Challenge of the Week / Sports Medicine / 08.02.19

You are seeing a 20-year-old male patient who is collegiate baseball center fielder. The patient reports acute proximal thigh and groin pain that started when he was chasing a fly ball. Ultrasound of the proximal thigh reveals deep fiber disruption in the direct head of the rectus with a small hematoma. No defect is appreciated on examination. Which of the following is the most appropriate treatment?

  • Corticosteroid injection, and immediate return to play
  • Immobilization for 2 weeks, and a gradual return to play
  • Platelet rich plasma injection and a gradual return to play
  • Ice, non-steroidal anti-inflammatory drugs, progressive rehabilitation and return to play as symptoms allow

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