Ashley N Ruff1, Stacey M Cornelson2, Austin S Panter3, Norman W Kettner2. 1. Department of Radiology, Logan University, 1851 Schoettler Rd, Chesterfield, MO, 63017, USA. ashley.ruff@logan.edu. 2. Department of Radiology, Logan University, 1851 Schoettler Rd, Chesterfield, MO, 63017, USA. 3. Winchester Sport and Spine, Troy, MO, 63379, USA.
Abstract
PURPOSE: This is a rare case of a post-traumatic rectus abdominis muscle tear in an adolescent female diagnosed by ultrasonography (US). Conservative management is also described. METHODS: A 14-year-old female presented to a chiropractic clinic with extreme pain and tenderness in the right lower quadrant (RLQ) after post-plyometric power kneel box jumps. Movement aggravated her pain and she demonstrated active abdominal guarding with RLQ palpation. Ultrasonography revealed a subacute Grade 2 right rectus abdominis muscle tear, without evidence of hyperemia or a hematoma. Following the diagnosis of a right rectus abdominis muscle tear, she was treated with spinal manipulation and a course of musculoskeletal rehabilitation directed at truncal stabilization. RESULTS: After treatment, the patient was able to return to play 5 week post-injury without any pain or discomfort. A follow-up US at 3 months provided evidence of muscle healing without complications. CONCLUSION: This case demonstrates the diagnosis of a rare rectus abdominis muscle tear managed conservatively. To our knowledge, less than a dozen cases are reported using US in the evaluation and diagnosis of a rectus abdominis tear.
PURPOSE: This is a rare case of a post-traumatic rectus abdominis muscle tear in an adolescent female diagnosed by ultrasonography (US). Conservative management is also described. METHODS: A 14-year-old female presented to a chiropractic clinic with extreme pain and tenderness in the right lower quadrant (RLQ) after post-plyometric power kneel box jumps. Movement aggravated her pain and she demonstrated active abdominal guarding with RLQ palpation. Ultrasonography revealed a subacute Grade 2 right rectus abdominis muscle tear, without evidence of hyperemia or a hematoma. Following the diagnosis of a right rectus abdominis muscle tear, she was treated with spinal manipulation and a course of musculoskeletal rehabilitation directed at truncal stabilization. RESULTS: After treatment, the patient was able to return to play 5 week post-injury without any pain or discomfort. A follow-up US at 3 months provided evidence of muscle healing without complications. CONCLUSION: This case demonstrates the diagnosis of a rare rectus abdominis muscle tear managed conservatively. To our knowledge, less than a dozen cases are reported using US in the evaluation and diagnosis of a rectus abdominis tear.
Authors: Ali Guermazi; Frank W Roemer; Philip Robinson; Johannes L Tol; Ravindar R Regatte; Michel D Crema Journal: Radiology Date: 2017-12 Impact factor: 11.105
Authors: Tero A H Järvinen; Teppo L N Järvinen; Minna Kääriäinen; Ville Aärimaa; Samuli Vaittinen; Hannu Kalimo; Markku Järvinen Journal: Best Pract Res Clin Rheumatol Date: 2007-04 Impact factor: 4.098