caa a22 4500 605456623 CHVBK 20210128100219.0 cr unu---uuuuu 210128e20150901xx s 000 0 eng 10.1007/s00167-014-3177-0 doi (NATIONALLICENCE)springer-10.1007/s00167-014-3177-0 Suture anchor repair of proximal rectus femoris avulsions in elite football players [Elektronische Daten] [Peter Ueblacker, Hans-Wilhelm Müller-Wohlfahrt, Stefan Hinterwimmer, Andreas Imhoff, Matthias Feucht] Purpose: To report the results of suture anchor repair of proximal rectus femoris avulsions in elite football players. Methods: Four professional football players (first-team 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-operatively and at 6 and 12weeks post-operatively. All players were followed for at least 24months after return to play to exclude recurrence. Results: Mean age at surgery was 30±2years. 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±88days (range, 8-191), mean time to RTP was 111±15days (range, 100-134), and mean time to RTC was 140±23days (range, 114-166). Follow-up MRIs demonstrated anatomically reinserted tendons with decreasing signal intensity over time in all cases. After a mean follow-up of 35±6months, all players were still competing at the same level as before the injury without re-injury. Conclusion: 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 16weeks post-operatively. Level of evidence: Case series, IV. Springer-Verlag Berlin Heidelberg, 2014 Football nationallicence Tendon nationallicence Avulsion nationallicence Rectus femoris nationallicence Professional athletes nationallicence Ueblacker Peter MW Center for Orthopedics and Sports Medicine, 80331, Munich, Germany aut Müller-Wohlfahrt Hans-Wilhelm MW Center for Orthopedics and Sports Medicine, 80331, Munich, Germany aut Hinterwimmer Stefan Department for Orthopedic Sports Medicine, Technical University Munich, Munich, Germany aut Imhoff Andreas Department for Orthopedic Sports Medicine, Technical University Munich, Munich, Germany aut Feucht Matthias Department for Orthopedic Sports Medicine, Technical University Munich, Munich, Germany aut Knee Surgery, Sports Traumatology, Arthroscopy Springer Berlin Heidelberg 23/9(2015-09-01), 2590-2594 0942-2056 23:9<2590 2015 23 167 https://doi.org/10.1007/s00167-014-3177-0 text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 research-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s00167-014-3177-0 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Ueblacker Peter MW Center for Orthopedics and Sports Medicine, 80331, Munich, Germany aut NATIONALLICENCE 700 1- Müller-Wohlfahrt Hans-Wilhelm MW Center for Orthopedics and Sports Medicine, 80331, Munich, Germany aut NATIONALLICENCE 700 1- Hinterwimmer Stefan Department for Orthopedic Sports Medicine, Technical University Munich, Munich, Germany aut NATIONALLICENCE 700 1- Imhoff Andreas Department for Orthopedic Sports Medicine, Technical University Munich, Munich, Germany aut NATIONALLICENCE 700 1- Feucht Matthias Department for Orthopedic Sports Medicine, Technical University Munich, Munich, Germany aut NATIONALLICENCE 773 0- Knee Surgery, Sports Traumatology, Arthroscopy Springer Berlin Heidelberg 23/9(2015-09-01), 2590-2594 0942-2056 23:9<2590 2015 23 167