No abstract

On the 21st of March, 2015, experts met at Clínica CEMTRO in Madrid, Spain, under the patronage of The Spanish Society for Sports Traumatology (SETRADE), The Spanish Federation of Sports Medicine (FEMEDE), The Spanish Association of Medical Services for Football Clubs (AEMEF), and The Spanish Association of Medical Services for Basketball Clubs (AEMB) with the aim of establishing a round table that would allow specialists to consider the most appropriate current general actions to be taken when treating muscle tears in sport, based on proven scientific data described in the medical literature. Each expert received a questionnaire prior to the aforementioned meeting comprising a set of questions concerning therapeutic indications generally applied in the different stages present during muscle repair. The present Consensus Document is the result of the answers to the questionnaire and resulting discussion and consensus over which are the best current indications in the treatment of muscle tears in sport. Avoiding immobilization, not taking nonsteroidal anti-inflammatory drugs (NSAIDs) randomly, fostering early mobilization, increasing vascularization of injured, site and regulating inflammatory mechanisms—without inhibiting these from the early stages of the recovery period—all stood out as main points of the Consensus Document. Additionally, there is controversy concerning cell stimulation techniques and the use of growth factors or cell inhibitors. The decision concerning discharge was unanimous, as was the criteria considered when it came to performing sport techniques without pain.

On October 15, 2016, experts met at Clínica CEMTRO in Madrid, Spain, under the patronage of the Spanish Society for Sports Traumatology (SETRADE), the Spanish Society of Sports Medicine (SEMED), the Spanish Association of Medical Services for Football Clubs (AEMEF), the Spanish Association of Medical Services for Basketball Clubs (AEMB), F.C. Barcelona, and Clínica CEMTRO. The purpose was to consider the most appropriate clinical management and treatment of tendinopathies in sports, based on proven scientific data described in the medical literature as well as on each expert’s experience. Prior to the meeting, each expert received a questionnaire regarding clinical management and treatment of tendinopathies in sports. The present consensus document summarizes the answers to the questionnaire and the resulting discussion and consensus regarding current concepts on tendinopathies in sports.

IntroductionTreatment of patellar tendinopathy (PT)/Jumper's knee (JK) is known to be difficult, and there is no treatment of choice. This work analyses the development of a protocol using eccentric exercises and electrical stimulation, both using maximum tendon loading, to treat elite athletes suffering from Jumper's knee.MethodsSix high level jumping athletes with chronic painful PT/JK completed a 6-month treatment/training programme using eccentric exercises and electrical stimulation. The protocol was done12 weeks in the winter pre-season and 10 weeks in the summer pre-season, for all together 36 months. Pain during patellar tendon loading activity was evaluated on a VAS, before the first session and then every 6 months.ResultsThe VAS average fell significantly when the initial measurement is compared with those at 18, 24 and 48 months (p<0.01). There were no significant differences between the other comparisons, although they always improved when the protocol was followed and worsened following interruption of the latter (p>0.05).DiscussionIn a small group of high level jumping athletes with chronic painful PT/JK, eccentric exercises combined with electrical stimulation showed promising clinical results with significant pain reduction during tendon loading activity.

Overall, the quantitative indicators and parameters of image quality performed in this study of common sports lesions demonstrate the improvement in visualization of damaged soft tissues with the new technologies now incorporated into portable sonography devices.