{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,28]],"date-time":"2026-09-28T23:59:57Z","timestamp":1790639997327,"version":"4.1.0"},"reference-count":34,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2017,1,1]],"date-time":"2017-01-01T00:00:00Z","timestamp":1483228800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Orthopaedic Journal of Sports Medicine"],"published-print":{"date-parts":[[2017,1,1]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Rectus femoris injuries are common among athletes, especially in kicking sports such as soccer; however, proximal rectus femoris avulsions in athletes are a relatively rare entity.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Purpose\/Hypothesis:<\/jats:title>\n                    <jats:p>The purpose of this study was to describe and report the results of an original technique of surgical excision of the proximal tendon remnant followed by a muscular suture repair. Our hypothesis was that this technique limits the risk of recurrence in high-level athletes and allows for rapid recovery without loss of quadriceps strength.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Study Design:<\/jats:title>\n                    <jats:p>Case series; Level of evidence, 4.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>Our retrospective series included 5 players aged 31.8 \u00b1 3.9 years with acute proximal rectus femoris avulsion injuries who underwent a surgical resection of the proximal tendon between March 2012 and June 2014. Four of these players had recurrent rectus femoris injuries in the 9 months before surgery, while 1 player had surgery after a first injury. Mean follow-up was 18.2 \u00b1 12.6 months, and minimum follow-up was 9 months. We analyzed the age, sex distribution, physical examination outcomes, type and mechanism of injury, diagnosis, treatment and complications during surgery, postoperative follow-up, and time to return to play. The Lower Extremity Functional Scale (LEFS) and Marx scores were obtained at 3-month follow-up, and isokinetic tests were performed before return to sports. A telephone interview was completed to determine the presence of recurrence at an average follow-up of 18.2 months.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>At 3-month follow-up, all patients had Marx activity scores of 16 and LEFS scores of 80. Return to the previous level of play occurred at a mean of 15.8 \u00b1 2.6 weeks after surgery, and none of the athletes suffered a recurrence. Isokinetic test results were comparable between both sides.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>The surgical treatment of proximal rectus femoris avulsions, consisting of resection of the tendinous part of the muscle, is a reliable and safe technique allowing a fast recovery in professional athletes.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/2325967116683940","type":"journal-article","created":{"date-parts":[[2017,1,23]],"date-time":"2017-01-23T18:36:34Z","timestamp":1485196594000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":32,"title":["Surgical Management of Rectus Femoris Avulsion Among Professional Soccer Players"],"prefix":"10.1177","volume":"5","author":[{"given":"Bertrand","family":"Sonnery-Cottet","sequence":"first","affiliation":[{"name":"Centre Orthop\u00e9dique Santy, FIFA Medical Center of Excellence, Groupe Ramsay-Generale de sante, H\u00f4pital priv\u00e9e jean Mermoz, Lyon, France."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nuno Camelo","family":"Barbosa","sequence":"additional","affiliation":[{"name":"Centre Orthop\u00e9dique Santy, FIFA Medical Center of Excellence, Groupe Ramsay-Generale de sante, H\u00f4pital priv\u00e9e jean Mermoz, Lyon, France."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sanesh","family":"Tuteja","sequence":"additional","affiliation":[{"name":"Centre Orthop\u00e9dique Santy, FIFA Medical Center of Excellence, Groupe Ramsay-Generale de sante, H\u00f4pital priv\u00e9e jean Mermoz, Lyon, France."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Roland","family":"Gardon","sequence":"additional","affiliation":[{"name":"Centre Orthop\u00e9dique Santy, FIFA Medical Center of Excellence, Groupe Ramsay-Generale de sante, H\u00f4pital priv\u00e9e jean Mermoz, Lyon, France."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matt","family":"Daggett","sequence":"additional","affiliation":[{"name":"Kansas City University, Kansas City, Missouri, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Damien","family":"Monnot","sequence":"additional","affiliation":[{"name":"Centre Orthop\u00e9dique Santy, FIFA Medical Center of Excellence, Groupe Ramsay-Generale de sante, H\u00f4pital priv\u00e9e jean Mermoz, Lyon, France."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Charles","family":"Kajetanek","sequence":"additional","affiliation":[{"name":"Centre Orthop\u00e9dique Santy, FIFA Medical Center of Excellence, Groupe Ramsay-Generale de sante, H\u00f4pital priv\u00e9e jean Mermoz, Lyon, France."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mathieu","family":"Thaunat","sequence":"additional","affiliation":[{"name":"Centre Orthop\u00e9dique Santy, FIFA Medical Center of Excellence, Groupe 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