Sales Rodrigo Moreira, Cavalcante Marcelo Cortês, Cohen Moisés, Ejnisman Benno, Andreoli Carlos Vicente, Pochini Alberto de Castro
Departamento de Ortopedia e Traumatologia, Universidade Federal de São Paulo (Unifesp), Escola Paulista de Medicina, São Paulo, SP, Brasil.
Rev Bras Ortop (Sao Paulo). 2019 Feb;54(1):6-12. doi: 10.1016/j.rbo.2017.09.002. Epub 2019 Mar 1.
To correlate the mean time of return of athletes to sport after acute injury of the thigh muscle with hematoma that was punctured or not.
Study based on clinical intervention, controlled and non-randomized with 20 amateur and professional athletes, divided into moderate and total or subtotal thighs lesions, according with the Munich Consensus Statement. Nine athletes were included in the intervention group and 11 athletes in the control group. In the intervention group, the athletes were submitted to a puncture of the hematoma, associated to physical therapy; the control group did only physical therapy. The variable mean time of return to sport was analyzed using the Mann-Whitney test and a significance level of 5% ( < 0.05; 95% confidence interval [CI]) was established.
The mean group was composed mostly of men, eight of them were amateur athletes. There were three women, two of whom were amateur athletes. The average age of participants was 34.70 ± 12.79 years. There were 13 patients with posterior thigh lesions, 5 with anterior lesions and two with adductor lesions. Considering all injuries, the mean time of return to sport was of 48.50 ± 27.50 days in the intervention group. In the control group, this period was of 102.09 ± 52.02 days, showing a statistically significant difference between them ( = 0.022).
In the present study, hematoma drainage in athletes with moderate and total or subtotal muscle injuries associated with hematomas decreased their return time to sport.
将大腿肌肉急性损伤且伴有或不伴有血肿穿刺的运动员恢复运动的平均时间进行关联分析。
基于临床干预的研究，为对照且非随机研究，纳入20名业余和职业运动员，根据慕尼黑共识声明分为大腿中度、完全或次全损伤。干预组9名运动员，对照组11名运动员。干预组运动员接受血肿穿刺并结合物理治疗；对照组仅进行物理治疗。使用曼-惠特尼检验分析恢复运动的平均时间变量，并设定显著性水平为5%（P < 0.05；95%置信区间[CI]）。
平均组主要由男性组成，其中8名是业余运动员。有3名女性，其中2名是业余运动员。参与者的平均年龄为34.70 ± 12.79岁。有13例大腿后部损伤患者，5例前部损伤患者和2例内收肌损伤患者。考虑所有损伤情况，干预组恢复运动的平均时间为48.50 ± 27.50天。对照组这一时期为102.09 ± 52.02天，两组间存在统计学显著差异（P = 0.022）。
在本研究中，伴有血肿的中度、完全或次全肌肉损伤的运动员进行血肿引流可缩短其恢复运动的时间。
