Rehabilitation of rectus Femoris Injuries. Experience at Sevilla FC
José Conde And Adolfo Muñoz
8th MuscleTech Network Workshop
Tuesday 4th October, 2016
MCL. LCL.ALL injuries
To understand the relevant anatomy of the side ligaments of the knee
To study the mechanism of injury of each ligament and how to diagnose such injury
To highlight the different treatment options in acute or chronic situations
Rehabilitation of rectus Femoris Injuries. Experience at Sevilla FC
José Conde And Adolfo Muñoz
8th MuscleTech Network Workshop
Tuesday 4th October, 2016
MCL. LCL.ALL injuries
To understand the relevant anatomy of the side ligaments of the knee
To study the mechanism of injury of each ligament and how to diagnose such injury
To highlight the different treatment options in acute or chronic situations
Wrist and hand injuries inclusing De Quervain’s Tenosynovitis, Carpal Tunnel Syndrome, Ulnar Nerve Compression, Sprain of The Ulnar Collateral Ligament of The First MCP Joint,
Mallet Finger (Baseball Finger), Jersey Finger, Trigger Finger.
Return to play in rectus femoris muscle injuries. Our experience with profess...MuscleTech Network
Return to play in rectus femoris muscle injuries. Our experience with professional football players
Juanjo Brau & Xavier Yanguas
8th MuscleTech Network Workshop
Neuromuscular plasticity in quadriceps functions in response to trainingMuscleTech Network
Neuromuscular plasticity in quadriceps functions in response to training and how this might affect sprinting ability and kicking performance
Per Aagaard
8th MuscleTech Network Workshop
Wrist and hand injuries inclusing De Quervain’s Tenosynovitis, Carpal Tunnel Syndrome, Ulnar Nerve Compression, Sprain of The Ulnar Collateral Ligament of The First MCP Joint,
Mallet Finger (Baseball Finger), Jersey Finger, Trigger Finger.
Return to play in rectus femoris muscle injuries. Our experience with profess...MuscleTech Network
Return to play in rectus femoris muscle injuries. Our experience with professional football players
Juanjo Brau & Xavier Yanguas
8th MuscleTech Network Workshop
Neuromuscular plasticity in quadriceps functions in response to trainingMuscleTech Network
Neuromuscular plasticity in quadriceps functions in response to training and how this might affect sprinting ability and kicking performance
Per Aagaard
8th MuscleTech Network Workshop
John Orchard: Mechanism of Rectus Femoris Injuries - PRPMuscleTech Network
John Orchard, MBBS
BA MD PhD FACSP FACSM FASMF FFSEM (UK)
Prof, School of Public Health, University of Sydney
PRP for Quadriceps Muscles Injuries
8th MuscleTech Network Workshop
3rd October, Barcelona
Isabel Miguel: Quadriceps muscle anatomy Cadaver study - PRPMuscleTech Network
Isabel Miguel
MD PhD. Human anatomy Lecture at Unit of Human Anatomy and Embryology, Spain
PRP for Quadriceps Muscles Injuries
8th MuscleTech Network Workshop
3rd October, Barcelona
Bryan Heiderscheit
Professor, Department of Orthopedics and Rehabilitation, Department of Biomedical Engineering, Director, UW Runners' Clinic, Director, Badger Athletic Performance Research, Co-director, UW Neuromuscular Biomechanics Lab, University of Wisconsin-Madison, Madison, WI, USA.
-
MRI findings regarding hamstring strain injury and recovery
(6th MuscleTech Network Workshop)
14th October, Barcelona
Jan Ekstrand. Professor of Sports Medicine, Football Research Group, Linköping University, Sweden and 1st vice Chairman of the UEFA Medical Committee.
-
Epidemiology of hamstring injuries in football
(13th October, Barcelona)
6th MuscleTech Network Workshop
Guia de Pràctica Clínica de les lesions musculars. Epidemiologia, diagnòstic,...MuscleTech Network
(Serveis mèdics del Fubtol Club Barcelona)
Les lesions musculars són molt freqüents en el món de l’esport, especialment en el futbol. Els estudis epidemiològics més recents mostren que les lesions musculars suposen més del 30% de totes les lesions (1,8-2,2/1.000 hores d’exposició), fet que
representa que un equip professional de futbol pateix una mitjana de 12 lesions musculars per temporada, que equivalen a més de 300 dies baixa esportiva. En altres esports professionals, com el bàsquet i l’handbol, la incidència també és alta, però no arriba als valors obtinguts en el futbol.
