Intramuskuläre Sehnenverletzungen am Oberschenkel: Diagnostik – operative Therapie – Rehabilitation

Zusammenfassung

Intramuskuläre Sehnenverletzungen der Oberschenkelmuskulatur stellen ein relativ häufiges und insgesamt erhebliches Problem in der Sportmedizin, vor allem bei schnellkräftigen Sportarten, dar. Die MRT ist ein wertvolles Instrument zur Diagnose und Beurteilung der Schwere dieser Verletzungen. Therapeutisch stehen, je nach Schwere und Chronizität der Verletzung, die konservative, aber auch die operative Behandlung zur Auswahl. Wir zeigen die typischen MRT-Kriterien bei einer akuten wie auch chronischen Verletzung der intramuskulären Oberschenkelsehnen und beschreiben v.a. die chirurgische Behandlung bzw. die operative Technik im Detail. Sowohl die akuten als auch die chronischen Läsionen können erfolgreich operiert werden. In der Rehabilitation stellt die MRT-Kontrolle erneut ein wertvolles Tool dar; die funktionellen Testungen wie EMG und Kraftmessung auf der Kraftmessplatte und in der Isokinetik dürfen jedoch nicht fehlen. Die Rückkehr zum Wettkampfsport ist innerhalb von ca. 4 Monaten möglich.

Abstract

Intramuscular tendon injuries of the thigh muscles are a relatively common and significant problem in sports medicine, particularly in high-speed sports. MRI is a valuable tool for diagnosing and evaluating the severity of these injuries. Depending on the severity and chronicity of the injury, treatment options include conservative or surgical treatment. We present the typical MRI criteria for acute and chronic injuries to the intramuscular thigh tendons and provide a detailed description of the surgical treatment and technique. Both acute and chronic lesions can be successfully treated with surgery. In rehabilitation, MRI remains a valuable tool for monitoring, but functional tests such as EMG, force plate measurements and isokinetic testing should also be included. A return to competitive sport is typically possible within approximately four months.

Schlüsselwörter

intramuskuläre Sehnen - Hamstrings - Rektus - Diagnostik - operative Therapie - Rehabilitation

Keywords

intramuscular tendons - hamstrings - rectus femoris muscle - diagnostic investigation - surgical treatment - rehabilitation

Publication History

Received: 20 February 2024

Accepted after revision: 04 October 2024

Article published online:
21 November 2024

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