MRI detection of soleus muscle injuries in professional football players

Pezzotta, Giuseppe; Querques, Giulia; Pecorelli, Anna; Nani, Roberto; Sironi, Sandro

doi:10.1007/s00256-017-2729-z

Cited by 12 publications

(15 citation statements)

References 27 publications

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“…The imaging study of sport injury and illness in winter sports is to be developed for effective diagnosis and evaluation, which aims to stay in step with the progress in winter sports field. [ 1 2 3 4 ] This will boost the development of sports promoting health strategy and advance the 2022 Winter Olympic Games.…”

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confidence: 99%

Pay Attention to the Imaging Study of Sport Injury and Illness in Winter Olympics Sports

Pan

Lyu

Liu

et al. 2018

Chinese Medical Journal

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confidence: 99%

Pay Attention to the Imaging Study of Sport Injury and Illness in Winter Olympics Sports

Pan

Lyu

Liu

et al. 2018

Chinese Medical Journal

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“…Consistent with previous studies, we found large variation in the RTP period for injuries at each anatomical location. 42,56,57 The MRI data evaluated in this study represent only some of the many variables that could influence the time to RTP after CMSI.…”

Section: Discussionmentioning

confidence: 99%

“…8,41,43,44,52,54 CMSI with more severe AD have been previously reported to have a worse prognosis for RTP, but these results are difficult to compare with those from the current study due to differences in methods. 42,44 Given our large sample, we could adjust for the potential confounding effects of multiple variables. Previous analyses also used different approaches, such as analysis of variance, 24 or referred to the number of weeks rather than days to RTP.…”

Section: Discussionmentioning

confidence: 99%

“…Anatomical location of injury: soleus (central, lateral, and medial intramuscular aponeuroses; posterior intermuscular aponeurosis; deep anterior aponeurosis; myofascial) and gastrocnemius (anterior intermuscular aponeuroses of the medial head and lateral head, proximal musculotendinous junction, distal musculotendinous junction, myofascial) 4,40,42,44,56,57…”

Section: Methodsmentioning

confidence: 99%

“…Severity of AD: none (0%), mild (<50%), severe (between 50%-99%), complete (100%) of the structural cross-sectional area 41,42,51,52…”

Section: Methodsmentioning

confidence: 99%

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Return to Play and Recurrence After Calf Muscle Strain Injuries in Elite Australian Football Players

Green

Lin²,

McClelland

et al. 2020

Am J Sports Med

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Background: Calf muscle strain injuries (CMSI) are prevalent in sport, but information about factors associated with time to return to play (RTP) and recurrence is limited. Purpose: To determine whether clinical and magnetic resonance imaging (MRI) data are associated with RTP and recurrence after CMSI. Study Design: Case-control study; Level of evidence, 3. Methods: Data of 149 CMSI reported to the Soft Tissue injury Registry of the Australian Football League were explored to evaluate the impact of clinical data and index injury MRI findings on RTP and recurrence. Clinical data included age, previous injury history, ethnicity, and the mechanism of injury. Results: Irrespective of the anatomical location, players with CMSI with severe aponeurotic disruption (AD) took longer to RTP than players with CMSI with no AD: 31.3 ± 12.6 days vs 19.4 ± 10.8 days (mean ± SD; P = .003). A running-related mechanism of injury was associated with a longer RTP period for CMSI overall (adjusted hazard ratio [AHR], 0.59; P = .02). The presence of AD was associated with a longer RTP period for soleus injuries (AHR, 0.6; P = .025). Early recurrence (ie, ≤2 months of the index injury) was associated with older age (AHR, 1.3; P = .001) and a history of ankle injury (AHR, 3.9; P = .032). Older age (AHR, 1.1; P = .013) and a history of CMSI (AHR, 6.7; P = .002) increased the risk of recurrence within 2 seasons. The index injury MRI findings were not associated with risk of recurrence. Conclusion: A running-related mechanism of injury and the presence of AD on MRI were associated with a longer RTP period. Clinical rather than MRI data best indicate the risk of recurrent CMSI.

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Anatomical study of the soleus: Application to improved imaging diagnoses

et al. 2020

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Introduction Strains of the soleus are widely found both in amateur and professional athletes. For their accurate regional diagnoses, understanding the anatomy of the spatial relationship between muscular fibers and tendinous structures is important because their interfaces are susceptible sites to muscle strains. Therefore, this study evaluated the precise architecture of the soleus. Materials and Methods We evaluated the precise anatomical architecture of the soleus in 87 formaldehyde‐fixed soleus muscles. To calculate mean relative physiological cross‐sectional area of each muscular fiber compartment, we measured the fiber length, volume, and pennation angle in isolated compartments. Results The posterior soleus surface was covered by a broad aponeurotic posterior insertion tendon (PIT), which continued inferiorly to the insertion tendon. The anterior surface had three aponeurotic origin tendons, lateral origin tendon (LOT), medial origin tendon (MOT), and tendinous arch, which were arranged along the soleus margins. The anterior bipennate muscle portion (ABP), surrounded by the three origin structures, terminated as the sagittal insertion tendon (SIT), which continued inferiorly to PIT. The posterior main muscle portion behind LOT and MOT was separated into lateral and medial portions by the SIT. The soleus thus possessed a broad musculotendinous junction. Furthermore, ABP exhibited wide structural diversity in shape and size: in extreme cases, it was duplicated or absent. Conclusion Systematic anatomical descriptions of the soleus will be useful for accurate regional diagnosis of its strains with magnetic resonance imaging and ultrasonography.

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MRI detection of soleus muscle injuries in professional football players

Abstract: The Munich consensus and BAMIC grading systems are useful tools for defining the patient's prognosis and proper rehabilitation time after injury. The MRI feature that we should carefully look for is the extension of edema, as it seems to significantly affect the RTP.

Cited by 12 publications

References 27 publications

Pay Attention to the Imaging Study of Sport Injury and Illness in Winter Olympics Sports

Pay Attention to the Imaging Study of Sport Injury and Illness in Winter Olympics Sports

Return to Play and Recurrence After Calf Muscle Strain Injuries in Elite Australian Football Players

Anatomical study of the soleus: Application to improved imaging diagnoses

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