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Muscles and Tendons Around the Pelvis

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Ultrasonography of the Lower Extremity
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Abstract

The tendons and the muscles about the pelvis, on the basis of their anatomic location, can be divided into four groups: anterior, medial, lateral, and posterior, on the basis of their function in hip flexors, adductors, abductors, medial rotators, extensor, and external rotators.

Some hip tendons and muscles are almost never affected by pathologies, while injuries in others are frequent, particularly in athletes. Tendon injuries include overuse syndromes, complete or partial tears, avulsions, inflammatory conditions, and instability. Post-traumatic muscle injury is one of the most common sports-related injuries. Ultrasonography is a very useful tool in the diagnosis of these injuries and during the follow-up to evaluate a possible return to physical activity.

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References

  1. Bancroft LW, Blankenbaker DG. Imaging of the tendons about the pelvis. AJR Am J Roentgenol. 2010;195(3):605–17.

    Article  Google Scholar 

  2. Molini L, Precerutti M, Gervasio A, Draghi F, Bianchi S. Hip: anatomy and US technique. J Ultrasound. 2011;14(2):99–108.

    Article  CAS  Google Scholar 

  3. Lungu E, Michaud J, Bureau NJ. US assessment of sports-related hip injuries. Radiographics. 2018;38(3):867–89.

    Article  Google Scholar 

  4. Hegazi TM, Belair JA, McCarthy EJ, Roedl JB, Morrison WB. Sports injuries about the hip: what the radiologist should know. Radiographics. 2016;36(6):1717–45.

    Article  Google Scholar 

  5. Draghi F, Zacchino M, Canepari M, Nucci P, Alessandrino F. Muscle injuries: ultrasound evaluation in the acute phase. J Ultrasound. 2013;16(4):209–14.

    Article  CAS  Google Scholar 

  6. Pasta G, Nanni G, Molini L, Bianchi S. Sonography of the quadriceps muscle: examination technique, normal anatomy, and traumatic lesions. J Ultrasound. 2010;13(2):76–84.

    Article  CAS  Google Scholar 

  7. Hasselman CT, Best TM, Hughes C IV, Martinez S, Garrett WE Jr. An explanation for various rectus femoris strain injuries using previously undescribed muscle architecture. Am J Sports Med. 1995;23:493–9.

    Article  CAS  Google Scholar 

  8. Waligora AC, Johanson NA, Hirsch BE. Clinical anatomy of the quadriceps femoris and extensor apparatus of the knee. Clin Orthop Relat Res. 2009;467:3297–306.

    Article  Google Scholar 

  9. Weatherall PT, Crues JV. Musculotendinous injury. Magn Reson Imaging Clin N Am. 1995;3:753–72.

    CAS  PubMed  Google Scholar 

  10. Esser S, Jantz D, Hurdle MF, Taylor W. Proximal rectus femoris avulsion: ultrasonic diagnosis and nonoperative management. J Athl Train. 2015;50(7):778–80.

    Article  Google Scholar 

  11. Draghi F, Draghi AG, Gitto S. Myotendinous strains of the vastus lateralis as a result of sport-related trauma. J Sports Med Phys Fitness. 2018;58(6):947–9.

    PubMed  Google Scholar 

  12. Bianchi S, Martinoli C, Waser NP, Bianchi-Zamorani MP, Federici E, Fasel J. Central aponeurosis tears of the rectus femoris: sonographic findings. Skeletal Radiol. 2002;31(10):581–6.

    Article  Google Scholar 

  13. Balius R, Maestro A, Pedret C, Estruch A, Mota J, Rodríguez L, et al. Central aponeurosis tears of the rectus femoris: practical sonographic prognosis. Br J Sports Med. 2009;43:818–24.

    Article  CAS  Google Scholar 

  14. Hughes C IV, Hasselman CT, Best TM, Martinez S, Garrett WE Jr. Incomplete, intrasubstance strain injuries of the rectus femoris muscle. Am J Sports Med. 1995;23:500–6.

    Article  Google Scholar 

  15. McKinney BI, Nelson C, Carrion W. Apophyseal avulsion fractures of the hip and pelvis. Orthopedics. 2009;32:42.

    Article  Google Scholar 

  16. Pesquer L, Poussange N, Sonnery-Cottet B, Graveleau N, Meyer P, Dallaudiere B, Feldis M. Imaging of rectus femoris proximal tendinopathies. Skeletal Radiol. 2016;45(7):889–97.

    Article  Google Scholar 

  17. Blankenbaker DG, Tuite MJ. Iliopsoas musculotendinous unit. Semin Musculoskelet Radiol. 2008;12(1):13–27.

    Article  Google Scholar 

  18. Polster JM, Elgabaly M, Lee H, Klika A, Drake R, Barsoum W. MRI and gross anatomy of the iliopsoas tendon complex. Skeletal Radiol. 2008;37(1):55–8.

    Article  Google Scholar 

  19. Lynch TS, Bedi A, Larson CM. Athletic Hip Injuries. J Am Acad Orthop Surg. 2017;25(4):269–79.

    Article  Google Scholar 

  20. Robertson BA, Barker PJ, Fahrer M, Schache AG. The anatomy of the pubic region revisited: implications for the pathogenesis and clinical management of chronic groin pain in athletes. Sports Med. 2009;39(3):225–34.

    Article  Google Scholar 

  21. Pesquer L, Reboul G, Silvestre A, Poussange N, Meyer P, Dallaudière B. Imaging of adductor-related groin pain. Diagn Interv Imaging. 2015;96:861–9.

    Article  CAS  Google Scholar 

  22. Serner A, Roemer FW, Hölmich P, et al. Reliability of MRI assessment of acute musculotendinous groin injuries in athletes. Eur Radiol. 2017;27:1486–95.

    Article  Google Scholar 

  23. Serner A, Weir A, Tol JL, et al. Characteristics of acute groin injuries in the adductor muscles: a detailed MRI study in athletes. Scand J Med Sci Sports. 2018;28:667–76.

    Article  CAS  Google Scholar 

  24. Koulouris G, Connell D. Hamstring muscle complex: an imaging review. Radiographics. 2005;25(3):571–86.

    Article  Google Scholar 

  25. Linklater JM, Hamilton B, Carmichael J, Orchard J, Wood DG. Hamstring injuries: anatomy, imaging, and intervention. Semin Musculoskelet Radiol. 2010;14(2):131–61.

    Article  Google Scholar 

  26. Anderson MW, Kaplan PA, Dussault RG. Adductor insertion avulsion syndrome (thigh splints) spectrum of MR imaging features. AJR. 2001;177:673–5.

    Article  CAS  Google Scholar 

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Draghi, F. (2019). Muscles and Tendons Around the Pelvis. In: Ultrasonography of the Lower Extremity. Springer, Cham. https://doi.org/10.1007/978-3-030-14991-8_7

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  • DOI: https://doi.org/10.1007/978-3-030-14991-8_7

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-14990-1

  • Online ISBN: 978-3-030-14991-8

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