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CC BY-NC-ND 4.0 · Sports Med Int Open 2017; 01(03): E94-E100
DOI: 10.1055/s-0043-111587
Orthopedics & Biomechanics
Eigentümer und Copyright ©Georg Thieme Verlag KG 2017

Semimembranosus Muscle Injuries In Sport. A Practical MRI use for Prognosis

Ramon Balius
1   Clinica Diagonal, Sports Medicine and Imaging, Esplugues de Llobregat, Spain
,
Mireia Bossy
2   Centros Medicos Creu Blanca, Ultrasound, Barcelona, Spain
,
Carles Pedret
1   Clinica Diagonal, Sports Medicine and Imaging, Esplugues de Llobregat, Spain
,
Lluís Capdevila
3   Universitat Autonoma de Barcelona, Laboratory of Sport Psychology Autonoma University de Barcelona, Spain, Bellaterra, Catalunya, Spain
,
Xavier Alomar
4   Centres Mèdics Creu Blanca, Department of Radiology, Barcelona, Spain
,
Bryan Heiderscheit
5   University of Wisconsin School of Medicine and Public Health, Orthopedics and Rehabilitation, Madison, United States
,
Gil Rodas
6   F.C. Barcelona, Medical Services F.C. Barcelona, Barcelona, Spain
› Author Affiliations
Further Information

Publication History

received 26 April 2017
revised   26 April 2017

accepted 08 May 2017

Publication Date:
14 June 2017 (online)

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Referred to by:

Sports Medicine International Open – recently publishedInt J Sports Med 2017; 38(08): 648-648
DOI: 10.1055/s-0043-114135

Abstract

The aim of this work was to study semimembranosus musculotendinous injuries (SMMTI) and return to play (RTP). The hypothesis is that some related anatomic variables of the SM could contribute to the prognosis of RTP. The retrospective study was done with 19 athletes who suffered SMMTI from 2010 to 2013 and in whose cases a 3.0T MRI was performed. We evaluated the A, B, C SM regions damaged and calculated the relative length and percentage of cross-sectional area (CSA) affected. We found the correlation of these variables with RTP. The data was regrouped in those cases where the part C of the injury was of interest and those in which the C region was unscathed (pooled parts). We used the Mann-Whitney U test and there was a higher RTP when the injury involved the C part of SM (49.1 days; 95% CI [27.6– 70.6]) compared to non-C-part involvement (27.8 days; 95% CI [19.5–36.0]). The SMMTI with longer RTP typically involves the C part with or without participation of the B part. In daily practice, the appearance on MRI of an altered proximal tendon of the SM indicates that the injury affects the C region and therefore has a longer RTP.

Key word

semimembranosus - hamstring injuries - MRI - return to play
 

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