Running on the Edge: Rupture of the Tibialis Anterior Muscle During an Ultramarathon.

Autor: Santos-Faria J; Physical Medicine and Rehabilitation, Centro Hospitalar e Universitário de Coimbra, Coimbra, PRT., Malta JN; Physical Medicine and Rehabilitation, Centro Hospitalar e Universitário de Coimbra, Coimbra, PRT., Coelho AP; Physical Medicine and Rehabilitation, Centro Hospitalar e Universitário de Coimbra, Coimbra, PRT., Branco JP; Physical Medicine and Rehabilitation, Centro Hospitalar e Universitário de Coimbra, Coimbra, PRT.
Jazyk: angličtina
Zdroj: Cureus [Cureus] 2022 Nov 27; Vol. 14 (11), pp. e31930. Date of Electronic Publication: 2022 Nov 27 (Print Publication: 2022).
DOI: 10.7759/cureus.31930
Abstrakt: A 47-year-old male ultramarathon runner presented with persistent discomfort in the anterior region of the left leg. The patient reported a snapping sensation in his left leg four weeks earlier while running an ultramarathon, followed by ecchymosis and functional impairment the next day. Physical examination revealed a palpable area of fibrosis in his anterior left leg. Ultrasound of the left leg identified a partially organized rupture of the distal third of the tibialis anterior muscle. The rupture had an extension of 36 x 10 x 27mm with associated muscle edema. The patient was treated non-surgically with a customized rehabilitation program and later returned to ultramarathon running. This case illustrates the importance of proper differential diagnosis and individualized rehabilitation programs to achieve optimum clinical and functional results.
Competing Interests: The authors have declared that no competing interests exist.
(Copyright © 2022, Santos-Faria et al.)
Databáze: MEDLINE