Versió 4.5 (9 de febrer de 2009)
Clinical Practice Guide for muscular injuries. Epidemiology, diagnosis, treat...MuscleTech Network
(Medical Services. Futbol Club Barcelona)
Muscular injuries are very frequent in the world of sport,
especially in football. The most recent epidemiological studies show that muscular injuries represent more than 30% of all injuries (1.8-2.2/1,000 hours of exposure), which means that a professional football team suffers an average of 12 muscular injuries per season, equivalent to more than 300 lost sporting days.
In other professional sports like basketball and handball the incidence is also high, although not reaching the figures shown in football.
Lluis Til / Jordi Puigdellivol
Lluis Til is Senior Researcher and Sports Medicine & Orthopedics - FCBarcelona; Olympic Training Center (CAR); Consorci Sanitari de Terrassa (CST). Puigdellivol is Senior Researcher and Sports Medicine & Orthopedics – FCBarcelona.
-
Hamstring injuries: our surgery indication experiences
(6th MuscleTech Network workshop)
14th October, Barcelona
USMLE MSK L012 Upper 01 Bone of upper limb anatomy.pdfAHMED ASHOUR
The upper limb skeleton, also known as the appendicular skeleton, consists of the bones of the arms and hands. It plays a crucial role in supporting and facilitating a wide range of movements.
Understanding the anatomy of the upper limb skeleton is essential for healthcare professionals involved in orthopedics, physical therapy, and related fields. It provides the foundation for diagnosing and treating injuries, fractures, and other conditions affecting the upper limb.
Charcot joint or neuropathic joint are destructed joint occurs in Diabetes, syphilis, syringomyelia , leprosy, AMLS, Peripheral neuropathy and any condition leads to impair sensation of peripheral part of body
Spine and extremity injuries are common among people of all ages and can have a significant impact on mobility and quality of life. This PowerPoint presentation provides a comprehensive overview of spine and extremity injuries, including the causes, symptoms, and treatment options.
Through powerful images and personal stories, we showcase the impact of spine and extremity injuries on individuals, families, and communities. We highlight the challenges of accessing healthcare and rehabilitation services, particularly in low-resource settings, and the importance of early intervention and treatment.
The presentation provides detailed information about the various types of spine and extremity injuries, including fractures, dislocations, and soft tissue injuries. We also discuss the diagnostic procedures, including imaging tests and physical exams, and the treatment options, such as surgery, physical therapy, and pain management.
In addition, we explore the efforts being made to prevent and manage spine and extremity injuries. We highlight the importance of safety precautions, such as proper equipment use and ergonomic work practices, and the role of rehabilitation services in promoting recovery and restoring function.
Through this PowerPoint presentation, we aim to raise awareness about spine and extremity injuries and the importance of early diagnosis and treatment. We showcase the latest research and innovations in injury prevention and treatment, and the importance of collaboration and partnership to address the disease.
We urge the audience to take action in the fight against spine and extremity injuries, whether it be through spreading awareness, supporting organizations working on the ground, or advocating for policy change. Let us come together to create a world where everyone has access to the care and support they need to recover from spine and extremity injuries and live healthy, fulfilling lives.
In this presentation I’m going to inform you briefly about a novel arthroscopic technique for athletic pubalgia. You may have heard it as “sports hernia or groin injury………” but in fact is a groin pain syndrome, particularly common in sports that require athletes to perform repetitive kicking..
ACL Injury Hacks covers the entire physiology, etiology,pathology, diagnosis, recent advancements in diagnosis of ACL and focus on how an early and accurate diagnosis can contribute to a better treatment and rehabilitation as well as early return to sport of an athlete.
