Diffuse discomfort behind the knee,
occasionally with tenderness at the insertion on the lateral aspect of the
femur, at the palpable notch.
The “figure-of-four” sign and resisted internal rotation may be painful.
Cause
Strain of the popliteus muscle, which runs from
its tendinous origin at the lateral femoral condyle to its muscular insertion
along the back of the tibia. The muscle may be injured at the posterior aspect
of the knee and, sometimes, strain the tendon at its insertion. It is usually strained in a twisting movement
across the knee and, very rarely, the tendon is avulsed.
Treatment
a)
Ice,
for the muscle, is not advised due to the proximity of the popliteal
neurovascular vessels, but may help the insertion.
b) Electrotherapeutic modalities and, rarely,
cortisone to the popliteus origin to settle inflammation.
c) Massage to organize scar tissue at the origin.
d) Proprioceptive balancing.
Sports
The injury is usually found in change of
direction and contact sports. Many sports people play through games, with
discomfort and some limitation to performance, whilst it settles.
"Concise
guide to sports injuries, 2nd edition",Churchill Livingstone,
Malcolm T.F. Read, foreword by Bryan English
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1 коментара:
it is likely to crack. This normally occurs in healthy and fit individuals who subject their body to excess physical activities. This kind of fracture is normally experienced by sportspersons and military recruits who engage in physical activities for long periods of time. They develop a stress fracture that leads to foot pain. The second situation is where people have extremely weak bones. This commonly affects women with osteoporosis.
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