Abstract
Introduction and aim
Muscle injuries are frequent in the world of sport, especially in football. The most recent epidemiological studies show that muscle injuries represent more than 30% of all injuries (1.8–2.2/1000 h of exposure), which means that a professional football team suffers an average of 12 muscle injuries per season, equivalent to more than 300 lost sporting days. The objective of this article is to provide a working document that is clear, practical and comprehensive about diagnosis, general treatment and overall management of muscle injuries.
Methods
The protocols are based on current experiences and practice from managing these injuries in a professional sporting environment on a daily basis.
Results and conclusions
The authors present a model of sequential treatment of muscular injuries. The model is important to understand how different professionals are progressively involved in the recovery of each muscular injury. We will never be 100% certain that a player will not suffer recurrence and the risks must be considered according to specific circumstances. As always in our environment (professional sport) we are unable to be conservative but we can be sensible. The more knowledge and experience we have available, the better we are able to help in the final decision-making process.
Zusammenfassung
Einleitung und Ziel
Muskelverletzungen kommen in der Sportwelt häufig vor, besonders im Fußball. Jüngste epidemiologische Studien zeigen, dass Muskelverletzungen mehr als 30% aller Verletzungen ausmachen (1,8–2,2/1000 h Exposition), d. h. ein professionelles Fußballteam erleidet durchschnittlich 12 Muskelverletzungen pro Saison, was mehr als 300 verlorenen Sporttagen entspricht. Ziel dieses Beitrags ist es, eine Arbeit zu präsentieren, die klar, praktisch und verständlich die Diagnostik, allgemeine Behandlung und das umfassende Management von Muskelverletzungen aufzeigt.
Methoden
Die Protokolle basieren auf aktuellen Erfahrungen und der täglichen Praxis im Management dieser Verletzungen in einem professionellen Sportumfeld.
Ergebnisse und Schlussfolgerung
Die Autoren stellen ein Modell mit einer sequenziellen Behandlung muskulärer Verletzungen vor. Das Model ist wichtig, um zu verstehen, wie verschiedene Profisportler schrittweise an der Heilung jeder muskulären Verletzung beteiligt sind. Wir werden nie zu 100% sicher sein, dass ein Spieler nicht einen Rückfall erleidet, und das Risiko muss in Abhängigkeit von spezifischen Bedingungen betrachtet werden. Wie eh und je sind wir in unserem Umfeld (professioneller Sport) nicht in der Lage, konservativ zu sein, dennoch können wir vernünftig handeln. Je mehr Wissen und Erfahrungen zur Verfügung stehen, desto besser können wir beim endgültigen Entscheidungsprozess helfen.
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R. Del Vescovo, D. Norman, E. Lippie, D. Stefanini, S. McAleer and H. Riepenhof declare that they have no competing interests.
This article does not contain any studies with human participants or animals performed by any of the authors.
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Del Vescovo, R., Norman, D., Lippie, E. et al. Management of muscular injuries. Trauma Berufskrankh 19, 3–10 (2017). https://doi.org/10.1007/s10039-017-0237-y
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DOI: https://doi.org/10.1007/s10039-017-0237-y