Similar to Ramon Balius - Quadriceps Muscle Injuries Diagnosis (20)
Isokitenic 2015: Clinical Practice Guidelines for Muscle Injury FC Barcelona...MuscleTech Network
Presentation at: 'Football Medicine Strategies for Player Care', XXIV International Conference on Sports Rehabilitation and Traumatology, 11th- 12th April, 2015- London
Guía de Práctica Clínica de las lesiones musculares. Epidemiología, diagnósti...MuscleTech Network
(Servicios Médicos del Futbol Club Barcelona)
Las lesiones musculares son muy frecuentes en el mundo
del deporte, especialmente en el fútbol. Los estudios epidemiológicos más recientes muestran que las lesiones musculares suponen más del 30% de todas las lesiones (1,8-2,2/1.000 h de exposición), lo que representa que un equipo profesional de fútbol padece una mediana de 12 lesiones musculares por temporada que equivalen a más de 300 días de baja deportiva.
En otros deportes profesionales, como el baloncesto y el balonmano, la incidencia también es alta, aunque no llega a los valores obtenidos en el fútbol.
Versión 4.5 (9 de febrero de 2009)
Explore natural remedies for syphilis treatment in Singapore. Discover alternative therapies, herbal remedies, and lifestyle changes that may complement conventional treatments. Learn about holistic approaches to managing syphilis symptoms and supporting overall health.
Ethanol (CH3CH2OH), or beverage alcohol, is a two-carbon alcohol
that is rapidly distributed in the body and brain. Ethanol alters many
neurochemical systems and has rewarding and addictive properties. It
is the oldest recreational drug and likely contributes to more morbidity,
mortality, and public health costs than all illicit drugs combined. The
5th edition of the Diagnostic and Statistical Manual of Mental Disorders
(DSM-5) integrates alcohol abuse and alcohol dependence into a single
disorder called alcohol use disorder (AUD), with mild, moderate,
and severe subclassifications (American Psychiatric Association, 2013).
In the DSM-5, all types of substance abuse and dependence have been
combined into a single substance use disorder (SUD) on a continuum
from mild to severe. A diagnosis of AUD requires that at least two of
the 11 DSM-5 behaviors be present within a 12-month period (mild
AUD: 2–3 criteria; moderate AUD: 4–5 criteria; severe AUD: 6–11 criteria).
The four main behavioral effects of AUD are impaired control over
drinking, negative social consequences, risky use, and altered physiological
effects (tolerance, withdrawal). This chapter presents an overview
of the prevalence and harmful consequences of AUD in the U.S.,
the systemic nature of the disease, neurocircuitry and stages of AUD,
comorbidities, fetal alcohol spectrum disorders, genetic risk factors, and
pharmacotherapies for AUD.
Prix Galien International 2024 Forum ProgramLevi Shapiro
June 20, 2024, Prix Galien International and Jerusalem Ethics Forum in ROME. Detailed agenda including panels:
- ADVANCES IN CARDIOLOGY: A NEW PARADIGM IS COMING
- WOMEN’S HEALTH: FERTILITY PRESERVATION
- WHAT’S NEW IN THE TREATMENT OF INFECTIOUS,
ONCOLOGICAL AND INFLAMMATORY SKIN DISEASES?
- ARTIFICIAL INTELLIGENCE AND ETHICS
- GENE THERAPY
- BEYOND BORDERS: GLOBAL INITIATIVES FOR DEMOCRATIZING LIFE SCIENCE TECHNOLOGIES AND PROMOTING ACCESS TO HEALTHCARE
- ETHICAL CHALLENGES IN LIFE SCIENCES
- Prix Galien International Awards Ceremony
Couples presenting to the infertility clinic- Do they really have infertility...Sujoy Dasgupta
Dr Sujoy Dasgupta presented the study on "Couples presenting to the infertility clinic- Do they really have infertility? – The unexplored stories of non-consummation" in the 13th Congress of the Asia Pacific Initiative on Reproduction (ASPIRE 2024) at Manila on 24 May, 2024.
These lecture slides, by Dr Sidra Arshad, offer a quick overview of physiological basis of a normal electrocardiogram.
Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar leads (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
The prostate is an exocrine gland of the male mammalian reproductive system
It is a walnut-sized gland that forms part of the male reproductive system and is located in front of the rectum and just below the urinary bladder
Function is to store and secrete a clear, slightly alkaline fluid that constitutes 10-30% of the volume of the seminal fluid that along with the spermatozoa, constitutes semen
A healthy human prostate measures (4cm-vertical, by 3cm-horizontal, 2cm ant-post ).
