The early management of muscle strains in the elite athlete: best practice in a world with a limited evidence basis

Muscle injuries can be classified into strain injuries and contusions. Depending on the type of injury, different complications may occur, which in turn can be divided into early, intermediate and delayed complications. A prompt diagnosis of complications allows early treatment and permits to avoid harmful sequelae. Imaging studies, ultrasonography in particular, allow (recognizing) the assessment of complications whenever clinically suspected. In this article the most frequent complications of muscle injuries are presented. Keywords Muscle injuries Á Complications Á UltrasoundRiassunto Le lesioni muscolari possono essere classificate in lesioni contusive e lesioni distrattive. A seconda del tipo di lesione, possono insorgere complicanze differenti, che a loro volta possono essere suddivise in complicanze precoci, intermedie e tardive. Un rapido e preciso riconoscimento delle complicanze consente di intervenire precocemente e permette di evitare conseguenze dannose. L'imaging, in particolar modo l'ecografia, permette il riconoscimento di complicanze ogni qualvolta esse siano sospettate clinicamente. In questo articolo vengono presentate le complicanze più frequenti delle lesioni muscolari.

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“…Muscle injuries are a major concern in terms of health and social costs particularly in sport medicine [28].…”

Section: Discussionmentioning

confidence: 99%

Complications of muscle injuries

Alessandrino

Balconi

2013

J Ultrasound

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“…The alternative treatment protocol applied in this study was based on Dr. MuellerWohlfahrt's actovegin ® injection regime, developed to treat muscle injuries in professional athletes (Orchard et al, 2008). actovegin ® , a deproteinised serum extract of bovine origin, is thought to improve the transport of glucose over a plasma membrane and the uptake of oxygen by tissues (Nordvik, 2002).…”

Section: Discussionmentioning

confidence: 99%

Alternative treatment for proximal suspensory desmitis in the hind limb: retrospective study in seven horses

Tyrnenopoulou

Diakakis

2017

J Hellenic Vet Med Soc

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Proximal suspensory desmitis (PSD) has become a frequently diagnosed condition commonly affecting athletic horses. In this study, seven horses with PSD in a pelvic limb were included. Definitive diagnosis was based on clinical signs, results of local anesthesia and ultrasonographic and radiographic examination. Following the initial anti-inflammatory treatment, PSD was treated with an alternative, minimally invasive method, including series of periligamentous injections containing mepivacaine hydrochloride, heparin sodium, a preparation containing natural ingredients and deproteinised haemoderivative of calf blood. Depending on the severity of each case, all horses returned to full work after 8 to 12 weeks.

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“…Ce décalage entre le monde du sport et la littérature scientifique est connu pour l'ensemble de la pathologie musculaire du sportif [6].…”

Section: éTat Des Lieux Du Traitement Par Prpunclassified

“…Enfin, les investigateurs restent sur des impressions subjectives pour les résultats obtenus par cette technique, notamment pour l'accélération de la cicatrisation et la reprise plus rapide du sport (objectif principal).Comme il a déjà été dit, la recherche clinique reste faible sur la pathologie musculaire aiguë du sportif[6] et les difficultés pour faire une étude scientifique sont grandes. En effet, il nous a fallu six mois, au CHU de Brest, pour initier l'étude sur « l'intérêt du traitement par PRP des lésions musculaires aiguës chez le patient sportif ».…”

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