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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

Tratamento das lesões musculares agudas da coxa com ou sem punção do hematoma em atletas[*]

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
,
Marcelo Cortês Cavalcante 
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)

Also available at
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Resumo

Objetivos

Comparar o tempo médio de retorno dos atletas ao esporte após lesão muscular aguda da coxa com hematoma que foi ou não puncionado.

Métodos

Estudo longitudinal de intervenção clínica, controlado e não randomizado, com participação de 20 atletas amadores e profissionais com lesão muscular aguda do tipo parcial moderada ou (sub)total na região da coxa, segundo a classificação do Consenso de Munique. Nove atletas foram incluídos no grupo intervenção e 11 no grupo controle. Os atletas do grupo intervenção foram submetidos a punção do hematoma e fisioterapia e os do grupo controle, apenas a fisioterapia. A variável tempo de retorno ao esporte foi analisada com o teste de Mann-Whitney e o nível de significância usado foi 95% (p < 0,05).

Resultados

A população estudada foi composta principalmente por homens, dos quais oito eram praticantes de esportes no nível amador. Três mulheres, das quais duas eram amadoras, foram incluídas no estudo. A média de idade dos participantes foi de 34,70 ± 12,79 anos. Houve 13 indivíduos com lesões na região posterior da coxa, cinco com lesões na região anterior e dois com lesões na região adutora. Considerando todas as lesões, o tempo médio de retorno ao esporte foi de 48,50 ± 27,50 dias no grupo intervenção. Já no grupo controle, esse intervalo foi de 102,09 ± 52,02 dias (p = 0,022).

Conclusão

No presente estudo, a punção do hematoma muscular mostrou-se efetiva em abreviar o tempo de retorno ao esporte dos atletas com lesões musculares parciais moderadas e (sub)totais associadas a hematomas.

Palavras-chave

músculo esquelético/lesões - coxas - hematoma - drenagem

* Trabalho desenvolvido na Disciplina de Medicina do Esporte e Atividade Física, Departamento de Ortopedia e Traumatologia, Universidade Federal de São Paulo (Unifesp), São Paulo, SP, Brasil. Publicado originalmente por Elsevier Editora Ltda. ã 2018 Sociedade Brasileira de Ortopedia e Traumatologia.


 

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