Abstract
Muscle contusions or extrinsic muscle lesions are frequently encountered in sports medicine; indeed they represent the second most common cause of morbidity in athletes. Participation in contact sports is a major risk factor. Because of the high frequency and the severity of muscle contusions, some of the governing bodies in some sports, like American football and ice hockey, have implemented prevention strategies and changed their regulations by authorizing helmets and protective padding. However, there is no validated scientific evidence to prove that these measures provide any meaningful benefit. The site of the muscle contusion depends on the type of sport, with the lower limb being the most commonly cited location in the literature. Despite its high incidence, there is no evidence from studies human on the optimal treatment. In the literature, contusions of the quadriceps muscle are the most well studied. On the other hand, numerous animal studies have shed light on the pathogenesis and the healing process of muscle lesions. The healing process must be clearly understood to provide the most efficient treatment plan. Moreover a thorough clinical examination associated with imaging is required. A detailed grading system of the images helps to develop the optimal treatment strategy.
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Bibliography
Beiner JM, Joklk P. Muscle contusion injuries: current treatment options. J Am Acad Orthop Surg. 2001;9:227–37.
Takarada Y. Evaluation of muscle damage after a rugby match with special reference to tackle plays. Br J Sports Med. 2003;37:416–9.
Pettersson M, Lorentzon R. Ice hockey injuries: a 4-year prospective study of a Swedish elite ice hockey team. Br J Sports Med. 1993;27(4):251–4.
Booth DW, Westers BM. The management of athletes with myositis ossificans traumatica. Can J Sport Sci. 1989;14:10–6.
Huss CD, Puhl JJ. Myositis ossificans of the upper arm. Am J Sports Med. 1980;8(6):419–24.
Beiner JM, Jokl P. Muscle contusion injury and myositis ossificans traumatica. Clin Orthop Relat Res. 2002;403S:S110–9.
Jackson DW, Feagin JA. Quadriceps contusion in young athletes. J Bone Joint Surg Am. 1973;55:95–105.
Ryan JB, Wheeler JH, Hopkinson WJ, et al. Quadriceps contusions. Am J Sports Med. 1991;19(3):299–304.
Brukner P, Kham K, et al. Clinical sports medicine. 3rd ed. McGraw Hill Professional. Chap 25 anterior thigh pain. New york. p. 427–38.
Brasseur JL, Renoux J. Classification des lésions musculaires. Gel Contact- revue de la SIMS. 2012;9:6–24.
Crisco JJ, Jokl P, Heinen GT, et al. A muscle contusion injury model: biomechanics, physiology, and histology. Am J Sports Med. 1994;22:702–10.
Allbrook D. Skeletal muscle regeneration. Muscle Nerve. 1981;4:234–45.
Bianchi S, Martinoli C. Ultrasound of the musculoskeletal system. New York: Springer; 2007. p. 611–36.
Jarvinen M, Lehto UK. The effects of early mobilization and immobilization on the healing process following muscle injuries. Sports Med. 1993;15:78–89.
Jarvinen M, Lehto M, Sorvari T, et al. Effect of some anti-inflammatory agents on the healing of ruptured muscle: an experimental study in rats. J Sports Traumatol. 1992;14:19–28.
Mauro A. Satellite cell of skeletal muscle fibers. J Biophys Biochem Cytol. 1961;9:493–5.
Soo Lee Y, Tae Kwon S, Ok Kim J, et al. Serial MR imaging of intramuscular hematoma: experimental study in a rat model with the pathologic correlation. Korean J Radiol. 2011;12(1):66–77.
Connell DA, Schneider-Kolsky ME, Hoving JL, et al. Longitudinal study comparing sonographic and MRI assessments of acute and healing hamstrings injuries. AJR Am J Roentgenol. 2004;183:975–84.
Pomeranz SJ, Heidt Jr RS. MR imaging in the prognostication of hamstring injury. Radiology. 1993;189:897–900.
Aronen JG, Garrick JG, Chronister RD, et al. Quadriceps contusions: clinical results of immediate immobilization in 120 degrees of knee flexion. Clin J Sport Med. 2006;16(5):383–7.
Hubbard TJ, Denegar CR. Does cryotherapy improve outcomes with soft tissue injury? J Athl Train. 2004;39(3):278–9.
King JB. Post-traumatic ectopic calcification in the muscles of athletes: a review. Br J Sports Med. 1998;32:287–90.
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Sailly, M. (2017). Muscle Contusions: Extrinsic Muscle Lesions. In: Roger, B., Guermazi, A., Skaf, A. (eds) Muscle Injuries in Sport Athletes. Sports and Traumatology. Springer, Cham. https://doi.org/10.1007/978-3-319-43344-8_11
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DOI: https://doi.org/10.1007/978-3-319-43344-8_11
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