Muscle injuries: ultrasound evaluation in the acute phase

Draghi, Ferdinando; Zacchino, Michela; Canepari, M.; Nucci, Paolo; Alessandrino, Francesco

doi:10.1007/s40477-013-0019-8

Cited by 60 publications

(59 citation statements)

References 20 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Imaging of muscle tissue is essential for providing a correct assessment of the severity of muscle damage or muscle injury [54,55]. In diagnostic imaging of DOMS, several imaging modalities are described in the literature, but so far, MRI has been reported as the preferred modality providing detailed image analysis and characterization of this kind of muscular lesion [55 -58] (▶ Fig.…”

Section: Magnetic Resonance Imaging (Mri)mentioning

confidence: 99%

Advances in Delayed-Onset Muscle Soreness (DOMS): Part I: Pathogenesis and Diagnostics

Hotfiel

Freiwald

Hoppe

et al. 2018

Sportverletz Sportschaden

122

View full text Add to dashboard Cite

Delayed-onset muscle soreness (DOMS) is a type of ultrastructural muscle injury. The manifestation of DOMS is caused by eccentric or unfamiliar forms of exercise. Clinical signs include reduced force capacities, increased painful restriction of movement, stiffness, swelling, and dysfunction of adjacent joints. Although DOMS is considered a mild type of injury, it is one of the most common reasons for compromised sportive performance. In the past few decades, many hypotheses have been developed to explain the aetiology of DOMS. Although the exact pathophysiological pathway remains unknown, the primary mechanism is currently considered to be the ultrastructural damage of muscle cells due to unfamiliar sporting activities or eccentric exercise, which leads to further protein degradation, apoptosis and local inflammatory response. The development of clinical symptoms is typically delayed (peak soreness at 48 – 72 h post-exercise) as a result of complex sequences of local and systemic physiological responses. The following narrative review was conducted to present an overview of the current findings regarding the damaging mechanisms as well as the pathophysiology of DOMS and its diagnostic evaluation.

show abstract

Section: Magnetic Resonance Imaging (Mri)mentioning

confidence: 99%

Advances in Delayed-Onset Muscle Soreness (DOMS): Part I: Pathogenesis and Diagnostics

Hotfiel

Freiwald

Hoppe

et al. 2018

Sportverletz Sportschaden

122

View full text Add to dashboard Cite

show abstract

“…It is reliable for assessing the extent of muscle injury and for detecting the presence of a hematoma and its compression on adjacent structures. 7,10 In conclusion, we believe that emerging sports, such as wakeboarding, can increase the risk of injuries that have never been described before. Sports medicine specialists and radiologists should hence pay careful attention to athletes presenting with unusual clinical features.…”

Section: Discussionmentioning

confidence: 77%

“…With regard to the pathogenic mechanisms involved, these injuries are classified into extrinsic tears deriving from an external trauma and intrinsic tears caused by forced contraction of an elongated muscle. 6,7 In our case, an extrinsic muscle injury was excluded on the basis of the patient's anamnesis; in addition, the involvement of the myotendinous junction is typical for intrinsic injuries. 7 To our knowledge, only one study has described an intrinsic rupture of the flexor digitorum superficialis muscle belly, which occurred as a consequence of isometric weight training.…”

Section: Discussionmentioning

confidence: 98%

“…6,7 In our case, an extrinsic muscle injury was excluded on the basis of the patient's anamnesis; in addition, the involvement of the myotendinous junction is typical for intrinsic injuries. 7 To our knowledge, only one study has described an intrinsic rupture of the flexor digitorum superficialis muscle belly, which occurred as a consequence of isometric weight training. 8 In this article, we report the first case of an intrinsic muscle tear resulting from a wakeboarding accident.…”

Section: Discussionmentioning

confidence: 98%

See 1 more Smart Citation

Flexor Digitorum Superficialis Tear in a Wakeboarder

Draghi

Gitto²

2017

Clinical Journal of Sport Medicine

View full text Add to dashboard Cite

Tears in the flexor digitorum superficialis muscle belly are rare injuries with one single case reported in the literature. In this article, we describe the first case of muscle tear of the flexor digitorum superficialis resulting from a wakeboarding trauma. The wakeboarder presented with pain localized in the anterior forearm, and early symptoms of carpal tunnel syndrome. Ultrasonography demonstrated an intramuscular hematoma of the flexor digitorum superficialis myotendinous junction, which compressed the median nerve. After conservative treatment, the patient was asymptomatic and returned to his usual daily activities and sports within 5 weeks of the injury. In patients with a wakeboard trauma and similar presentations, a tear in the flexor digitorum superficialis muscle belly should be suspected.

show abstract

“…If an injury is noticed muscle fibers are partially or totally interrupted and muscular limits. Areas with intramuscular hematoma or edema can additionally be detected by ultrasound (Draghi et al, 2013).…”

Section: Discussionmentioning

confidence: 99%

Partial rupture of the thigh adductor muscle in a dog: case report

Cruz

Pascon

Strey

et al. 2018

Arq. Bras. Med. Vet. Zootec.

View full text Add to dashboard Cite

Muscle injuries are often reported in humans, but uncommon in dogs. The etiology is degenerative or traumatic, and traumatic is more common in athletes. The diagnosis is obtained by a combination of orthopedic physical examination and imaging diagnosis, such as ultrasonography. Therapy aims to optimize healing and avoid complications. The present study reports a case of partial rupture of thigh adductor muscle in a dog presenting acute lameness of the right pelvic limb. Swelling and pain in the medial region of the thigh was noticed. Ultrasound examination confirmed partial rupture of the thigh adductor muscle. The treatment included non-steroid anti-inflammatory, warm compresses, and rest. Ultrasound examinations were useful in this case to evaluate the progression of the lesion, which was rapid and satisfactory. RESUMOLesões musculares são frequentemente relatadas em humanos, mas pouco diagnosticadas em cães. Podem ocorrer de forma degenerativa ou traumática, sendo essa última a forma mais comum em atletas. O diagnóstico é obtido por exame físico ortopédico associado a exames de imagem, como ultrassonografia. A terapia deve ser instituída de modo a facilitar a cicatrização e evitar as complicações. O presente trabalho tem como objetivo relatar um caso de ruptura parcial de músculo adutor da coxa em um cão que apresentou claudicação aguda em membro pélvico direito, associado à tumefação e dor em região medial da coxa. O exame ultrassonográfico evidenciou ruptura parcial do músculo adutor da coxa. O paciente recebeu terapia anti-inflamatória, e foi indicado uso de compressas quentes e repouso. Foram realizados exames ultrassonográficos para acompanhamento da evolução do quadro, que foi rápida e favorável.

show abstract

Muscle injuries: ultrasound evaluation in the acute phase

Cited by 60 publications

References 20 publications

Advances in Delayed-Onset Muscle Soreness (DOMS): Part I: Pathogenesis and Diagnostics

Advances in Delayed-Onset Muscle Soreness (DOMS): Part I: Pathogenesis and Diagnostics

Flexor Digitorum Superficialis Tear in a Wakeboarder

Partial rupture of the thigh adductor muscle in a dog: case report

Contact Info

Product

Resources

About