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Chấn thương đụng dập cơ: Tùy chọn điều trị hiện tại

Đụng dập cơ là thứ hai, chỉ làm căng thẳng là nguyên nhân hàng đầu gây bệnh tật từ những chấn thương liên quan đến thể thao. Mức độ nghiêm trọng phụ thuộc vào các trang web của tác động, trạng thái kích hoạt của các cơ bắp có liên quan, tuổi của bệnh nhân, và sự hiện diện của sự mệt mỏi. | Muscle Contusion Injuries Current Treatment Options John M. Beiner MD and Peter Jokl MD Abstract Muscle contusion is second only to strain as the leading cause of morbidity from sports-related injuries. Severity depends on the site of impact the activation status of the muscles involved the age of the patient and the presence of fatigue. The diagnosis has traditionally been one of clinical judgment however newer modalities including ultrasonography magnetic resonance imaging and spectroscopy are becoming increasingly important in both identifying and delineating the extent of injury. Although controlled clinical studies are scarce animal research into muscle contusions has allowed the description of the natural healing process which involves a complex balance between muscle repair regeneration and scar-tissue formation. Studies are being performed to evaluate the effects of anti-inflammatory medications corticosteroids operative repair and exercise protocols. Prevention and treatment of complications such as myositis ossificans have also been stressed but recognition may improve the outcome of these ubiquitous injuries. J Am Acad Orthop Surg 2001 9 227-237 Traumatic muscle contusion is a common cause of soft-tissue injury in virtually all contact sports. In fact contusion and strain injuries make up approximately 90 of all sports-related injuries.1 2 Other than strain injuries contusion caused by impact with a blunt nonpenetrating object is the most frequent muscle injury.3 The symptoms of a contusion injury are often nonspecific and include soreness pain with active and passive motion and limited range of motion. Without a straightforward history of impact to the area the diagnosis often becomes one of exclusion. Many contusion injuries go unreported and untreated. Healing of these injuries is a complex phenomenon depending on multiple factors both within and outside the control of the clinician. No universally accepted treatment modalities have been developed. .