It surrounds the urethra just below the urinary bladder. It has anterior, median, posterior and two lateral lobes
It’s work is regulated by androgens which are responsible for male sex characteristics
Generalised disease of the prostate due to hormonal derangement which leads to non malignant enlargement of the gland (increase in the number of epithelial cells and stromal tissue)to cause compression of the urethra leading to symptoms (LUTS
Ozempic: Preoperative Management of Patients on GLP-1 Receptor Agonists Saeid Safari
Preoperative Management of Patients on GLP-1 Receptor Agonists like Ozempic and Semiglutide
ASA GUIDELINE
NYSORA Guideline
2 Case Reports of Gastric Ultrasound
ARTIFICIAL INTELLIGENCE IN HEALTHCARE.pdfAnujkumaranit
Artificial intelligence (AI) refers to the simulation of human intelligence processes by machines, especially computer systems. It encompasses tasks such as learning, reasoning, problem-solving, perception, and language understanding. AI technologies are revolutionizing various fields, from healthcare to finance, by enabling machines to perform tasks that typically require human intelligence.
New Directions in Targeted Therapeutic Approaches for Older Adults With Mantl...i3 Health
i3 Health is pleased to make the speaker slides from this activity available for use as a non-accredited self-study or teaching resource.
This slide deck presented by Dr. Kami Maddocks, Professor-Clinical in the Division of Hematology and
Associate Division Director for Ambulatory Operations
The Ohio State University Comprehensive Cancer Center, will provide insight into new directions in targeted therapeutic approaches for older adults with mantle cell lymphoma.
STATEMENT OF NEED
Mantle cell lymphoma (MCL) is a rare, aggressive B-cell non-Hodgkin lymphoma (NHL) accounting for 5% to 7% of all lymphomas. Its prognosis ranges from indolent disease that does not require treatment for years to very aggressive disease, which is associated with poor survival (Silkenstedt et al, 2021). Typically, MCL is diagnosed at advanced stage and in older patients who cannot tolerate intensive therapy (NCCN, 2022). Although recent advances have slightly increased remission rates, recurrence and relapse remain very common, leading to a median overall survival between 3 and 6 years (LLS, 2021). Though there are several effective options, progress is still needed towards establishing an accepted frontline approach for MCL (Castellino et al, 2022). Treatment selection and management of MCL are complicated by the heterogeneity of prognosis, advanced age and comorbidities of patients, and lack of an established standard approach for treatment, making it vital that clinicians be familiar with the latest research and advances in this area. In this activity chaired by Michael Wang, MD, Professor in the Department of Lymphoma & Myeloma at MD Anderson Cancer Center, expert faculty will discuss prognostic factors informing treatment, the promising results of recent trials in new therapeutic approaches, and the implications of treatment resistance in therapeutic selection for MCL.
Target Audience
Hematology/oncology fellows, attending faculty, and other health care professionals involved in the treatment of patients with mantle cell lymphoma (MCL).
Learning Objectives
1.) Identify clinical and biological prognostic factors that can guide treatment decision making for older adults with MCL
2.) Evaluate emerging data on targeted therapeutic approaches for treatment-naive and relapsed/refractory MCL and their applicability to older adults
3.) Assess mechanisms of resistance to targeted therapies for MCL and their implications for treatment selection
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2. Check list
Direct Mechanism … … … … .. Clinical findings
Indirect Mechanism … … … … MR and/or US
- RF origin injuries
- RF MTJ injuries
Check list
Direct Mechanism … … … … .. Clinical findings
Indirect Mechanism … … … … MR and/or US
- RF origin injuries
- RF MTJ injuries
3. Direct Mechanism. Quadriceps Muscle
Clinical diagnosis
Vastus lateralis & vastus intermedius
Different degrees of injury
