CC BY-NC-ND 4.0 · Rev Bras Ortop (Sao Paulo) 2019; 54(01): 006-012
DOI: 10.1016/j.rbo.2017.09.002
Original Article | Artigo Original
Sociedade Brasileira de Ortopedia e Traumatologia. Published by Thieme Revnter Publicações Ltda Rio de Janeiro, Brazil

Treatment of Acute Thigh Muscle Injury with or without Hematoma Puncture in Athletes[*]

Article in several languages: português | English
Rodrigo Moreira Sales
1  Departamento de Ortopedia e Traumatologia, Universidade Federal de São Paulo (Unifesp), Escola Paulista de Medicina, São Paulo, SP, Brasil
,
1  Departamento de Ortopedia e Traumatologia, Universidade Federal de São Paulo (Unifesp), Escola Paulista de Medicina, São Paulo, SP, Brasil
,
Moisés Cohen
1  Departamento de Ortopedia e Traumatologia, Universidade Federal de São Paulo (Unifesp), Escola Paulista de Medicina, São Paulo, SP, Brasil
,
Benno Ejnisman
1  Departamento de Ortopedia e Traumatologia, Universidade Federal de São Paulo (Unifesp), Escola Paulista de Medicina, São Paulo, SP, Brasil
,
Carlos Vicente Andreoli
1  Departamento de Ortopedia e Traumatologia, Universidade Federal de São Paulo (Unifesp), Escola Paulista de Medicina, São Paulo, SP, Brasil
,
Alberto de Castro Pochini
1  Departamento de Ortopedia e Traumatologia, Universidade Federal de São Paulo (Unifesp), Escola Paulista de Medicina, São Paulo, SP, Brasil
› Author Affiliations
Further Information

Publication History

19 April 2017

05 September 2017

Publication Date:
01 March 2019 (online)

Abstract

Objectives

To correlate the mean time of return of athletes to sport after acute injury of the thigh muscle with hematoma that was punctured or not.

Methods

Study based on clinical intervention, controlled and non-randomized with 20 amateur and professional athletes, divided into moderate and total or subtotal thighs lesions, according with the Munich Consensus Statement. Nine athletes were included in the intervention group and 11 athletes in the control group. In the intervention group, the athletes were submitted to a puncture of the hematoma, associated to physical therapy; the control group did only physical therapy. The variable mean time of return to sport was analyzed using the Mann-Whitney test and a significance level of 5% (p < 0.05; 95% confidence interval [CI]) was established.

Results

The mean group was composed mostly of men, eight of them were amateur athletes. There were three women, two of whom were amateur athletes. The average age of participants was 34.70 ± 12.79 years. There were 13 patients with posterior thigh lesions, 5 with anterior lesions and two with adductor lesions. Considering all injuries, the mean time of return to sport was of 48.50 ± 27.50 days in the intervention group. In the control group, this period was of 102.09 ± 52.02 days, showing a statistically significant difference between them (p = 0.022).

Conclusion

In the present study, hematoma drainage in athletes with moderate and total or subtotal muscle injuries associated with hematomas decreased their return time to sport.

* Study developed at the Sports Medicine and Physical Activity Course, Department of Orthopedics and Traumatology, Universidade Federal de São Paulo (Unifesp), São Paulo, SP, Brazil.