Semimembranosus Muscle Injuries In Sport. A Practical MRI use for Prognosis

Ramon Balius; Mireia Bossy; Carles Pedret; Lluís Capdevila; Xavier Alomar; Bryan Heiderscheit; Gil Rodas

doi:10.1055/s-0043-111587

Sports Medicine International Open, Table of Contents

CC BY-NC-ND 4.0 · Sports Med Int Open 2017; 01(03): E94-E100
DOI: 10.1055/s-0043-111587

Orthopedics & Biomechanics

Semimembranosus Muscle Injuries In Sport. A Practical MRI use for Prognosis

Ramon Balius

¹Clinica Diagonal, Sports Medicine and Imaging, Esplugues de Llobregat, Spain

,

Mireia Bossy

²Centros Medicos Creu Blanca, Ultrasound, Barcelona, Spain

,

Carles Pedret

¹Clinica Diagonal, Sports Medicine and Imaging, Esplugues de Llobregat, Spain

,

Lluís Capdevila

³Universitat Autonoma de Barcelona, Laboratory of Sport Psychology Autonoma University de Barcelona, Spain, Bellaterra, Catalunya, Spain

,

Xavier Alomar

⁴Centres Mèdics Creu Blanca, Department of Radiology, Barcelona, Spain

,

Bryan Heiderscheit

⁵University of Wisconsin School of Medicine and Public Health, Orthopedics and Rehabilitation, Madison, United States

,

Gil Rodas

⁶F.C. Barcelona, Medical Services F.C. Barcelona, Barcelona, Spain

› Author Affiliations

Abstract

The aim of this work was to study semimembranosus musculotendinous injuries (SMMTI) and return to play (RTP). The hypothesis is that some related anatomic variables of the SM could contribute to the prognosis of RTP. The retrospective study was done with 19 athletes who suffered SMMTI from 2010 to 2013 and in whose cases a 3.0T MRI was performed. We evaluated the A, B, C SM regions damaged and calculated the relative length and percentage of cross-sectional area (CSA) affected. We found the correlation of these variables with RTP. The data was regrouped in those cases where the part C of the injury was of interest and those in which the C region was unscathed (pooled parts). We used the Mann-Whitney U test and there was a higher RTP when the injury involved the C part of SM (49.1 days; 95% CI [27.6– 70.6]) compared to non-C-part involvement (27.8 days; 95% CI [19.5–36.0]). The SMMTI with longer RTP typically involves the C part with or without participation of the B part. In daily practice, the appearance on MRI of an altered proximal tendon of the SM indicates that the injury affects the C region and therefore has a longer RTP.

Key word

semimembranosus - hamstring injuries - MRI - return to play

Full Text

References

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