Rectus Femoris and Soleus Aponeurosis Injuries with Filippo Tilli

In this interview, Jake Tuura speaks with Filippo Tilli about myotendinous junction injuries, specifically those affecting the rectus femoris and soleus muscles. Tilli describes the complex anatomy of the rectus femoris, highlighting its three layers and the importance of accurate assessment to avoid misdiagnosis and prolonged recovery. He shares a case study of a female sprinter with a rectus femoris injury, emphasizing the need for patient-focused treatment and progressive tissue loading. The conversation shifts to soleus injuries, detailing the muscle's anatomical variability and the common occurrence of aponeurotic injuries. Tilli discusses the role of imaging in diagnosis, the silent nature of soleus injuries during rehab, and the importance of respecting biological healing times. He also touches on the mechanical properties of aponeuroses versus tendons and the impact of chronological age on tissue quality, stressing the significance of appropriate loading and training habits in preventing and managing these injuries.