Return to Play After Soleus Muscle Injuries

Pedret, Carles; Rodas, Gil; Balius, Ramón; Capdevila, Lluís; Bossy, Mireia; Vernooij, Robin W.M.; Alomar, Xavier

doi:10.1177/2325967115595802

Cited by 44 publications

(49 citation statements)

References 30 publications

(38 reference statements)

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“…Following CMSI, three of the four recovery milestones were delayed for soleus injuries compared to gastrocnemius injuries, albeit not significantly. The recovery time for soleus injuries in this study was similar to what has been reported previously; Pedret et al 14 reported an overall RTP time frame of 29.1 ± 18.8 days in a mixed cohort of athletes. Soleus injuries may require longer recovery time frames due to anatomical factors.…”

Section: Discussionsupporting

confidence: 89%

Calf muscle strain injuries in elite Australian Football players: A descriptive epidemiological evaluation

Green

Lin²,

Schache

et al. 2019

Scandinavian Med Sci Sports

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Background: Calf muscle strain injuries (CMSI) show consistent rates of prevalence and re-injury in elite Australian Football players. An epidemiological evaluation is warranted to better understand the clinical presentation and recovery of CMSI. Purpose: First, to describe the epidemiology of CMSI in elite Australian Football players. Second, to determine if recovery following injury is different according to: (a) injury type (index vs re-injury); (b) muscle injured (soleus vs gastrocnemius); and (c) mechanism of injury (running-related activity vs non running-related activity). Study design: Descriptive epidemiological. Methods: Data retrieved from the Soft Tissue injury Registry of the Australian Football League were analyzed. Sixteen clubs submitted data on CMSI from 2014 to 2017. Data included: player characteristics, training and match history at the time of injury, MRI, and the time to reach recovery milestones. Results: One hundred and eighty-four CMSI were included (149 index injuries; 35 re-injuries). Soleus injuries were most prevalent (84.6%). Soleus injuries took 25.4 ± 16.2 days to return to play, whereas gastrocnemius injuries took19.1 ± 14.1 days (P = .097). CMSI sustained during running-related activities took approximately 12 days longer to recover than injuries sustained during non runningrelated activities (P = .001). Compared to index injuries, re-injuries involved older players (P = .03) and significantly more time was taken to run at >90% of maximum speed, return to full training, and return to play (P ≤ .001). Almost all of the observed re-injuries involved soleus (91.4%). Conclusion: Soleus injuries are more prevalent than gastrocnemius injuries in elite Australian Football players. Prognosis appears to be influenced by clinical factors, with CMSI sustained during running-related activities and re-injuries needing more time to recover.

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Section: Discussionsupporting

confidence: 89%

Calf muscle strain injuries in elite Australian Football players: A descriptive epidemiological evaluation

Green

Lin²,

Schache

et al. 2019

Scandinavian Med Sci Sports

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“…No systematic reviews or RCTs were identified. Three studies (two case-series and one retrospective observational) were included with a total number of 825 subjects 82–84. Very low quality of evidence was observed for a multimodal treatment consisting of passive treatment modalities and progressive exercises, which led to an average treatment time of 9 days (range: not reported) in one study82 and a 1 year reinjury rate of 6.8% (95% CI not reported) in another study 84.…”

Section: Resultsmentioning

confidence: 99%

“…Three studies (two case-series and one retrospective observational) were included with a total number of 825 subjects 82–84. Very low quality of evidence was observed for a multimodal treatment consisting of passive treatment modalities and progressive exercises, which led to an average treatment time of 9 days (range: not reported) in one study82 and a 1 year reinjury rate of 6.8% (95% CI not reported) in another study 84. Furthermore, platelet-rich plasma and rehabilitation showed a large and significant effect versus rehabilitation alone (Hedges’ g =1.78, 95% CI 1.19 to 2.37) on return to previous sport activity (very low quality of evidence) 83…”

Section: Resultsmentioning

confidence: 99%

Diagnosis, prevention and treatment of common lower extremity muscle injuries in sport – grading the evidence: a statement paper commissioned by the Danish Society of Sports Physical Therapy (DSSF)

et al. 2020

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This statement summarises and appraises the evidence on diagnosis, prevention and treatment of the most common lower extremity muscle injuries in sport. We systematically searched electronic databases, and included studies based on the highest available evidence. Subsequently, we evaluated the quality of evidence using the Grading of Recommendations Assessment, Development and Evaluation framework, grading the quality of evidence from high to very low. Most clinical tests showed very low to low diagnostic effectiveness. For hamstring injury prevention, programmes that included the Nordic hamstring exercise resulted in a hamstring injury risk reduction when compared with usual care (medium to large effect size; moderate to high quality of evidence). For prevention of groin injuries, both the FIFA 11+programme and the Copenhagen adductor strengthening programme resulted in a groin injury risk reduction compared with usual care (medium effect size; low to moderate quality of evidence). For the treatment of hamstring injuries, lengthening hamstring exercises showed the fastest return to play with a lower reinjury rate compared with conventional hamstring exercises (large effect size; very low to low quality of evidence). Platelet-rich plasma had no effect on time to return-to-play and reinjury risk (trivial effect size; moderate quality of evidence) after a hamstring injury compared with placebo or rehabilitation. At this point, most outcomes for diagnosis, prevention and treatment were graded as very low to moderate quality of evidence, indicating that further high-quality research is likely to have an important impact on the confidence in the effect estimates.

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“…Pedret et al 22 evaluated the association of different typical locations of the soleus muscle tears and their recovery times, which showed wide variation. However, soleus central intramuscular tendon injuries had a significantly longer recovery time.…”

Section: Discussionmentioning

confidence: 99%

Connective tissue injury in calf muscle tears and return to play: MRI correlation

et al. 2017

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Return to Play After Soleus Muscle Injuries

Cited by 44 publications

References 30 publications

Calf muscle strain injuries in elite Australian Football players: A descriptive epidemiological evaluation

Calf muscle strain injuries in elite Australian Football players: A descriptive epidemiological evaluation

Diagnosis, prevention and treatment of common lower extremity muscle injuries in sport – grading the evidence: a statement paper commissioned by the Danish Society of Sports Physical Therapy (DSSF)

Connective tissue injury in calf muscle tears and return to play: MRI correlation

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