SUMMARY
Introduction. Muscles lesions are common sport-related injuries. They are usually treated conservatively with good outcomes. However, large structural muscle injuries (type 4 according to I.S.Mu.L.T. classification) are a challenge for physicians. Often, patients may suffer from discomfort and residual pain, functional impairment, and the rate of complications and re-injury rate is high. Furthermore, the lack of clear indications does not help physicians in the decision process.
Methods. We performed a systematic review of four databases (PubMed, Google scholar, EMBASE, Cochrane Library) using the Preferred Reporting Items for Systematic reviews and Metanalysis (PRISMA) guidelines. Level I (RCT), II, III and level IV studies (case series) were included. We also searched for biomechanical and animal studies.
Results. Surgical repair of type IV muscle injuries seems to provide better outcomes and higher rate to return to sport than conservative treatment, although surgical repair is not supported by level I or II studies. The suture of the muscle fibers together with the epimysium increases the mechanical resistance of the suture and reduces the risk of pull-out. This technique allows earlier mobilization, promotes healing and reduces scar formation.
Conclusions. In this article, we try to explain the rational to suture a closed muscle tear, summarize the proper surgical indications, and show the proper suture technique.
Surgical treatment of muscle injury. A review of current literature and indications
A. Giai Via, G. Discalzo, F. Oliva, R. Matteotti, N. Maffulli
Review, 300-308
Keywords: muscle injury, rehabilitation, return to play, skeletal muscle suture, surgical treatment.,
Table of Content: Vol. 10 (No.2) 2020 April/June
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Systems & Methods in Extreme Sports Medicine
F. Feletti, A. P. Moorhead, O. Mei-DanEditorial, 154-155 -
Injury Patterns and Wilderness Medical Preparedness in BASE Jumping
J. W. Sieker, G. M. Vilke, M. S. Schongalla, O. Mei-DanOriginal Article, 156-164 -
Use of a Prospective Survey Method to Capture a Picture of Overuse Injuries in Kitesurfing
R. Paiano, F. Feletti, M. Tarabini, P. BuzzacottOriginal Article, 165-170 -
Injury Prevention in The Sport of Surfing: An Update
A. NathansonOriginal Article, 171-178 -
Injuries in Mountain Biking and Implications for Care
D.C. Fiore, K. M. Fellows, T. A. HennerOriginal Article, 179-191 -
Rodeo Injuries: The Role of Safety Equipment
C. R. Reisenauer, J. W. StonebackOriginal Article, 192-200 -
Current Trends in Sport Climbing Injuries after the Inclusion into the Olympic Program. Analysis of 633 Injuries within the years 2017/18
C. Lutter, T. Tischer, T. Hotfiel, L. Frank, A. Enz, M. Simon, V. SchöfflOriginal Article, 201-210 -
A Review of Head Injury and Impact Biomechanics in Recreational Skiing and Snowboarding
D A. Patton, A. S. McIntosh, B. E. Hagel, T. KrosshaugReview, 211-232 -
Tendon Injuries in the Hands in Rock Climbers: Epidemiology, Anatomy, Biomechanics and Treatment – An Update
V. Schöffl, I. Schöffl, L. Frank, T. Küpper, M. Simon, C. LutterOriginal Article, 233-243 -
Assessment of the Ultimate Actual Strength of Rock-Climbing Protection Devices: Extraction Tests in the Field and the Human Capability to Predict the Ultimate Strength
A. Manes, F. CadiniOriginal Article, 244-256 -
Practical and Conceptual Analysis of Wingsuit BASE Flight
A. Stöckl, J. Sieker, A. Westman, O. Mei-DanOriginal Article, 257-268 -
Altitude Training and Endurance and Ultra-Endurance Performance
M. MarzoratiMini - Review, 269-273 -
Accidents and Risk Related Behaviours in Downhill Mountain Biking in Regard to Trail Choice
A. Frühauf, M. Huter, E. Weiß, M. KoppOriginal Article, 274-279 -
Hand-arm vibration in motocross: measurement and mitigation actions
M. Tarabini, N. Mauri, I. Gaudio, S. Cinquemani, A. P. Moorhead, R. Bongiovanni, F. FelettiOriginal Article, 280-289 -
Review on Reported Concussion, Identification and Management in Extreme Sports
C. N. Seehusen, V. Mucci, K. E. Welman, C. J. Browne, F. Feletti, A. J. ProvanceReview, 290-299 -
Surgical treatment of muscle injury. A review of current literature and indications
A. Giai Via, G. Discalzo, F. Oliva, R. Matteotti, N. MaffulliReview, 300-308 -
Conceptualising Performance Enhancement in Extreme Sports: Combining Physiological and Psychological Perspectives
E. Monasterio, E. Brymer, I. StewartOriginal Article, 309-314 -
An Ecological Dynamics Perspective of Return to Play Decision-Making for Extreme Sport Athletes
J. Nyland, A. Smith, B. Pyle, O. Mei-DanOriginal Article, 315-324 -
Protective and Supportive Garments and Bracing to Enhance Extreme Sport Performance and Injury Prevention
J. Nyland, A. Cecil, R. Singh, C. Raj PandeyOriginal Article, 325-332 -
A Systematic Review of Smart Clothing in Sports: possible Applications to Extreme Sports
S. Scataglini, A. P. Moorhead, F. FelettiOriginal Article, 333-342