BMJ Case Reports 2012; doi:10.1136/bcr.06.2011.4359
  • Novel treatment (new drug/intervention; established drug/procedure in new situation)

Repair of rectus femoris rupture with LARS ligament

  1. Jonathan Keenan
  1. Trauma and Orthopaedics Department, Derriford Hospital, Plymouth, UK
  1. Correspondence to Miss Clare Taylor, cft199{at}


The rectus femoris muscle is the most frequently involved quadriceps muscle in strain pathologies. The majority of quadriceps muscle belly injuries can be successfully treated conservatively and even significant tears in the less active and older population, non-operative management is a reasonable option. The authors report the delayed presentation of a 17-year-old male who sustained an injury to his rectus femoris muscle belly while playing football. This young patient did not recover the functional outcome required to get back to running and participating in sport despite 15 months of physiotherapy and non-operative management. Operative treatment using the ligament augmentation and reconstruction system ligament to augment Kessler repair allowed immediate full passive flexion of the knee and an early graduated physiotherapy programme. Our patient was able to return to running and his previous level of sport without any restrictions.


  • Competing interests None.

  • Patient consent Obtained.

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