Smaller Biceps Femoris Aponeurosis Size in Legs with a History of Hamstring Strain Injury.

Autor: Balshaw, Thomas G., McDermott, Emmet J., Massey, Garry J, Hartley, Chris, Kong, Pui Wah, Maden-Wilkinson, Tom, Folland, Jonathan
Předmět:
Zdroj: International Journal of Sports Medicine; Dec2024, Vol. 45 Issue 13, p871-883, 13p
Abstrakt: Biceps femoris long head (BFLH) aponeurosis size was compared between legs with and without prior hamstring strain injury (HSI) using two approaches: within-group (injured vs. uninjured legs of previous unilateral HSI athletes) and between-group (previously injured legs of HSI athletes vs. legs of No Prior HSI athletes). MRI scans were performed on currently healthy, competitive male athletes with Prior HSI history (n =23;≥1 verified BFLH injury; including a sub-group with unilateral HSI history; most recent HSI 1.6±1.2 years ago) and pair-matched athletes with No Prior HSI history (n =23). Anonymized axial images were manually segmented to quantify BFLH aponeurosis and muscle size. Prior unilateral HSI athletes' BFLH aponeurosis maximum width, aponeurosis area, and aponeurosis:muscle area ratio were 14.0–19.6% smaller in previously injured vs. contralateral uninjured legs (paired t-test, 0.008≤P≤0.044). BFLH aponeurosis maximum width and area were also 9.4–16.5% smaller in previously injured legs (n =28) from Prior HSI athletes vs. legs (n =46) of No Prior HSI athletes (unpaired t-test, 0.001≤P≤0.044). BFLH aponeurosis size was smaller in legs with prior HSI vs. those without prior HSI. These findings suggest BFLH aponeurosis size, especially maximum width, could be a potential cause or consequence of HSI, with prospective evidence needed to support or refute these possibilities. [ABSTRACT FROM AUTHOR]
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