Lesão muscular: Fisiopatologia, diagnóstico e tratamento*

João Paulo Cortez SantAnna; André Pedrinelli; Arnaldo José Hernandez; Tiago Lazzaretti Fernandes

doi:10.1055/s-0041-1731417

Revista Brasileira de Ortopedia, Table of Contents

CC BY-NC-ND 4.0 · Rev Bras Ortop (Sao Paulo) 2022; 57(01): 001-013
DOI: 10.1055/s-0041-1731417

Artigo de Atualização

Artroscopia e Traumatologia do Esporte

Lesão muscular: Fisiopatologia, diagnóstico e tratamento^[*]

Article in several languages: português | English

Authors

João Paulo Cortez SantAnna

¹Grupo de Medicina do Esporte, Instituto de Ortopedia e Traumatologia, Hospital das Clinicas, Faculdade de Medicina, Universidade de São Paulo, São Paulo, SP, Brasil
André Pedrinelli

¹Grupo de Medicina do Esporte, Instituto de Ortopedia e Traumatologia, Hospital das Clinicas, Faculdade de Medicina, Universidade de São Paulo, São Paulo, SP, Brasil

²Centro de Excelência Médica da FIFA, São Paulo, SP, Brasil
Arnaldo José Hernandez

¹Grupo de Medicina do Esporte, Instituto de Ortopedia e Traumatologia, Hospital das Clinicas, Faculdade de Medicina, Universidade de São Paulo, São Paulo, SP, Brasil

²Centro de Excelência Médica da FIFA, São Paulo, SP, Brasil
Tiago Lazzaretti Fernandes

¹Grupo de Medicina do Esporte, Instituto de Ortopedia e Traumatologia, Hospital das Clinicas, Faculdade de Medicina, Universidade de São Paulo, São Paulo, SP, Brasil

²Centro de Excelência Médica da FIFA, São Paulo, SP, Brasil

Abstract

Resumo

O tecido muscular esquelético possui a maior massa do corpo humano, correspondendo a 45% do peso total. As lesões musculares podem ser causadas por contusões, estiramentos ou lacerações. A atual classificação separa as lesões entre leves, moderadas e graves. Os sinais e sintomas das lesões grau I são edema e desconforto; grau II, perda de função, gap e equimose eventual; grau III, rotura completa, dor intensa e hematoma extenso. O diagnóstico pode ser confirmado por ultrassom (dinâmico e barato, porém examinador-dependente); e ressonância magnética (RM) (maior definição anatômica). A fase inicial do tratamento se resume à proteção, ao repouso, ao uso otimizado do membro afetado e crioterapia. Anti-inflamatórios não hormonais (AINHs), ultrassom terapêutico, fortalecimento e alongamento após a fase inicial e amplitudes de movimento sem dor são utilizados no tratamento clínico. Já o cirúrgico possui indicações precisas: drenagem do hematoma, reinserção e reforço musculotendíneos.

Palavras-chave

sistema musculoesquelético/fisiopatologia - sistema musculoesquelético/lesões - sistema musculoesquelético/cirurgia - regeneração

Full Text

References

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Lesão muscular: Fisiopatologia, diagnóstico e tratamento[*]

Authors

Lesão muscular: Fisiopatologia, diagnóstico e tratamento^[*]