9307 Public Health Department, University of Naples Federico II Naples, Italy.
Venezia FC, Venezia, Italy.
J Basic Clin Physiol Pharmacol. 2024 Oct 24;35(6):335-345. doi: 10.1515/jbcpp-2024-0177. eCollection 2024 Nov 1.
This review critically examines the issue of thigh tendon reinjury in athletes, drawing on recent advancements and diverse perspectives in sports medicine. The findings underscore the paramount importance of an early and accurate diagnosis, which significantly influences treatment efficacy and rehabilitation outcomes. We explore the intricacies of tendon anatomy and the mechanisms underlying injuries, highlighting how these factors interplay with athlete-specific risk profiles to affect reinjury rates. A major finding from the review is the necessity for individualized rehabilitation approaches that integrate both traditional methods and emerging technologies. These technologies show promise in enhancing monitoring and facilitating precise adjustments to rehabilitation protocols, thus improving recovery trajectories. Additionally, the review identifies a common shortfall in current practices - premature to play (RTP) - which often results from inadequate adherence to tailored rehabilitation strategies or underestimation of the injury's severity. Such premature RTP significantly heightens the risk of further injury. Through this synthesis of contemporary research and expert opinion, the review advocates for a multidisciplinary approach in managing thigh tendon injuries, emphasizing the need for ongoing research to refine RTP criteria and optimize rehabilitation techniques. The ultimate goal is to support athletes in achieving safer and more effective recoveries, thereby reducing the likelihood of tendon reinjury.
本综述批判性地审视了运动员大腿肌腱再损伤的问题,借鉴了运动医学领域的最新进展和不同观点。研究结果强调了早期、准确诊断的至关重要性,这对治疗效果和康复结果有着重大影响。我们探讨了肌腱解剖结构和损伤机制的复杂性,强调了这些因素如何与运动员特定的风险因素相互作用,影响再损伤率。综述的一个主要发现是需要个体化的康复方法,将传统方法和新兴技术结合起来。这些技术在增强监测和精确调整康复方案方面显示出了潜力,从而改善了恢复轨迹。此外,综述还发现了当前实践中的一个常见缺陷——过早重返赛场(RTP)——这往往是由于对定制康复策略的不遵守或对损伤严重程度的低估。这种过早的 RTP 大大增加了进一步受伤的风险。通过综合当代研究和专家意见,该综述倡导采用多学科方法来管理大腿肌腱损伤,强调需要进行持续的研究来完善 RTP 标准和优化康复技术。最终目标是支持运动员实现更安全、更有效的康复,从而降低肌腱再损伤的可能性。