Meek Wendy M, Kucharik Michael P, Eberlin Christopher T, Naessig Sara A, Rudisill Samuel S, Martin Scott D
Department of Orthopaedic Surgery, Sports Medicine Center, Massachusetts General Hospital, Mass General Brigham, Boston, Massachusetts.
JBJS Rev. 2022 Mar 22;10(3):01874474-202203000-00015. doi: e21.00183.
»: Calf strain is a common condition. In high-performance athletes, calf strain contributes to a substantial absence from competition.
»: Player age and history of a calf strain or other leg injury are the strongest risk factors for calf strain injury and reinjury.
»: Although the diagnosis is often clinical, magnetic resonance imaging and ultrasound are valuable to confirm the location of the strain and the grade of injury.
»: Nonoperative treatment is effective for most calf strain injuries. Operative management, although rarely indicated, may be appropriate for severe cases with grade-III rupture or complications.
»: Further investigation is necessary to elucidate the benefits of blood flow restriction therapy, deep water running, lower-body positive pressure therapy, platelet-rich plasma, and stem cell therapy for calf strain rehabilitation.
小腿拉伤是一种常见病症。在高水平运动员中,小腿拉伤会导致大量缺赛情况。
运动员年龄以及小腿拉伤或其他腿部损伤史是小腿拉伤和再次拉伤的最强风险因素。
尽管诊断通常依靠临床判断,但磁共振成像和超声对于确定拉伤位置和损伤程度很有价值。
非手术治疗对大多数小腿拉伤有效。手术治疗虽然很少需要,但对于III级破裂或有并发症的严重病例可能适用。
有必要进一步研究以阐明血流限制疗法、深水跑步、下体正压疗法、富血小板血浆和干细胞疗法在小腿拉伤康复中的益处。