Quadriceps contusions: clinical results of immediate immobilization in 120 degrees of knee flexion.

Objective: Quadriceps contusions often result in significant time loss and the possibility of myositis ossificans. The objective of this descriptive case series was to document the results of an initial treatment regimen instituted within 10 minutes from the time of the injury.

Design: This study was a prospective case series of 47 midshipmen who sustained quadriceps contusions between August 1987 and December 2005 and who were treated identically and followed by serial examinations until the return to unrestricted full athletic activities.

Anterior Shoulder Dislocations.

In brief The clinical diagnosis of anterior shoulder dislocations can be made by evaluating the mechanism of injury and noting limited arm adduction and shoulder rotation. In addition, the shoulder loses its normal rounded contour, and the acromion is unusually prominent. Prereduction x-rays are not always necessary but will confirm the clinical diagnosis.

Quadriceps Contusions.

In brief Quadriceps contusions can frustrate athletes, because the time away from athletic activity is variable and unpredictable. The determining factor in returning the patient to play safely is whether the patient has regained 120° or more of knee flexion. Immobilization for the first 24 hours in 120° of knee flexion- which preserves the needed flexion and minimizes intramuscular bleeding and spasms- accomplishes this goal quickly.