Fuentes V, Fernández M A, Quevedo-Aguado L
Ibermutuamur, Mutua Colaboradora con la Seguridad Social n.° 274, Murcia, España.
Ibermutuamur, Mutua Colaboradora con la Seguridad Social n.° 274, Murcia, España.
Rehabilitacion (Madr). 2019 Jul-Sep;53(3):214-218. doi: 10.1016/j.rh.2018.09.005. Epub 2019 Mar 29.
Muscle injuries are frequent in the workplace. They are produced by sudden direct or indirect trauma that involves a rupture of the fibres, causing bruising. Currently, there is no single protocol-based model of treatment. We present the case of a patient diagnosed with complete muscular rupture of the plantaris muscle by an indirect traumatic mechanism (abrupt muscular elongation), with an associated large-volume hematoma. Clinical study consisted of ultrasound, magnetic resonance (MR), pain assessment (VAS) at the beginning and at the end of the treatment (3 weeks), as well as duration of occupational disability. The patient underwent extracorporeal shockwave therapy (ESWT) according to the protocol. At the end of treatment, the hematoma was resolved and there were no complications. ESWT could be a complementary therapeutic alternative to conventional treatment in this entity. However, there is a need for further, randomised controlled studies including a larger number of patients.
肌肉损伤在工作场所很常见。它们是由涉及纤维断裂的突然直接或间接创伤引起的，会导致瘀伤。目前，没有基于单一方案的治疗模型。我们报告一例患者，通过间接创伤机制（肌肉突然拉长）被诊断为跖肌完全性肌肉断裂，并伴有大量血肿。临床研究包括超声、磁共振成像（MR）、治疗开始时和结束时（3周）的疼痛评估（视觉模拟评分法，VAS）以及职业残疾持续时间。该患者按照方案接受了体外冲击波疗法（ESWT）。治疗结束时，血肿消退，无并发症发生。在这个疾病中，ESWT可能是传统治疗的一种补充性治疗选择。然而，需要进一步开展包括更多患者的随机对照研究。
