A Rare Case of Quadratus Femoris Muscle Rupture After Yoga Exercises

Abstract

We present a case of a female patient with left groin pain after intense yoga exercises. The patient presented abnormal pattern of gait with no swelling over the groin, thigh, or buttock. Magnetic resonance imaging demonstrated a tear of the quadratus femoris muscle with an associated extensive hematoma formation. Patient was treated with a rehabilitation program consisting of nonsteroidal anti-inflammatory drugs and physiotherapy. At the follow-up control, the patient had improved her pain and flexibility of the hip, and gradually she returned to daily activities and yoga exercises. Such an entity is a rare cause of hip pain after exercise and should be kept in mind by the orthopedic surgeon, in cases of gluteal pain after intense physical activity. Moreover, such a condition should be included in the diagnostic algorithm of unknown origin hip pain.

Traumatic Obturator Internus and Quadratus Femoris Injury in a Pediatric Patient: A Case Report

“…There are few publications regarding the incidence of traumatic injury to the obturator internus or quadratus femoris, with the majority of case reports involving the short external rotators in adult soccer or tennis players. 3,6,10,12,14,16 Symptoms can manifest as groin, gluteal, hip, or posterior thigh pain usually with difficulty during ambulation.…”

Escherichia Coli Subscapular Abscess as a Rare Complication of Manual Therapy in Frozen Shoulder: A Case Report

“…He also suggested that manual therapy has a positive effect on pain, range of motion, muscular strength and level of the functional activity on frozen shoulders following intervention by physiotherapists. However, manual or massage therapy can cause complications, such as muscle bleeding, muscle rupture, or myositis ossi cans [17,18]. Sasanuma et al [19] reported that MRI in patients with severe frozen shoulder after manipulation showed capsule tears, labrum tears, and bone bruises in the humeral head.…”

Ischiofemoral Impingement Syndrome: An Overview for Strength and Conditioning Professionals

“…In strains or tears, edema is found at the myotendinous junction, predominantly on the femoral side (29). Isolated strains or tears of the QF muscle are extremely rare and are usually associated with nearby tendon or muscle strain injuries, typically followed by a sudden and unusual sharp pain (41).…”

“…This is an area where QF muscle edema can compress the nerve and cause sciatic neuritis as a result of local irritation (Figure 2) (34). (17), surgical reattachment of the hamstring tendon (10), intermuscular lipoma (14), and even by extreme stretching of the hip (41). In recent studies, ischiofemoral narrowing has been observed without previous surgery or trauma to the hip region (32), and abnormal signals of the QF muscle without ischiofemoral narrowing have also been observed (29), which makes the pathogenesis of IFI uncertain.…”

“…Ischiofemoral impingement (IFI) occurs as a result of compression of the quadratus femoris (QF) muscle in the ischiofemoral space between the lesser trochanter and ischium (21). This rare type of hip injury is an overlooked cause of hip pain, being mostly described in single case studies (4,14,17,24,31,41,42) and reviews (26,35). It has been shown that a combination of hip adduction, extension, and external rotation provokes IFI pain sensations, with athletes who participate in sports using extension and external femur rotation, such as baseball, golf (25), or softball (16) being more prone to developing IFI.…”