Clinical imaging · UKMLA & AKT

Muscle strains and tears (hamstring/quadriceps/calf)

A free high-yield preview for the UKMLA Applied Knowledge Test. Below are the key points to recognise muscle strains and tears (hamstring/quadriceps/calf) — the full SA Note notes add investigations, management, complications and 10 practice questions.

Key high-yield points

  • Strains occur at the musculotendinous junction (MTJ) - mechanically weakest point under load
  • Mechanism: eccentric contraction (muscle contracts while lengthening) → high tensile force at MTJ
  • Hamstrings - biceps femoris, semimembranosus, semitendinosus; bi-articular; vulnerable during sprinting (late swing phase)
  • Quadriceps - rectus femoris most commonly strained (only bi-articular component)
  • Calf - gastrocnemius more vulnerable (bi-articular, crosses knee); both insert via Achilles tendon

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