Tratamento das lesões musculares agudas da coxa com ou sem punção do hematoma em atletas

Sales, Rodrigo Moreira; Cavalcante, Marcelo Cortês; Cohen, Moisés; Ejnisman, Benno; Andreoli, Carlos Vicente; Pochini, Alberto de Castro

doi:10.1016/j.rbo.2017.09.002

Cited by 8 publications

(6 citation statements)

References 27 publications

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“…The investigators provide hematoma measurements leading to mean hematoma volumes within the quadriceps femoris muscle of approximately 100 μL. These results go more in line with our observations, which leads to the conclusion that biopsy-associated hematomas more closely resemble those following a muscle contusion or strain than more severe injuries examined by Sales et al (28).…”

Section: Discussionsupporting

confidence: 87%

“…However, a review of the literature shows that only a small number of studies have calculated hematoma volume in this particular context. Sales et al (28), for example, examined a cohort of 20 athletes with acute thigh muscle injury (essentially type 3B and 4 injuries according to the Munich Consensus Statement) and observed average hematoma volumes of 9.17 ± 7.89 mL, which clearly exceed our observations. Svensson et al (29), on the other hand, examined a cohort of Swedish elite soccer players and included 145 muscle injuries of the lower extremities, which from experience mainly consist of muscle strains, ligament injuries, and muscle contusions.…”

Section: Discussioncontrasting

confidence: 82%

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In Vivo Visualization of Tissue Damage Induced by Percutaneous Muscle Biopsy via Novel High-Resolution MR Imaging

Preisner

Friedmann‐Bette

Wehrstein

et al. 2021

Medicine &Amp; Science in Sports &Amp; Exercise

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Purpose: Percutaneous muscle biopsy is the gold standard for tissue assessment in clinical practice and scientific studies. The aim of this study was to assess and quantify the ensuing tissue damage by in vivo magnetic resonance imaging (MRI). Methods: In this prospective study, we enrolled 22 healthy participants who underwent MRI of the thigh musculature about 1 wk after a percutaneous muscle biopsy of the vastus lateralis muscle. A total of 17 participants also volunteered for a second MR examination 2 wk after biopsy. Volumes of susceptibility-weighted imaging (SWI) lesions and muscle edema were assessed by SWI and T2-weighted MRI, respectively, after manual segmentation by two independent readers. For quantitative in vivo hematoma volume assessment, we additionally determined signal changes induced by experimental hematoma in an ex vivo model. Results: Mean overall volume of SWI lesions 1 wk after biopsy was 26.5 ± 21.7 μL, accompanied by a mean perifocal edema volume of 790.1 ± 591.4 μL. In participants who underwent two examinations, mean volume of SWI lesions slightly decreased from 29.8 ± 23.6 to 23.9 ± 16.8 μL within 1 wk (P = 0.13). Muscle edema volume decreased from 820.2 ± 632.4 to 359.6 ± 207.3 μL at the same time (P = 0.006). By calibration with the ex vivo findings, signal alterations on SWI corresponded to a blood volume of approximately 10-50 μL. Conclusions: Intramuscular hematoma and accompanying muscle edema after percutaneous biopsy are small and decrease rapidly within the first 2 wk. These in vivo findings underline the limited invasiveness of the procedure.

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Section: Discussionsupporting

confidence: 87%

Section: Discussioncontrasting

confidence: 82%

In Vivo Visualization of Tissue Damage Induced by Percutaneous Muscle Biopsy via Novel High-Resolution MR Imaging

Preisner

Friedmann‐Bette

Wehrstein

et al. 2021

Medicine &Amp; Science in Sports &Amp; Exercise

View full text Add to dashboard Cite

show abstract

“…It can be subcutaneous, intramuscular, or occur within internal cavities, such as the abdomen, chest, or beneath the nail. Muscle hematomas usually occur after contusion or rupture [17]. A subungual hematoma is caused by trauma, is quite painful, and is due to violent compression or crushing of the nail bed of the finger or toe.…”

