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Journal of Ultrasound

, Volume 16, Issue 4, pp 209–214 | Cite as

Muscle injuries: ultrasound evaluation in the acute phase

  • F. Draghi
  • M. Zacchino
  • M. Canepari
  • P. Nucci
  • F. AlessandrinoEmail author
Review

Abstract

Muscle injuries can be classified as extrinsic or intrinsic injuries as well as contusions and lacerations, and clinical assessment is composed of the history and physical examination. Diagnostic imaging, particularly ultrasound (US) examination, is essential to a correct assessment of the severity of the injury and to exclude important complications as these two elements influence treatment decisions, prognosis and time to return to unrestricted physical activity. This paper presents the main clinical and US features of acute muscle injuries.

Keywords

Muscle injuries Ultrasound 

Riassunto

I traumi muscolari possono essere classificati in estrinseci, contusioni e lacerazioni, e intrinseci. Il riconoscimento avviene attraverso l’anamnesi e l’esame clinico. L’imaging, in particolare l’ecografia, é di fondamentale importanza per valutare correttamente la gravità del trauma e per escludere le principali complicanze, i due elementi che incideranno di più sul tipo di trattamento a cui sarà sottoposto il paziente, sulla prognosi e sulla tempistica del ritorno all’attività fisica. In questo articolo vengono presentate le principali caratteristiche cliniche ed ecografiche dei traumi muscolari acuti.

Notes

Conflict of interest

The authors certify that there is no actual or potential conflict of interest in relation to this article.

References

  1. 1.
    Datir A, Connell DA (2010) Muscle injury and complications. In: Robinson P (ed) Essential radiology for sports medicine. Springer Science-Business Media, LLC., New York, pp 199–215CrossRefGoogle Scholar
  2. 2.
    Woodhouse JB, McNally EG (2011) Ultrasound of skeletal muscle injury: an update. Semin Ultrasound CT MRI 32:91–100CrossRefGoogle Scholar
  3. 3.
    Alessandrino F, Balconi G (2013) Complications of muscle injuries. J Ultrasound. doi: 10.1007/s40477-013-0010-4
  4. 4.
    Lee JC, Healy J (2004) Sonography of lower limb muscle injury. AJR Am J Roentgenol 182(2):341–351PubMedCrossRefGoogle Scholar
  5. 5.
    Klauser AS, Peetrons P (2010) Developments in musculoskeletal ultrasound and clinical applications. Skeletal Radiol 39(11):1067–1071CrossRefGoogle Scholar
  6. 6.
    Barberie JE, Wong AD, Cooperberg PL, Carson BW (1998) Extended field-of-view sonography in musculoskeletal disorders. AJR Am J Roentgenol 171(3):751–757PubMedCrossRefGoogle Scholar
  7. 7.
    Weng L, Tirumalai AP, Lowery CM, Nock LF, Gustafson DE, Von Behren PL et al (1997) US extended-field-of-view imaging technology. Radiology 203(3):877–880PubMedGoogle Scholar
  8. 8.
    Järvinen TA, Järvinen TL, Kääriäinen M, Kalimo H, Järvinen M (2005) Muscle injuries: biology and treatment. Am J Sports Med 33:745–764PubMedCrossRefGoogle Scholar
  9. 9.
    Jackson DW, Feagin JA (1973) Quadriceps contusions in young athletes. Relation of severity of injury with treatment and prognosis. J Bone Joint Surg (Am) 55:95–105Google Scholar
  10. 10.
    Lee JC, Mitchell AW, Healy JC (2012) Imaging of muscle injury in the elite athlete. Br J Radiol 85(1016):1173–1185PubMedCrossRefGoogle Scholar
  11. 11.
    Shelly MJ, Hodnett PA, MacMahon PJ, Kavanagh EC, Eustace SJ (2009) MR imaging of muscle injury. Magn Reson Imaging Clin N Am 17:757–773PubMedCrossRefGoogle Scholar
  12. 12.
    Garrett WE Jr (1996) Muscle strain injuries. Am J Sports Med 24:S2–S8PubMedCrossRefGoogle Scholar
  13. 13.
    Orchard J, Best TM, Verrall GM (2005) Return to play following muscle strains. Clin J Sport Med 15:436–441PubMedCrossRefGoogle Scholar
  14. 14.
    Chan O, Del Buono A, Best TM, Maffulli N (2012) Acute muscle strain injuries: a proposed new classification system. Knee Surg Sports Traumatol Arthrosc 20(11):2356–2362PubMedCrossRefGoogle Scholar
  15. 15.
    Peetrons P (2002) Ultrasound of muscle. Eur Radiol 12:35–43PubMedCrossRefGoogle Scholar
  16. 16.
    Peetrons P, Sintzoff S (1987) Les accidents du membre inferieur chez les sportifs: Integration des differents modes d’imagerie. J Francophone RadiolGoogle Scholar
  17. 17.
    Koh ESC, McNally EG (2007) Ultrasound of skeletal muscle injury. Semin Musculoskelet Radiol 11(2):162–173PubMedCrossRefGoogle Scholar
  18. 18.
    Bianchi S, Martinoli C, Abdelwahab IF, Derchi LE, Damiani S (1998) Sonographic evaluation of tears of the gastrocnemius medial head (“tennis leg”). J Ultrasound Med 17:157–162PubMedGoogle Scholar
  19. 19.
    Delgado GJ, Chung CB, Lektrakul N, Azocar P, Botte MJ, Coria D et al (2002) Tennis leg: clinical US study of 141 patients and anatomic investigation of four cadavers with MR imaging and US. Radiology 224(1):112–119PubMedCrossRefGoogle Scholar
  20. 20.
    Mueller-Wohlfahrt HW, Haensel L, Mithoefer K, Ekstrand J, English B, McNally S et al (2013) Terminology and classification of muscle injuries in sport: the Munich consensus statement. Br J Sports Med 47:342–350PubMedCrossRefGoogle Scholar
  21. 21.
    Ekstrand J, Hagglund M, Walden M (2011) Epidemiology of muscle injuries in professional football (soccer). Am J Sports Med 39:1226–1232PubMedCrossRefGoogle Scholar

Copyright information

© Società Italiana di Ultrasonologia in Medicina e Biologia (SIUMB) 2013

Authors and Affiliations

  • F. Draghi
    • 1
  • M. Zacchino
    • 1
  • M. Canepari
    • 1
  • P. Nucci
    • 2
  • F. Alessandrino
    • 1
    Email author
  1. 1.Foundation IRCCS, Policlinico San Matteo, Institute of RadiologyUniversity of PaviaPaviaItaly
  2. 2.Philips HealthcareMonzaItaly

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