Current Concepts of MR Imaging Anatomy and Pathology of the Rectus Femoris Complex

The proximal origin of the rectus femoris from the anterior superior iliac spine, anterior inferior iliac spine and the supraacetabular sulcus comprises the proximal tendinous complex. A practical MR imaging-guided approach adapted to the anatomy of the proximal tendinous complex and the myoconnective transitions along the rectus femoris is critical in accurately evaluating and following rectus femoris injuries. This review presents various conditions, including avulsions, tendon tears, and myoconnecive lesions along the muscle that can result in loss of function and pain. Furthermore, different pathologies or "abnormal states" that can present with symptoms similar to myoconnective lesions are demonstrated.