ORBi: Kaux Jean-François - Case report of isolated rectus femoris atrophy

Reference : Case report of isolated rectus femoris atrophy


	Document type :	Scientific congresses and symposiums : Paper published in a journal
	Discipline(s) :	Human health sciences : Orthopedics, rehabilitation & sports medicine
	To cite this reference:	http://hdl.handle.net/2268/1995

Title :	Case report of isolated rectus femoris atrophy
Language :	English
Author, co-author :	Kaux, Jean-François [Université de Liège - ULg > Département des sciences de la motricité > Médecine physique et réadaptation fonctionnelle >]
	Wang, François [Université de Liège - ULg > Services généraux (Faculté de médecine) > Relations académiques et scientifiques (Médecine) >]
	Kurth, Isabelle [Centre Hospitalier Universitaire de Liège - CHU > > Médecine de l'appareil locomoteur >]
	Crielaard, Jean-Michel [Université de Liège - ULg > Département des sciences de la motricité > Evaluation et entraînement des aptitudes physiques - Médecine physique et réadaptation fonctionnelle >]
	Croisier, Jean-Louis [Université de Liège - ULg > Département des sciences de la motricité > Kinésithérapie générale et réadaptation >]
Publication date :	Jun-2008
Journal title :	Journal of Rehabilitation Medicine Supplement
Publisher :	Taylor & Francis Ltd
On invitation :	No
Audience :	International
ISSN :	1650-1969
Event name :	16th European Congress of Physical and Rehabilitation Medicine
Event date :	du 3 juin au 6 juin 2008
Event organizer :	European Society of Physical and Rehabilitation Medicine (ESPRM) and the Royal Belgian Society of Physical and Rehabilitation Medicine (RBSPRM)
Event place (city) :	Brugge
Event country :	Belgium
Keywords :	[en] Isolated atrophy ; Rectus femoris ; Isokinetic
Abstract :	[en] Introduction: Non-traumatic neuromuscular lesions of only one muscular portion of the quadriceps are rare and poorly described in literature. Aim: The goal of our study was to investigate the possible causes of this pathology and to objectively quantify the functional consequences of this isolated atrophy from the rectus femoris on the total muscular performances of the quadriceps. Patient and Method: A male patient, 44 years old, presented an isolated atrophy of the right rectus femoris without pain nor history of previous traumatic event. He reported occasional paraesthesias on anterior right thigh. Electromyographic exploration of the lower limbs, imagery (echography and MRI) and isokinetic test were undertaken by the patient. Results: Imagery explorations showed the atrophy of the right rectus femoris combined with fatty degeneration but this exam did not allow determining the actual etiology. Therefore, a precise diagnosis was not allowed, even if the EMG confirmed the presence of important signs of specific and isolated denervation only in the right rectus femoris. The isokinetic test, performed in the classical sitting position, highlighted symmetrical performances for flexors of the knee and a moderately decrease in the right concentric quadriceps torque (-10%). A complementary isokinetic assessment, in a lying supine position, demonstrated a more marked deficit of this right quadriceps (higher than -30%). Conclusion: No precise etiology was shown for this isolated atrophy of the right rectus femoris. Nevertheless, we brought back the importance to lay the patient in a lying supine position in order to preferentially investigate the rectus femoris performances through an isokinetic test.
Target :	Professionals ; Students
Permalink :	http://hdl.handle.net/2268/1995

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