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小腿损伤在职业足球中:治疗患者还是扫描?——一个病例研究。

Calf injuries in professional football: Treat the patient or the scan? - A case study.

机构信息

Football Medicine, Rua de S. Pedro 534 Azurém, Guimarães, Portugal; Dragon Clinic EM Sports Centre, FIFA Medical Centre of Excellency, Dragon Stadium, Porto, Portugal; Nad Al Sheba Sports Complex, Dubai, United Arab Emirates.

Corades, LLC, Brookline, MA, USA; Corades, LLC, Madrid, Spain; Longwood MRI Specialists, Brookline, MA, USA; Madrid Open Tennis, Madrid, Spain.

出版信息

Phys Ther Sport. 2016 Sep;21:63-7. doi: 10.1016/j.ptsp.2016.01.004. Epub 2016 Jan 31.

DOI:10.1016/j.ptsp.2016.01.004
PMID:27428536
Abstract

OBJECTIVE

To describe a case of a professional football player with significant imaging findings despite a rather innocuous clinical presentation with gradual onset of calf pain and who was able to continue training and playing with minor medical intervention. To discuss some of the limitations of existing muscle injury grading systems and their potential to cover the full range of injury presentations for calf injuries.

DESIGN

Case report.

SETTING

A professional football player was assessed by physical examination, clinical testing and imaging (MRI) after a gradual onset of a calf injury. After returning to training and competition, a follow-up of his symptoms was performed with regular ultrasound imaging assessments.

PARTICIPANT

A professional football player (35 years, 1.90 m, 88 kg) male, African, striker, playing in the Professional Arabian Gulf League.

CONCLUSION

The discordance between the clinical presentation and the imaging findings resulted in a challenging situation regarding the decision of whether to allow the player to train and compete. In addition, existing muscle injury grading systems do not seem to cover the full range of injuries seen in clinical practice.

摘要

目的

描述一名职业足球运动员的病例,尽管临床表现相当轻微,逐渐出现小腿疼痛,但仍能继续训练和比赛,只需进行少量医疗干预。讨论现有肌肉损伤分级系统的一些局限性及其在涵盖小腿损伤各种表现形式方面的潜力。

设计

病例报告。

地点

一名职业足球运动员在逐渐出现小腿损伤后,通过体格检查、临床检查和影像学(MRI)进行评估。在恢复训练和比赛后,通过定期进行超声影像学评估来随访他的症状。

参与者

一名职业足球运动员(35 岁,1.90 米,88 公斤),男性,非洲人,前锋,效力于职业阿拉伯海湾联赛。

结论

临床表现与影像学结果之间的不匹配导致在决定是否允许运动员训练和比赛时出现了具有挑战性的情况。此外,现有的肌肉损伤分级系统似乎不能涵盖临床实践中所见的全部损伤类型。

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