Complications of muscle injuries

Alessandrino, Francesco; Balconi, Giuseppe

doi:10.1007/s40477-013-0010-4

Cited by 38 publications

(32 citation statements)

References 25 publications

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“…The summary of the characteristics of the inclusion studies based on the items in the CARE checklist is shown in Table 1. Anterior/ anterolateral shoulder pain (1) Persistent pain (shoulder, elbow, spine, or knee) (6) (2) Golf (n = 6), martial arts (n = 4), basketball (n = 4), marathon (n = 3), aerobics (n = 2), ski (n = 2), softball (n = 2), dance (n = 2), tennis (n = 2), triathlon (n = 2), volleyball (n = 2), etc. (n = 10).…”

Section: Resultsmentioning

confidence: 99%

“…At present, as the population of sports enthusiasts increases, sports injuries have become a prevalent affliction [4]. Musculoskeletal disorders account for most sports injuries and tend to recur frequently [5,6]. Although rare compared to musculoskeletal diseases, sports medicine encompasses various kinds of diseases that preclude sports activities, including psychological issues [7].…”

Section: Introductionmentioning

confidence: 99%

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Use of Acupuncture for the Treatment of Sports-Related Injuries in Athletes: A Systematic Review of Case Reports

Lee

Kim

2020

IJERPH

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Acupuncture is one of the representative complementary and alternative medicine treatments used for various types of pain. This systematic review summarized and analyzed clinical case reports/series utilizing acupuncture for treating sports injuries in athletes, thereby providing the basis for further research to establish clinical evidence on acupuncture treatment in sports medicine. A comprehensive literature search was conducted in Embase including MEDLINE up to 21 August 2019 without language and publication date restrictions. Due to the heterogeneity of each study, explanatory and descriptive analyses were performed. As a result, in each case report/series, it was confirmed that acupuncture was applied for treating various types of sports injuries experienced by athletes. Acupuncture can help relieve short-term pain and recover from dysfunction and has been used as a useful, noninvasive, and conservative modality for managing sports injuries such as lateral meniscus rupture, femoral acetabular impingement, ganglion cysts, and sports hernia. In addition, acupuncture has been suggested as a treatment worth trying for diseases such as yips and delayed onset muscle soreness. The included cases showed some potential of acupuncture in the treatment of various types of sports injuries, beyond pain control in musculoskeletal disorders. However, considering that this review was based on case reports/series, a limited understanding of the clinical value of acupuncture in athletes is required. In the future, more specific research questions and hypotheses should be addressed to generate evidence based on experimental research.

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Section: Resultsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Use of Acupuncture for the Treatment of Sports-Related Injuries in Athletes: A Systematic Review of Case Reports

Lee

Kim

2020

IJERPH

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“…In recent years, PRP has gained increasing attention in the treatment of diverse musculoskeletal disorders to accelerate tissue healing, including acute or chronic tendon disorders, plantar fasciitis, ligament or muscle injuries, and even the process of osteoarthritis. PRP as an autologous product is acquired from a sample of the athletes’ blood and centrifuged to obtain a large number of platelets in a volume of plasma (Alessandrino and Balconi 2013 ; Andia and Maffulli 2015 ). Platelets are intended to release diverse proteins and cytokines, thereby enhancing the healing and regeneration responses of the injured tissue.…”

Section: Resultsmentioning

confidence: 99%

“…The off-label use of indomethacin, provided in the context of myositis ossificans (MO), must be kept separate. Myositis ossificans, which is considered to be a heterotopic, non-neoplastic bone or cartilage formation reflecting a complication of structural muscle injuries (Alessandrino and Balconi 2013 ; Delos et al 2013 ), is mostly associated with a history of intramuscular haematoma. Ultrasound has become a reliable tool to expose the presence of MO (Alessandrino and Balconi 2013 ).…”

Section: Resultsmentioning

confidence: 99%

Nonoperative treatment of muscle injuries - recommendations from the GOTS expert meeting

