Sports clinic Paris
Metro: Saint Marcel
Parking 6 rue test
The information provided on this website is provided by medical professionals: sports doctors, rheumatologists, functional rehabilitation doctors, orthopedic, clinical surgeons sport, podiatrist sports meeting within the group "chirurgiedusport.com"
HEADLINE: "strains" of the thigh
Author: St├ęphane Cascua
When accelerating or a shooting, "crack", you feel a sharp pain in the thigh. You stop your action, sometimes you leave the field limping. This is probably a "breakdown" ... or "stretch" ... or maybe an avulsion! The doc France soccer explains your injury and its treatment!
What happened ?
Shot perfectly illustrates the constraints muscle in the thigh during football practice. In the end gesture, the knee extends powerfully bends and hip. When the leg up towards the chest, the movement of these joints is associated strongly to pull the muscle on the back of the thigh. Simultaneously, it must contract because he is responsible for the slow movement. It protects the knee of an excess of expansion and control the technical quality of gesture: the tibia below the knee this muscle stretches. He pulls on the fibrous sac that surrounds it. To adjust the shot, the muscle fibers contract and pull on the envelope in the opposite direction! Sometimes the junction points between the fibers and the muscle membrane can give: the muscle injury
A "breakdown", what is it?
In fact, the injury is more or less severe depending on the extent of damage in the muscle. If contracture is not yet found in the tissue lesion. Following local depletion, a few muscle fibers become blocked, they can no longer relax. You know this: your favorite thriller, the whole body of the corpse stiffens by lack of energy.
When some muscle fibers are torn in contact with the fibrous sac, we speak of "elongation". Sometimes this muscle shell, called "fascia" is distended. This is called a "breakdown". When the trauma is more violent, the membrane may open is the "tear". Finally, the entire bag is torn all around the muscle: you are the victim of a "rupture".
How to recognize a serious injury?
The envelope contains all the blood vessels that feed the muscle. When broken, the blood spreads into the muscle. It separates the muscle fragments and does not promote the repair of the lesion.
All signs suggesting tearing of the membrane and bleeding are serious elements.
A cracking or tearing sensation
Impossible to continue the sport ...
Swelling of the thigh
possibly followed by a blue streak under the skin. This bruise characterizes the blood flow.
What to do in an emergency, on the ground?
In these circumstances, leave the field. Circle the leg with a tape. Go above the knee and reassemble. Tighten slightly down and then less and less. The clamping decreases bleeding. The more pressure at the base of the thigh promotes the return of blood to the heart. Place an ice pack on the bandage next to the painful area. Leave it in place at least 20 minutes. Remember: when it's hot, your face is all red. The heat opens the vessels. Conversely, the cold causes closure. Ice reduces bleeding in the muscle. To promote the evacuation of blood to the general circulation, lift the leg. Relax your muscles, lie down and put your foot in height.
To treat emergency muscle damage, install the GREC.
G = ice
R = rest ... stop the activity and position reducing muscle tension
E = elevation
C = compression
Please note this is not always a "breakdown"!
Muscle clings to the bone. Sometimes at its violent tensioned, the bone insertion point which is torn off. This type of fracture occurs most often in children or adolescents. The growing bone is fragile, there is a link weaker than muscle.
During the preparation of firing, the muscle located at the front of the thigh is strongly stretched. Stretched to the maximum, it contracts to boost the movement and shooter. So it happens that the docking area on the pelvic bone breaks. The real divide requires specific treatment.
Must we always see a doctor?
If there are signs of severity, medical advice is needed to clarify the extent of injury. An ultrasound may be considered. We must quickly program a suitable treatment. Even if some benign medication and physiotherapy especially are very useful.
How to cure your "breakdown"?
