302-304 Defne Kaya.qxd:-

Vastus medialis muscle of a 52-year-old male professional weight-lifter (master degree) was ruptured during training. After 3 days, he (HG.,D. Height: 179 cm, Weight: 98 kg) was admitted to sports medicine clinic with oedema, pain, and swelling on the medial side of his right knee (dominant side). After the physical examination and MRI assessment, nearly total vastus medialis rupture was detected and surgical intervention was planned (Fig. 1). In March 2011, ruptured vastus medialis muscle was treated endoscopically with percutaneous intramuscular splintage technique. Following surgery, patient underwent intensive sports-specific physiotherapy programme (Tab. 1). After a year, quadriceps and hamstring isokinetic muscle strength (at 60°/s, 180°/s) using Biodex ® 3 and one-leg hop test were evaluated. There were no significant differences in muscle strength and hop length between the legs (Tab. 2). There was no palpable nor visible gap on the vastus medialis of the right knee. There was no pain, swelling nor oedema on/around the surgical area and right knee. Based on results, patient’s returning to competition was approved. In June 2012, he was the winner European Master Weight-lifting Championship.