Conditions
Muscle strain
- Mechanism
- Tearing of muscle fibres under an eccentric load stretching the fibre too fast or too far. Biarticular muscles with many fast fibres are most vulnerable: the hamstrings, rectus femoris and gastrocnemius.
- Recognition
- Sudden sharp pain at an identifiable moment, then pain on stretching and on resisted contraction. Palpation gives a local painful point and sometimes a palpable gap.
- Course
- The site of the tear predicts recovery better than its size: the closer to the tendon, the slower. On return to sport the measure is not pain but strength at long muscle length.
Structures
Sources
- Cook J, Rodas G, McCall A, Pruna R, Kennedy R, Til L. Tendon injuries in football players: FC Barcelona 2021 tendon guide. The diagnosis and management of lower limb tendinopathy. FC Barcelona Innovation Hub. Barcelona. 2021
- Magee DJ, Manske RC. Orthopedic Physical Assessment, 7e editie. Elsevier. 2021