First, it is crucial to continue the fight against the bleeding. Soon rehabilitation is established. The gentle muscle contraction begins when it causes more pain. Even at the beginning of treatment, the muscle work is essential for its proper healing. His movements cause variations in pressure that hunt hematoma. Stretching promotes the formation of a scar softer and more suited to its function. Without working muscle, the bruise heal as a fibrous crust becoming stiff and brittle link in the chain elastic muscle You've probably been victim of cracking lips. A rigid skin and cornea repair the injury. A big smile ... and "crack" ... a new tear is. That's what you risk the resumption of football if you treat your muscle injury with rest!. The physiotherapist following healing to gradually increase the mechanical stresses. Before allowing the return to the field, he must impose the muscle the same constraints as those experienced in the practice of football!
Even in case of complete rupture, surgery is exceptional. The shredded muscle is very difficult to suture. Better to let the healing clinging to the nearby muscle.
How long will you be unavailable?
Muscle damage without damage to the membrane heals in 1 to 2 weeks. When the muscle is damaged envelope your absence can last 3-8 weeks. But remember: the right amount of muscle activity is part of the treatment. Quickly, swimming, biking and jogging are welcome. Finally, you do not stop the sport, you keep the form to recover as quickly as your name on the scoresheet!
Technical training should cease when fatigue sets!
You want to learn and understand a new exercise. If you repeat until muscle exhaustion, the movement is deformed! Soon your nervous system leads to program the action of compensating muscles. Your brain ends up storing a defective gesture! In the jargon of coaches, you "unlearn".
Eventually the "common sense" joined the opinion of specialists in brain function.
This statement is to modulate for practitioners very "high level". When the gesture is perfectly assimilated many years, the optimum technical level is reached, the motor patterns are perfectly inscribed in the brain! It may be useful to perform complex exercises beyond fatigue. Under these conditions the right muscles continue to train and advance ... to take until the end of the match!
My game is at 14 hours, what should I eat for breakfast?
When the competition takes place early in the afternoon, do not lunch. Prefer a "brunch" plentiful between 10 and 11 hours. You've had your fill of energy but you release your stomach for digestion.
If you eat too close to the effort, the gut works during exercise. He asks blood! This amount will not be available for the muscles! Your physical performance deteriorates! Meanwhile, your stomach and intestine work in poor conditions. They also lack the blood because the muscle needs. In addition, they are shaken when you run! They are quick to suffer!
In practice, in your "brunch", put cereal, cottage cheese 0 or 20% fat and a compote or fruit juice. wholemeal bread toast with a little butter and jam, along with a large bowl of milk are suitable if you tolerate them well. You can add a small slice of lean ham or a piece of chicken without the skin. Avoid fried eggs and bacon, too fat for the occasion.
Partial ACL tear
Isolated ruptures of the anterior cruciate ligament (ACL) injuries are the most frequent ligament of the knee. These breaks may be complete or partial. In partial tears, clinical diagnosis is more difficult because the clinical presentation is variable. The diagnosis, evolution in time and treatment its partial tears are still subject to much controversy. The purpose of this article is to clarify the definitions, clinical diagnosis and therapeutic strategies to these partial ACL tears. (read more ...)
Women have four to eight times more likely than men to have a ruptured anterior cruciate ligament (ACL). This risk seems more important during the pre-ovulatory phase of the menstrual cycle than during the post-ovulatory phase. The main objective of the study was to describe the distribution of ACL injuries during the menstrual cycle in a large recreational skiers population.
The main goal of this study Was to compare the results of the GNRB arthrometer To Those of Telos TM in the diagnosis of partial thickness tears of the anterior cru- ciate ligament (ACL). A prospective study Performed January- December 2011 included all patients presenting with a partial or full-thickness tears ACL without ACL recon- struction and with a healthy contralateral knee. Anterior laxity Was Measured in all patients by the Telos TM and GNRB├ĺ devices.
It is necessary to distinguish:
- The fracture lesions which are always found with certainty notion traumatic (new or old)
- Chronic lesions with onset of osteonecrosis subchondral more or less extensive, described in the literature under different terminologies (osteochondrosis, osteochondritis, osteonecrosis).
This distinction seems to us essential because etiology, radiographic appearance, treatment and prognosis of such lesions are sometimes totally different.