Consell Català de L'Esport, Generalitat de Catalunya, Barcelona, Spain.
Sports Medicine and Clinical Ultrasound Department, Clínica Diagonal, Esplugues de Llobregat, Barcelona, Spain.
Sports Med. 2021 Feb;51(2):193-197. doi: 10.1007/s40279-020-01387-5. Epub 2020 Dec 17.
Despite the recent publication and subsequent clinical application of several muscle injury classification systems, none has been able to address the varying and often unique/complex types of injuries that occur in different muscles. Although there are advantages of using a unified classification, there are significant differences between certain muscles and muscle groups. These differences may complicate the clinical effectiveness of using a unified injury classification. This narrative explores the difficulties in using a single classification to describe the heterogeneous nature of muscle injuries. Within that context, the possibility of viewing muscles and muscle injuries in the same manner as other biological tissues, structures, organs, and systems is discussed. Perhaps, in addition to a unified classification, subclassifications or muscle specific classifications should be considered for certain muscles. Having a more specific (granular) approach to some of the more commonly injured muscles may prove beneficial for more accurately and effectively diagnosing and treating muscle injuries. Ideally, this will also lead to more accurate determination of the prognosis of specific muscle injuries.
尽管最近已经发表了几种肌肉损伤分类系统，并随后在临床上应用，但没有一种能够解决不同肌肉中经常出现的各种独特/复杂类型的损伤。虽然使用统一分类有其优势，但某些肌肉和肌肉群之间存在显著差异。这些差异可能会使使用统一损伤分类的临床效果复杂化。本文探讨了使用单一分类来描述肌肉损伤异质性的困难。在这种情况下，讨论了以与其他生物组织、结构、器官和系统相同的方式看待肌肉和肌肉损伤的可能性。也许，除了统一分类外，对于某些肌肉还应考虑亚分类或肌肉特异性分类。对于一些更常见的受伤肌肉，采用更具体（粒度更细）的方法可能有助于更准确有效地诊断和治疗肌肉损伤。理想情况下，这也将更准确地确定特定肌肉损伤的预后。
