted-by":"publisher","DOI":"10.1177\/036354659502300422"},{"key":"e_1_2_6_12_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-0838.2006.00564.x"},{"issue":"11","key":"e_1_2_6_13_1","first-page":"543","article-title":"Proximal rectus femoris avulsion in an elite, olympic\u2010level sprinter","volume":"39","author":"Langer PR","year":"2010","journal-title":"Am J Orthop (Belle Mead NJ)"},{"key":"e_1_2_6_14_1","doi-asserted-by":"publisher","DOI":"10.1136\/bjsports\u20102012\u2010091250"},{"key":"e_1_2_6_15_1","doi-asserted-by":"publisher","DOI":"10.1136\/bjsports\u20102012\u2010091448"},{"key":"e_1_2_6_16_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00256\u2010006\u20100162\u20109"},{"key":"e_1_2_6_17_1","doi-asserted-by":"publisher","DOI":"10.1136\/bjsm.37.2.182"}],"container-title":["Knee Surgery, Sports Traumatology, Arthroscopy"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/link.springer.com\/content\/pdf\/10.1007\/s00167-014-3177-0.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/link.springer.com\/article\/10.1007\/s00167-014-3177-0\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/esskajournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1007\/s00167-014-3177-0","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,19]],"date-time":"2025-10-19T09:39:44Z","timestamp":1760866784000},"score":1,"resource":{"primary":{"URL":"https:\/\/esskajournals.onlinelibrary.wiley.com\/doi\/10.1007\/s00167-014-3177-0"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2014,7,17]]},"references-count":16,"journal-issue":{"issue":"9","published-print":{"date-parts":[[2015,9]]}},"alternative-id":["10.1007\/s00167-014-3177-0"],"URL":"https:\/\/doi.org\/10.1007\/s00167-014-3177-0","archive":["Portico"],"relation":{},"ISSN":["0942-2056","1433-7347"],"issn-type":[{"value":"0942-2056","type":"print"},{"value":"1433-7347","type":"electronic"}],"subject":[],"published":{"date-parts":[[2014,7,17]]}}}