Muscle Injuries: Difference between revisions

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return to the field with weeks or even months and cause recidivism.</span><!--EndFragment--><br>  
return to the field with weeks or even months and cause recidivism.</span><!--EndFragment--><br>  


= Types of skeletal muscle injuries =
= Types of skeletal muscle injuries =


<!--StartFragment-->
<!--StartFragment--> Literature study does not reveal great consensus when it comes to classifying muscle injuries, despite their clinical importance. However, the most differentiating factor is the trauma mechanism.&nbsp; Muscle injuries can therefore be broadly classified as either traumatic (acute) or overuse (chronic) injuries.  
<span lang="EN-US" style="font-size:11.0pt;mso-bidi-font-size:
12.0pt;font-family:Calibri;mso-ascii-theme-font:major-latin;mso-hansi-theme-font:
major-latin;mso-ansi-language:EN-US">Literature study does not reveal great
consensus when it comes to classifying muscle injuries, despite their clinical
importance</span><span lang="EN-US" style="font-size:11.0pt;mso-bidi-font-size:12.0pt;font-family:Calibri;
mso-ascii-theme-font:major-latin;mso-hansi-theme-font:major-latin;mso-ansi-language:
EN-US">. However, the most differentiating factor is the trauma mechanism.<span style="mso-spacerun: yes">&nbsp; </span>Muscle injuries can therefore be broadly classified as either traumatic (acute) or overuse (chronic) injuries.</span>
 
<span lang="EN-US" style="font-size:11.0pt;mso-bidi-font-size:12.0pt;font-family:Calibri;
mso-ascii-theme-font:major-latin;mso-hansi-theme-font:major-latin;mso-ansi-language:
EN-US"></span><span class="Apple-style-span" style="font-family: Calibri; font-size: 15px; ">Acute injuries are usually the result of a
single traumatic event and cause a macro-trauma to the muscle. There is an
obvious link between the cause and noticeable symptoms. They mostly occur in
contact sports such as rugby, soccer and basketball because of their dynamic
and high collision nature.&nbsp;</span>


<span class="Apple-style-span" style="font-family: Calibri; font-size: 15px; "></span>Overuse, chronic or exercise-induced injuries are subtler and usually occur over a longer period of time. They result from repetitive micro-trauma to the muscle. Diagnosing is more challenging since there is a less obvious link between the cause of the injury and the symptoms.  
Acute injuries are usually the result of a single traumatic event and cause a macro-trauma to the muscle. There is an obvious link between the cause and noticeable symptoms. They mostly occur in contact sports such as rugby, soccer and basketball because of their dynamic and high collision nature.&nbsp;
<div style="mso-element:comment-list"><br><div style="mso-element:comment"><div id="_com_1" class="msocomtxt" language="JavaScript"></div> </div> </div> <!--EndFragment-->


Overuse, chronic or exercise-induced injuries are subtler and usually occur over a longer period of time. They result from repetitive micro-trauma to the muscle. Diagnosing is more challenging since there is a less obvious link between the cause of the injury and the symptoms.
<div style="mso-element:comment-list"><div style="mso-element:comment"><div id="_com_1" class="msocomtxt"></div> </div> </div> <!--EndFragment-->
== Muscle strains  ==
== Muscle strains  ==


Muscle strains have 3 grades depending on the severity of the damage caused by the strain. Before to treat a muscle strain it is necessary to determine the grade of the injury.  
<!--StartFragment-->A strain to the muscle or muscle tendon is the equivalent of a strain to ligaments. It is a contraction-induced injury in which muscle fibers tear due to extensive mechanical stress. This mostly occurs as result of a powerful eccentric contraction or overstretching of the muscle. Therefore, it is typical for non contact sports with dynamic character such as sprinting, jumping… .


Grade 1: This is a mild form of a strain injury. There is no palpable muscle defect, none or minimal loss of strength and a mild discomfort when walking.
Strains are categorized into 3 grades of severity:


Grade 2: This is a moderate form of strain injury. There is possibly a palpable muscle defect, moderate loss of strength and a feeling of pain when walking.  
<!--StartFragment-->'''Grade I '''(mild) strains affect only a limited number of fibers in the muscle. There is no decrease in strength and there is full active and passive range of motion. Pain and tenderness are often delayed to the next day.<br> '''Grade II''' (moderate) strains have nearly half of muscle fibers torn. Acute and significant pain is accompanied by swelling and a minor decrease in muscle strength.<br> '''Grade III''' (severe) strains represent complete rupture of the muscle. This means either the tendon is separated from the muscle belly or the muscle belly is actually torn in 2 parts. Severe swelling and pain and a complete loss of function are characteristic for this type of strain.


