Non-Contact Flexor Digitorum Longus Muscle Tear in an Elite Athlete’s Leg: Case Report

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Angoorani Hooman; Farshadfar Kimia; Jafari Fesharaki Molood

مرکز اطلاعات علمی Scientific Information Database (SID) - Trusted Source for Research and Academic Resources

Journal Paper

Paper Information

Journal: Journal of Medical Council of Iran Year:2024 | Volume:42 | Issue:3 Page(s): 57-62

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Information Journal Paper

Title

Non-Contact Flexor Digitorum Longus Muscle Tear in an Elite Athlete’s Leg: Case Report

Author(s)

Angoorani Hooman | Farshadfar Kimia | Jafari Fesharaki Molood | Issue Writer Certificate

Keywords

Flexor digitorum longus muscle

Strain

Plasma-rich platelet

Pain

Rehabilitation

Abstract

Abstract
Introduction: Isolated Flexor Digitorum Longus (FDL) muscle tear is extremely rare and so far, a handful of cases have been reported in the literature. Proper diagnosis and treatment will reduce the complications caused by this tear and helps to reduce the burden of the injury to the athlete and team.
Case Presentation: A 38-year-old professional athletics male, presented with medial tibial Pain that started while running. He did not have any history of diabetes, infectious and inflammatory joint diseases, and the use of drugs such as fluoroquinolone and corticosteroids and supplements containing it, statins, and other drugs that damaged the tendons was not reported. He presented with right leg claudication, despite normal lower limb alignment. Ultrasonography revealed evidence of a grade 3 Strain of the FDL muscle with extensive hematoma. MRI confirmed the diagnosis of a grade 3 FDL Strain. Treatment included hematoma aspiration, injection of Platelet rich plasma (PRP) in the train side under ultrasound guidance, physiotherapy and specific Rehabilitation protocol. The patient adhered to the Rehabilitation program and reported significant improvement in Pain and function.
Conclusions: So far, only a few case reports have reported the rupture of this muscle spontaneously or after ankle dislocation or malleolus and talus fracture. The treatment was effective based on the patient’s response. Careful attention should be given to similar cases to ensure accurate diagnosis and appropriate treatment.

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