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Published on: September 17, 2013
Evaluating and managing muscle contusions and myositis ossificans
Christopher M Larson1, Louis C Almekinders, Spero G Karas
1Minneapolis Sports Medicine Center, Edina, MN, 55410, USA. clars@med.unc.edu.
The Physician and Sportsmedicine
|January 21, 2010
Summary
Muscle contusions typically heal well, but complications like hematomas or myositis ossificans can occur. Early rehabilitation and anti-inflammatory drugs aid recovery and prevent complications from quadriceps contusions.
Area of Science:
- Sports Medicine
- Orthopedic Surgery
- Rehabilitation Science
Background:
- Muscle contusions are common injuries, often resulting from direct impact.
- Complications such as hematomas and myositis ossificans can arise, impacting recovery.
- Quadriceps contusions present specific challenges, including reduced knee range of motion and effusion.
Purpose of the Study:
- To outline the management and rehabilitation of muscle contusions, particularly quadriceps injuries.
- To discuss the prevention and treatment of complications like myositis ossificans.
- To highlight the role of early intervention and specific therapeutic modalities.
Main Methods:
- Review of current literature on muscle contusion management.
- Discussion of diagnostic warning signs for severe contusions.
- Analysis of treatment options including RICE, NSAIDs, and rehabilitation protocols.
Main Results:
- Most muscle contusions heal fully without intervention.
- Severe contusions may show decreased knee range of motion and effusion.
- Early flexion exercises and NSAIDs can reduce edema and the risk of myositis ossificans.
Conclusions:
- Prompt and appropriate management is crucial for optimal muscle contusion healing.
- Avoiding corticosteroids and employing early rehabilitation hastens recovery and prevents complications.
- Myositis ossificans may require surgical excision if symptomatic after maturation.
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