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[肌肉损伤:诊断与治疗]

[Muscle injuries: diagnostics and treatments].

作者信息

Kieb M, Lorbach O, Engelhardt M

机构信息

Klinik für Orthopädie, Unfall- und Handchirurgie , Klinikum Osnabrück, Am Finkenhügel 1, 49076 Osnabrück.

出版信息

Orthopade. 2010 Dec;39(12):1098-107. doi: 10.1007/s00132-010-1693-2.

Abstract

Muscle injuries are common in sports. They are usually caused by either acute (mostly eccentric mechanisms) or chronic overloading with a lack of muscle coordination. They present in clinical practice as bruises and muscle sprains. Due to the rigours of a modern society and the high economic cost of time off work, an effective treatment needs to be employed. The key to an optimised therapy rests in the appropriate timing between immobilisation and mobilisation. The interval to muscle repair might be shortened by certain adjuvant therapies. In doing so, it is important that no physiological phases of wound healing are overlooked. Muscle healing can be accelerated by externally induced higher metabolic turnover. Surgical therapy is sometimes necessary in selected cases and in serious injuries.

摘要

肌肉损伤在体育运动中很常见。它们通常由急性损伤(大多为离心机制)或慢性超负荷且缺乏肌肉协调性引起。在临床实践中,它们表现为瘀伤和肌肉扭伤。由于现代社会的严苛要求以及误工带来的高昂经济成本,需要采用有效的治疗方法。优化治疗的关键在于固定和活动之间的恰当时间安排。某些辅助治疗可能会缩短肌肉修复的间隔时间。在这样做时,重要的是不能忽视伤口愈合的任何生理阶段。通过外部诱导提高代谢周转率可以加速肌肉愈合。在某些特定病例和严重损伤中,有时需要进行手术治疗。

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