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Vol. 52. Issue 194.
Pages 79-82 (April - June 2017)
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Vol. 52. Issue 194.
Pages 79-82 (April - June 2017)
Aspectos clínicos y de imagen en el diagnóstico y seguimiento de lesiones proximales de la porción larga del bíceps femoral (lesión del tendón libre y de la unión miotendinosa). A propósito de dos casos
Clinical and imaging aspects of assessment and management of proximal long head biceps femoris injury (free-tendon and miotendinosus junction injuries). A report of two cases
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Javier Yanguasa, Ricard Prunaa, Jordi Puigdellívola, Sandra Mechób
a Servicios Médicos del Futbol Club Barcelona, FIFA Medical Center of Excelence, Ciutat Esportiva Joan Gamper, Sant Joan Despí, Barcelona, España.
b Departamento de Radiología, Hospital de Barcelona-SCIAS, Barcelona, España.
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Las lesiones agudas de los isquiotibiales son las más frecuentes en el fútbol profesional y la porción larga del bíceps (PLBF) es el músculo más afectado, siendo las localizaciones proximales las más habituales con importantes características clínicas, como el tiempo de baja y el riesgo de relesión. Se presentan dos casos clínicos de lesiones proximales de PLBF: una lesión miotendinosa típica y una menos frecuente que afecta al tendón libre de PLBF. Las lesiones de la unión miotendinosa localizadas en los isquiotibiales pueden tratarse de manera conservadora, aunque las lesiones de los futbolistas profesionales, cuando la cantidad de tejido conectivo afectado es grande (tendón libre), deben ser tratadas quirúrgicamente.

Palabras clave:
Lesión muscular porción larga del bíceps; Lesión de tendón libre; Lesión miotendinosa

Acute hamstring injury is the most common muscle damage in professional footballers and long head biceps femoris (LHBF) is the most commonly affected muscle with proximal locations being most prevalent with important clinical features such as time of recovery and risk of re-injury. Two clinical reports of proximal LHBF injuries are presented: a typical miotendinosus junction (MTJ) injury and a less common injury affecting the free-tendon of LHBF. MTJ injuries located in hamstrings can be treated conservatively but in professional football players, when the amount of connective tissue involved is great (free-tendon) injuries have to be treated surgically.

Keywords:
Long head biceps femoris muscle injury; Free-tendon injury; Miotendinosus junction injury

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