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ISOLATED
CONTRACTURE
OF THE
RECTUS
FEMORIS
MUSCLE
Case
Report
L.
CSINK
and J. IMRE,
SZEGED,
HUNGARY
Froni
the Departimient
of Surgery,
Medical
University,
S:eged
A girl of
twenty
had complained
of pain in the right leg when walking,
early fatigue
and a
limp,
since
breaking
the right
ankle
three
years
before.
She had
not had any other
accident
or
any illness.
The knee could
not be flexed
without
flexing
the hip (Fig.
1). Conversely
the hip could
not be extended
without
extending
the knee;
indeed,
extreme
extension
of the hipwas
impossible
even
with
the knee fully extended.
Other
hip movements
were
free.
The patient
walked
with a
slight
limp because,
to
avoid
concomitant
flexion
of the hip,
she did not bend
her knee
and
consequently
tilted
her
pelvis
slightly
to the
left.
The
Trendelenburg
test
was
negative.
Radiographs
of the right
hip and ankle
were
normal.
FIG. I
Before
operation.
Flexion
of the knee
caused
immediate
Ilexion
of
the hip.
FIG.
2
After operation.
Flexion
of the knee is free.
The upper
part of rectus
femoris
was explored
and found
to be thickened
and contracted.
It
was
divided
close to its origin.
At once the hip could
be freely extended,
even with the
knee bent.
The wound
healed
normally,
and functional
treatment
was begun
ten days after operatioll.
Two weeks
later all movements
of the hip were completely
free, and the knee could
be bent
to a right
angle
without
flexion
at the hip (Fig.
2).
The
gait was normal
and the patient
had
no complaints.
We suppose
that, when
the ankle
was broken,
the hip and knee may have been forcibly
hyperextended,
with consequent
rupture
of the uppermost
third of the rectus
femoris
muscle
and subsequent
scarring
and shortening.
VOL. 45 B,
NO.
1,
FEBRUARY
1963
145
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