This document summarizes presentations from the 5th MuscleTech Network Workshop held in Barcelona on October 14-15, 2013. It discusses injuries of the deep fascia of the rectus femoris muscle, including three case studies of professional soccer players who experienced injuries. Case 1 was an incidental finding that resolved in 10 days without symptoms. Case 2 involved discomfort for 2 weeks before a stronger pain, with the player resting for 7 days before returning without issue. Case 3 involved 4 weeks off despite feeling better after 4-5 days, with re-injury upon return to play during a shot. The document emphasizes the importance of fully recovering from these types of injuries.

1. 5th
MuscleTech
Network
Workshop
Barcelona,
14th
and
15th
October
2013
Injuries
of
the
deep
fascia
of
the
rectus
femoris
Different
possibili7es
of
evolu7on
Xavier
Yanguas
Leyes
Medical
Department
FCBarcelona

2. Common
sites
of
muscletendinous
jun7on’s
injuries
Taken
with
permission
of
Ramon
Balius
(Masson,
2005)
5th
MuscleTech
Network
Workshop
Barcelona,
14th
and
15th
October
2013

3. •
Silent
evolu?on
without
symptoms
as
an
incidental
finding.
•
Symptoms
and
signs
with
a
normal
recovery
and
return-­‐to-­‐play.
•
Symptoms
and
signs
with
a
normal
recovery
but
with
a
re-­‐injury.
5th
MuscleTech
Network
Workshop
Barcelona,
14th
and
15th
October
2013

4. CASE
1
Professional
football
player.
Ultrasound
exam
for
no
muscle
related
reasons.
Incidental
finding.
No
days
off.
Evolu?on
un?l
the
resolu?on:
10
days
without
symptoms,
playing
and
training
normaly.
5th
MuscleTech
Network
Workshop
Barcelona,
14th
and
15th
October
2013

5. 5th
MuscleTech
Network
Workshop
Barcelona,
14th
and
15th
October
2013

6. CASE
2
Professional
football
player.
2
weeks
training
and
playing
with
some
discomfort.
During
a
training
session
he
feels
a
prick
in
his
leS
thigh,
this
?me
“stronger
than
the
previous
days”.
7
days
off.
Return
to
play
without
incidents.
5th
MuscleTech
Network
Workshop
Barcelona,
14th
and
15th
October
2013

7. CASE
3
Professional
football
player.
He
feels
a
prick
in
his
right
thigh
during
a
side-­‐cuVng
maneuver.
4
weeks
of
days
off.
He
didn’t
understand
the
reason
to
stop
because
he
felt
very
well
at
4-­‐5
days.
5th
MuscleTech
Network
Workshop
Barcelona,
14th
and
15th
October
2013

8. 5th
MuscleTech
Network
Workshop
Barcelona,
14th
and
15th
October
2013

9. 5th
MuscleTech
Network
Workshop
Barcelona,
14th
and
15th
October
2013

10. Unexpected
evolu?on
at
the
moment
of
the
return-­‐to-­‐play.
He
feels
a
prick
in
the
same
thigh
during
a
shoot
to
goal.
4
weeks

11. Unexpected
evolu?on
at
the
moment
of
the
return-­‐to-­‐play.
He
feels
a
prick
in
the
same
thigh
during
a
shoot
to
goal.

12. Special
thanks
to:
Xavier
Alomar,
Lluis
Til,
Ricard
Pruna,
Xavi
López,
Xavi
Zamora,
Carles
MarYn,
Jaume
Langa.