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Rectus femoris strain — MRCEM SBA MCQ

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EasyHip and GroinRectus femoris strainMRCEM SBA

A 20-year-old footballer has acute anterior thigh pain after kicking. There is pain with resisted hip flexion and knee extension, and bruising appears over the proximal anterior thigh. What is the most likely diagnosis?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: B — Rectus femoris muscle strain

Rectus femoris crosses the hip and knee and is stressed during kicking. Pain with resisted hip flexion and knee extension supports the diagnosis. Rehabilitation should restore strength through range and progress kicking load gradually.

Reference: Brukner & Khan; BJSM muscle injury