Grade 3: This is a severe form of strain injury. There is often a palpable muscle defect, usually complete loss of strength and very strong pain when walking, walking becomes impossible.<ref>Thomas M De Bernardino, MD; Leslie Milne, MD. Quadriceps injury: Differential Diagnosis &amp;amp;amp; Workup. 19 januar 2010. http://emedicine.medscape.com/article/91473-diagnosis.</ref><ref>Joel M. Kary. Diagnosis and management of quadriceps strains and contusions. Curr review Musculoskeletal.October 2010. (published online 30/7/2010). http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2941577</ref>
<span lang="EN-US" style="font-size:11.0pt;mso-bidi-font-size:
12.0pt;font-family:Calibri;mso-ascii-theme-font:major-latin;mso-fareast-font-family:
Cambria;mso-fareast-theme-font:minor-latin;mso-hansi-theme-font:major-latin;
mso-bidi-font-family:&quot;Times New Roman";mso-bidi-theme-font:minor-bidi;
mso-ansi-language:EN-US;mso-fareast-language:EN-US"></span>Related articles:


== Muscle contusion (bruise)  ==
[http://www.physio-pedia.com/index.php5?title=Hamstring_Strain Hamstring Strain<br> ][http://www.physio-pedia.com/index.php5?title=Quadriceps_Muscle_Strain Quadriceps Muscle Strain<br> ][http://www.physio-pedia.com/index.php5?title=Calf_Strain Calf Strain <br> ][http://www.physio-pedia.com/index.php5?title=Groin_strain Groin strain&nbsp;]<span lang="EN-US" style="font-size:11.0pt;mso-bidi-font-size:
12.0pt;font-family:Calibri;mso-ascii-theme-font:major-latin;mso-fareast-font-family:
Cambria;mso-fareast-theme-font:minor-latin;mso-hansi-theme-font:major-latin;
mso-bidi-font-family:&quot;Times New Roman";mso-bidi-theme-font:minor-bidi;
mso-ansi-language:EN-US;mso-fareast-language:EN-US"><span style="font-size:12.0pt;font-family:Cambria;mso-ascii-theme-font:
minor-latin;mso-fareast-font-family:Cambria;mso-fareast-theme-font:minor-latin;
mso-hansi-theme-font:minor-latin;mso-bidi-font-family:&quot;Times New Roman";
mso-bidi-theme-font:minor-bidi;mso-ansi-language:NL;mso-fareast-language:EN-US">[http://www.physio-pedia.com/index.php5?title=Groin_strain <span lang="EN-US" style="font-size:11.0pt;mso-bidi-font-size:12.0pt;font-family:Calibri;
mso-ascii-theme-font:major-latin;mso-hansi-theme-font:major-latin;mso-ansi-language:
EN-US">


== Muscle cramp ==
</span>]</span><!--EndFragment--> <br> </span><!--EndFragment-->


== Muscle soreness ==


== Exercise-induced muscle injuries ==






== Muscle contusion (bruise)  ==


== Muscle cramp  ==


== Muscle soreness  ==


== Exercise-induced muscle injuries  ==


<references />
<references />

Revision as of 13:27, 31 December 2010

Skeletal muscle injuries represent great part of all traumas in sports medicine. They should be treated with necessary precaution since a failed treatment can postpone an athlete’s return to the field with weeks or even months and cause recidivism.

Types of skeletal muscle injuries[edit | edit source]

Literature study does not reveal great consensus when it comes to classifying muscle injuries, despite their clinical importance. However, the most differentiating factor is the trauma mechanism.  Muscle injuries can therefore be broadly classified as either traumatic (acute) or overuse (chronic) injuries. 

Acute injuries are usually the result of a single traumatic event and cause a macro-trauma to the muscle. There is an obvious link between the cause and noticeable symptoms. They mostly occur in contact sports such as rugby, soccer and basketball because of their dynamic and high collision nature. 

Overuse, chronic or exercise-induced injuries are subtler and usually occur over a longer period of time. They result from repetitive micro-trauma to the muscle. Diagnosing is more challenging since there is a less obvious link between the cause of the injury and the symptoms.

Muscle strains[edit | edit source]

A strain to the muscle or muscle tendon is the equivalent of a strain to ligaments. It is a contraction-induced injury in which muscle fibers tear due to extensive mechanical stress. This mostly occurs as result of a powerful eccentric contraction or overstretching of the muscle. Therefore, it is typical for non contact sports with dynamic character such as sprinting, jumping… .

Strains are categorized into 3 grades of severity:

Grade I (mild) strains affect only a limited number of fibers in the muscle. There is no decrease in strength and there is full active and passive range of motion. Pain and tenderness are often delayed to the next day.
Grade II (moderate) strains have nearly half of muscle fibers torn. Acute and significant pain is accompanied by swelling and a minor decrease in muscle strength.
Grade III (severe) strains represent complete rupture of the muscle. This means either the tendon is separated from the muscle belly or the muscle belly is actually torn in 2 parts. Severe swelling and pain and a complete loss of function are characteristic for this type of strain.

Related articles:

Hamstring Strain
Quadriceps Muscle Strain
Calf Strain
Groin strain [http://www.physio-pedia.com/index.php5?title=Groin_strain

]



Muscle contusion (bruise)[edit | edit source]

Muscle cramp[edit | edit source]

Muscle soreness[edit | edit source]

Exercise-induced muscle injuries[edit | edit source]