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Quadriceps contusions. West Point update.

J B Ryan1, J H Wheeler, W J Hopkinson

  • 1Orthopaedic Service, United States Military Academy, West Point, New York.

The American Journal of Sports Medicine
|May 1, 1991
PubMed
Summary
This summary is machine-generated.

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This study shows a modified therapy program effectively treats quadriceps contusions in athletes, promoting full recovery and preventing re-injury. Early flexion exercises and resting the leg in flexion are key to successful outcomes.

Area of Science:

  • Sports Medicine
  • Orthopedic Surgery
  • Rehabilitation Science

Background:

  • Quadriceps contusions are common injuries in athletes.
  • Previous treatment protocols focused on extension.
  • A modified approach is needed for optimal recovery.

Purpose of the Study:

  • To evaluate a modified three-phased therapy program for quadriceps contusions.
  • To assess the effectiveness of early flexion exercises and resting in flexion.
  • To document return to full activity and prevention of injury recurrence.

Main Methods:

  • A 3-year study involving 117 West Point cadets with quadriceps contusions.
  • Classification based on knee range of motion within 12-24 hours post-injury (mild, moderate, severe).

Related Experiment Videos

  • Modified protocol: resting injured leg in flexion and emphasizing early flexion exercises.

    • Main Results:

    • Average disability times: 13 days (mild), 19 days (moderate), 21 days (severe).
    • Myositis ossificans occurred in 9% of cadets.
    • Risk factors for myositis ossificans identified: limited knee motion, football injury, prior injury, delayed treatment, and effusion.

    Conclusions:

    • The modified therapy program facilitates return to activity for athletes with quadriceps contusions.
    • Early flexion and specific resting positions are crucial components of effective treatment.
    • Identifying risk factors for myositis ossificans aids in injury prevention and management.