Krutsch Werner, Eder Klaus, Krutsch Volker, Meyer Tim
Klinik und Poliklinik für Unfallchirurgie, Universitätsklinikum Regensburg, Franz-Josef-Strauß-Allee 11, 93053, Regensburg, Deutschland.
Eden-Reha, Donaustauf, Deutschland.
Unfallchirurg. 2018 Jun;121(6):433-440. doi: 10.1007/s00113-018-0487-6.
Many publications about the treatment and return to play after severe football injuries are available from the scientific literature, particularly about injuries requiring surgery. In contrast, less severe football injuries, such as muscle strains, ankle sprains and contusions, are less well addressed in the literature although these represent the most frequent type of injury. Additionally, such reports often have a low level of evidence and guidelines on treatment and the return to play process are very rare. Thus, the time away from football and the timing of return to play after minor injuries depends on the experience and skills of the responsible medical team. To achieve the aim of stay and play on the field, the medical team should be highly knowledgeable in interdisciplinary football medicine, prevention strategies, first aid on the field, clinical and manual diagnostics, tissue regeneration, symptomatic and conservative treatment as well as in return to play decision-making. No consensus exists on stay and play procedures neither on the practical level nor on the scientific level regarding injury definition, the diagnostic and treatment options and stay and play criteria. Therefore, this article presents the first steps for assessing stay and play strategies after minor injuries to standardize and improve practical routine, education and scientific research.
科学文献中有许多关于严重足球伤病治疗及重返赛场的出版物，尤其是关于需要手术治疗的伤病。相比之下，不太严重的足球伤病，如肌肉拉伤、脚踝扭伤和挫伤，在文献中的论述较少，尽管这些是最常见的伤病类型。此外，此类报告的证据水平往往较低，关于治疗及重返赛场过程的指南也非常罕见。因此，因轻伤而远离足球的时间以及重返赛场的时机，取决于负责的医疗团队的经验和技能。为了实现留在赛场并继续比赛的目标，医疗团队应在跨学科足球医学、预防策略、赛场急救、临床和手法诊断、组织再生、对症和保守治疗以及重返赛场决策等方面具备丰富知识。在伤病定义、诊断和治疗选择以及留赛和参赛标准方面，无论是在实践层面还是科学层面，对于留赛和参赛程序都没有达成共识。因此，本文介绍了轻伤后评估留赛和参赛策略的初步步骤，以规范和改进实际操作、教育及科研。