Section: Hematomas/nail Lacerationsmentioning

confidence: 99%

Prevalence of Skin Injuries in Beach Volleyball Athletes in Greece

Rallis,

Tertipi,

Sfyri

et al. 2024

JCM

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Background: Skin injuries often affect the sports community. Almost every type of athletic activity is associated with traumatic skin injuries, such as surface wounds, bruising, abrasions, subcutaneous hematomas, blunt trauma, nail injuries, friction burns, and blisters. Methods: The aim of this study was to assess the rates, location sites, and seasons of appearance of skin injuries in beach volleyball athletes in Greece. Seven hundred and eighty-five beach volleyball athletes participated in this study. The average age was 28.4 years. Skin injuries included superficial wounds (erosions, incisions, lacerations), deep wounds, hematomas, nail lacerations, friction burns, and friction blisters. The recorded variables encompassed gender, age, the time of year when athletes might be at higher risk of injuries, and the specific body regions affected. Additionally, data regarding training details such as years of practice, weekly training frequency, and daily training duration were also documented. Results: Incidence rates correlated to gender: (a) superficial wounds (p < 0.001), (b) years of training: hematomas (p < 0.001), and (c) average hours of daily training: superficial wounds (p < 0.001), deep wounds (p < 0.001), and friction blisters (p < 0.001). Conclusions: Although early detection, recognition, and treatment are essential, the prevention of skin injuries can also be linked to health and athletic performance.

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“…Muscle hematomas can be the consequence of an external blunt (direct trauma) or of an excessive or uncoordinated contraction (indirect trauma) [ 34 ]. It is known that these lesions can lead to the formation of scar tissue, further complicating the healing process [ 35 ]. Fuentes et al described a case report of successful treatment of a subacute hematoma secondary to a type 4 lesion of the plantaris muscle using focal ESWT [ 24 ].…”

Section: Reviewmentioning

confidence: 99%

The Role of Extracorporeal Shock Wave Therapy in the Treatment of Muscle Injuries: A Systematic Review

Mazin,

Lemos,

Paiva

et al. 2023

Cureus

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Muscle injuries commonly occur in sports and can be classified as indirect and direct, according to the 2013 Munich Consensus Statement (MCS). Since recent evidence suggests that extracorporeal shock wave therapy (ESWT) improves muscular microcirculation and may increase regeneration after acute muscle injury, we performed a systematic review following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) statement guidelines to access the efficacy and safety of ESWT in the treatment of patients with muscle injuries. PubMed and Cochrane were searched to screen for potentially relevant articles and the literature search was last updated in June 2023. The inclusion criteria were randomized controlled trials, observational studies, or case controls published in English, Portuguese, or Spanish that studied the effect of ESWT on indirect and direct muscle injuries in individuals aged ≥18, with at least one of the following reported outcomes: pain on the visual analog scale (VAS), functionality assessed either with disability scales or subjectively, time for return to play (RTP), re-injury rate, and ultrasonographic evaluation. The exclusion criteria were literature reviews, systematic reviews, studies in animals, studies in other languages, studies that failed to meet the targeted population or intervention and studies that didn't report any of the outcomes of interest. The quality of the studies was analyzed using the Cochrane Assessment Tool, the Newcastle-Ottawa Quality Assessment Scale, and the JBI Critical Appraisal Checklist. Eight studies were included in the systematic review (two randomized controlled trials, one prospective observational study, two retrospective observational studies, and three case reports), with a total of 143 adult participants. ESWT was associated with less pain on VAS, better function, reduction of size of lesion on ultrasound evaluation, faster RTP and/or lower re-injury rate in patients with indirect and direct muscle injuries and muscular hematomas, a frequent secondary complication of muscle injuries. The evidence regarding the use of ESWT for these types of injuries is therefore promising. Nevertheless, higher-quality studies are needed in the future to prove its efficacy, better comprehend its mechanisms of action and define treatment protocols (timing, type and parameters of ESWT).

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Tratamento das lesões musculares agudas da coxa com ou sem punção do hematoma em atletas

Cited by 8 publications

References 27 publications

In Vivo Visualization of Tissue Damage Induced by Percutaneous Muscle Biopsy via Novel High-Resolution MR Imaging

In Vivo Visualization of Tissue Damage Induced by Percutaneous Muscle Biopsy via Novel High-Resolution MR Imaging

Prevalence of Skin Injuries in Beach Volleyball Athletes in Greece

The Role of Extracorporeal Shock Wave Therapy in the Treatment of Muscle Injuries: A Systematic Review

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