This topic has 3 replies, 2 voices, and was last updated 1 year, 7 months ago by Stephen Bird. Viewing 2 reply threads Author Posts 06/12/2022 at 2:59 pm #44503 Son NguyenParticipant Hi Birdies! What are your thoughts on this case I scanned today? Female AFL player went to sprint and felt both quads pop. Right side looks like a posterior fascia tear. Left side, prox MTJ direct head tear? TIA, Son Attachments:You must be logged in to view attached files. 06/12/2022 at 4:40 pm #44517 Stephen BirdKeymaster How odd to tear both simultaneously! I agree about the posterior wall of the rect fem distal tendon MTJ tear. Nice example. The other one is tricky ! I have not seen one like this before, The central (indirect) tendon is OK, I tend to agree with you that it is the direct head MTJ that has torn on the medial aspect. I hate the concept of a “myofascial tear” but this is as close as you can get, I would (like you) allocate this a direct head MTJ injury. Great case. Steve 06/12/2022 at 11:03 pm #44542 Son NguyenParticipant Thanks Steve, only just realized you recently released a course on this. I will have to watch and refreshed my memory on this complex anatomy. 06/12/2022 at 11:37 pm #44543 Stephen BirdKeymaster It is certainly complex! It is a unique muscle, Inigo Iriarte and his team has made great progress with our understanding, Enjoy the material. Steve Author Posts Viewing 2 reply threads You must be logged in to reply to this topic. Log In Username: Password: Keep me signed in Log In