Aponeurosis & subcutaneous tissue involved
Contusion Grade I Contusion Grade II
Contusion Grade III
4. Contusion grade I
• Full Flexion
• Capillary rupture: Blood into connective tissue
• Classical bruise (ecchymosis)
Direct Mechanism. Quadriceps Muscle
Clinical diagnosis
Vastus lateralis & vastus intermedius
Different degrees of injury
Aponeurosis & subcutaneous tissue involved
5. Contusion grade II
• Knee Flexion over 90° but not complete
• Crushing of muscle fibers with vasomotor reaction
• Can exist extravasated blood produces a hematoma
24 hours6d15d (asymptomatic)
Direct Mechanism. Quadriceps Muscle
Clinical diagnosis
Vastus lateralis & vastus intermedius
Different degrees of injury
Aponeurosis & subcutaneous tissue involved
6. Contusion grade III
Flexion <90 °
Usually muscle in contraction
Hematological and vascular manifestations
Potential complications
2d 6d21d (symptomatic)
Direct Mechanism. Quadriceps Muscle
Clinical diagnosis
Vastus lateralis & vastus intermedius
Different degrees of injury
Aponeurosis & subcutaneous tissue involved
7. Check list
Direct Mechanism … … … … .. Clinical findings
Indirect Mechanism: … … … … MR and/or US
- RF origin injuries
- RF MTJ injuries
8. SYMPTOMS
Disabling acute pain or
Minimum initial acute pain (progressive functional disability)
Depression of muscle profile (“hacked form”)
Variable Stump depending on MTJ
Rarely Bruise
“Muscular tight tension”
9. Rectus Femoris Origin
• Indirect tendon (IT): Anterolateral acetabular ridge & capsule
• Direct tendon (DT): Anteroinferior Iliac Spine (AIIS)
• Conjointed tendon: it forms a conjoined tendon with the direct one around
2cm distal to the attachment. Hsu et al. 2005
• Recurrent tendon (RT)
iliopsoas
Carlo Martinoli
IT
DT
RT
First suspicion by echo
MR is mandatory Different situations:
different management
10. • 0.5% of muscle injuries (Ouellette et al, 2006)
• Direct tendon: surgery. Indirect tendon: conservative
• Current trend: elite athletes: surgery
• Frequency: DT > IT. (Hsu, 2005; Bordalo-Rodrigues, 2005)
• There is a lesional cadence (Ouellette et al, 2006)
INDIRECT
DIRECT
CONJOINED
1
2
Carlo Martinoli
1 to 3 ... increasing severity
Rectus Femoris Origin Injuries
Dr. Pedret
11. In elite athletes, depending on outcome, very different treaments
• Mistakes are not allowed
• US only for experts (IT described by Martinoli, published by Pesquer et Al. (2016)
• MR mandatory
FH
Short-
axis
AIIS
1
1
2
2
*
*
Long-
axis
eccentric comet tail
Images by Carlo Martinoli
13. “A Rodas and Balius case” (1999)
29 y.o. Hockey goalkeeper.
Non surgical treatment.
Conjoint tendon rupture
14. 2014 follow-up. Spontaneous reconstruction of both tendons
Muscular body “fallen”
Thin Indirect Tendon
Muscular
Body
“fallen”
Direct tendon
reconstructed
16. Rectus femoris musculotendinous injury
Depending on Musculotendinous Junction
Muscular Injuries settle over musculo-tendinous junctions
1. Central Aponeurosis. Central Tendon Injury (CTI)
2. Direct Tendon Expansion. Superficial Injury
3. Distal Posterior Fascia. Distal Peripheral Injury
4. Proximal Posterior Fascia. Proximal Peripheral Injury
17. 1. Central Aponeurosis. Central Tendon Injury
Little stump
Palpable pasting
Palpable depression
18. 1. Central Aponeurosis. Central Tendon Injury
Acute Injury
Little Hematoma
Tendinous Band
Palpation like a “canaloni”
Bad Prognosis Image
19. 1. Central Aponeurosis. Central Tendon Injury
Acute Injury
Little Hematoma
Tendinous Band
Bad Prognosis Image
Fibrous/Calcified Scar
Soft scar
20. 1. Central Aponeurosis. Central Tendon Injury
Acute Injury
Little Hematoma
Tendinous Band
Bad Prognosis Image
Fibrous/Calcified Scar
Soft scar
21. Soft Scar Contralateral
1. Central Aponeurosis. Central Tendon Injury
Acute Injury
Little Hematoma
Tendinous Band
Bad Prognosis Image
Fibrous/Calcified Scar
Soft scar
22. 2. Direct Tendon Expansion. Superficial Injury
Rare
Poor symptoms
No stump
Minimal myofascial hematoma
MR/US careful: not be confused with avulsion
23. 3. Posterior Fascia. Distal Peripheral Injury
Large and sometimes high stump
Frequent myofascial hematoma
Cystic hematoma
Laminar fibrous scar
Better prognosis than CTI