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纤维化与运动损伤:概念及影响:GESMUTE-SETRADE共识声明

Fibrosis and Sports Injuries: Concept and Implications: The GESMUTE-SETRADE Consensus Statement.

作者信息

Beas-Jiménez J D, León Garrigosa A, Doñoro Cuevas P, Álvarez Recio M I, Cofré Bolados C, Alonso J M

机构信息

Beiman Clinics Group, Seville, Spain.

GVL Medical Services, Marbella, Spain.

出版信息

Orthop J Sports Med. 2024 Sep 16;12(9):23259671241266604. doi: 10.1177/23259671241266604. eCollection 2024 Sep.

Abstract

BACKGROUND

Musculoskeletal fibrosis can be frequently observed in the scope of sports medicine; however, there is no consensus regarding its definition, nor do we have substantial knowledge regarding its epidemiology or best therapeutic alternatives.

PURPOSE

The GESMUTE (Group for the Study of the Muscle Tendon System) Epidemiology Group, integrated into SETRADE (The Spanish Society for Sports Traumatology) propose a definition for musculoskeletal fibrosis within the field of physical exercise.

STUDY DESIGN

Consensus statement.

METHODS

A bibliographic review of the existing scientific evidence and consensus was developed by the authors on the definition of fibrosis in the field of sport.

RESULTS

Our working group proposed the definition of fibrosis as an abnormal accumulation of extracellular matrix, usually with regards to an injury complication, showing various clinical findings affecting muscles, tendons, ligaments, articular capsules and nerves which, in turn, mars the recovery process, causing symptoms and finally leading to relapses.

CONCLUSION

Fibrosis in sport may be considered as an abnormal accumulation of extracellular matrix, usually related to complications of an injury, showing a wide range of clinical symptomatology, affecting muscles, tendons, ligaments, articular capsules, and nerves.

摘要

背景

肌肉骨骼纤维化在运动医学领域较为常见;然而,对于其定义尚无共识,我们对其流行病学或最佳治疗方案也缺乏深入了解。

目的

隶属于西班牙运动创伤学会(SETRADE)的肌肉肌腱系统研究小组(GESTMUTE)流行病学组提出了体育锻炼领域中肌肉骨骼纤维化的定义。

研究设计

共识声明。

方法

作者对运动领域纤维化定义的现有科学证据和共识进行了文献综述。

结果

我们的工作组提出,纤维化的定义为细胞外基质的异常积聚,通常与损伤并发症有关,表现出影响肌肉、肌腱、韧带、关节囊和神经的各种临床症状,进而影响恢复过程,引发症状并最终导致复发。

结论

运动中的纤维化可被视为细胞外基质的异常积聚,通常与损伤并发症相关,表现出广泛的临床症状,影响肌肉、肌腱、韧带、关节囊和神经。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/574d/11406605/6c102198947c/10.1177_23259671241266604-fig1.jpg

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