et al. 2018

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BackgroundMuscle injuries are some of the most common injuries in sports; they have a high recurrence rate and can result in the loss of ability to participate in training or competition. In clinical practice, a wide variety of treatment strategies are commonly applied. However, a limited amount of evidence-based data exists, and most therapeutic approaches are solely based on “best practice”. Thus, there is a need for consensus to provide strategies and recommendations for the treatment of muscle injuries.MethodsThe 2016 GOTS Expert Meeting, initiated by the German-Austrian-Swiss Society for Orthopaedic Traumatologic Sports Medicine (GOTS), focused on the topic of muscle and tendon injuries and was held in Spreewald/Berlin, Germany. The committee was composed of twenty-two medical specialists. Nine of them were delegated to a subcommittee focusing on the nonoperative treatment of muscle injuries. The recommendations and statements that were developed were reviewed by the entire consensus committee and voted on by the members.ResultsThe committee reached a consensus on the utility and effectiveness of the management of muscle injuries. Main results: the “PRICE” principle to target the first inflammatory response is one of the most relevant steps in the treatment of muscle injuries. Haematoma aspiration may be considered in the early stages after injury. There is presently no clear evidence that intramuscular injections are of use in the treatment of muscle injuries. The ingestion of non-steroidal anti-inflammatory drugs (NSAIDs) should be regarded critically because there is currently no hard evidence to support their use, although they are appropriate in exceptional cases.ConclusionsThe present work provides a structured overview of the various nonoperative treatment strategies of muscle injuries and evaluates their effectiveness with respect to the existing scientific evidence and clinical expertise in the context of basic science on the healing process of muscle injuries. The committee agreed that there is a compelling need for further studies, including high-quality randomized investigations to completely evaluate the effectiveness of the existing therapeutic approaches. The given recommendations may be updated and adjusted as further evidence will be generated.

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“…For example, inflammatory diseases, such as diabetes, obesity, and autoimmune conditions, in addition to natural aging, result in the loss of muscle (sarcopenia) and bone (osteopenia) as a result of unresolved daily microinjuries 5,7‐10 . Unresolved injuries or degenerative diseases of the musculoskeletal system cause poor range of motion, chronic pain, and loss of limb function, ultimately resulting in significant disability 11‐13 . In the United States, musculoskeletal disease or injury affects 1 of every 2 people over the age of 18 and accounts for approximately two thirds of the 68,000 disease conditions listed in the International Classification of Diseases, 10th Revision (ICD‐10) 9,14 .…”

Section: Introductionmentioning

confidence: 99%

Plasminogen activation in the musculoskeletal acute phase response: Injury, repair, and disease

Gibson

Duvernay

Moore‐Lotridge

et al. 2020

Research and Practice in Thrombosis and Haemostasis

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The musculoskeletal system is critical for movement and the protection of organs. In addition to abrupt injuries, daily physical demands inflict minor injuries, necessitating a coordinated process of repair referred to as the acute-phase response (APR). Dysfunctional APRs caused by severe injuries or underlying chronic diseases are implicated in pathologic musculoskeletal repair, resulting in decreased mobility and chronic pain. The molecular mechanisms behind these phenomena are not well understood, hindering the development of clinical solutions. Recent studies indicate that, in addition to regulating intravascular clotting, the coagulation and fibrinolytic systems are also entrenched in tissue repair. Although plasmin and fibrin are considered antithetical to one another in the context of hemostasis, in a proper APR, they complement one another within a coordinated spatiotemporal framework. Once a wound is contained by fibrin, activation of plasmin promotes the removal of fibrin and stimulates angiogenesis, tissue remodeling, and tissue regeneration. Insufficient fibrin deposition or excessive plasmin-mediated fibrinolysis in early convalescence prevents injury containment, causing bleeding. Alternatively, excess fibrin deposition and/or inefficient plasmin activity later in convalescence impairs musculoskeletal repair, resulting in tissue fibrosis and osteoporosis, while inappropriate fibrin or plasmin activity in a synovial joint can cause arthritis. Together, these pathologic conditions lead to chronic pain, poor mobility, and diminished quality of life. In this review, we discuss both fibrin-dependent and -independent roles of plasminogen activation in the musculoskeletal APR, how dysregulation of these mechanisms promote musculoskeletal degeneration, and the possibility of therapeutically manipulating plasmin or fibrin to treat musculoskeletal disease. K E Y W O R D S acute-phase reaction, fibrinogen, musculoskeletal diseases, plasminogen, plasminogen activators, rheumatic diseases 470 | GIBSON et al. Essentials• Musculoskeletal disease results in pain and poor mobility with limited treatment options.• Beyond clot degredation, plasmin is essential for musculoskeletal health.• Inappropriate plasmin activity in disease can drive musculoskeletal degeneration.• The plasminogen activation system presents new potential targets to treat musculoskeletal disease.

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Complications of muscle injuries

Cited by 38 publications

References 25 publications

Use of Acupuncture for the Treatment of Sports-Related Injuries in Athletes: A Systematic Review of Case Reports

Use of Acupuncture for the Treatment of Sports-Related Injuries in Athletes: A Systematic Review of Case Reports

Nonoperative treatment of muscle injuries - recommendations from the GOTS expert meeting

Plasminogen activation in the musculoskeletal acute phase response: Injury, repair, and disease

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