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Exercise-induced traumatic muscle injuries with active bleeding successfully treated by embolization: three case

Yoonjung Heo^1,2, Hye Lim Kang³, Dong Hun Kim²

¹Department of Medicine, Dankook University Graduate School, Cheonan, Korea.

Journal of Trauma and Injury

|October 9, 2024

Summary

Transcatheter arterial embolization successfully treated severe exercise-induced muscle hemorrhage in three athletes. This minimally invasive procedure offers a new option for managing complex muscle injuries when conservative methods fail.

Keywords:

Case reports Exercise Muscles Therapeutic embolization Wounds and injuries

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Area of Science:

Sports Medicine
Interventional Radiology
Musculoskeletal Imaging

Background:

Exercise-induced muscle injuries are prevalent, often managed conservatively.
Severe cases may necessitate advanced interventions beyond standard care.
The efficacy of transcatheter arterial embolization (TAE) for traumatic muscle hemorrhage is not well-established.

Observation:

This case series details three patients with significant exercise-induced muscle hemorrhage.
Affected muscles included the rectus abdominis, adductor longus, and iliopsoas.
Vascular access for TAE was achieved through the femoral artery in all cases.

Findings:

Transcatheter arterial embolization demonstrated successful outcomes in all three presented cases.
The procedure effectively managed bleeding associated with traumatic muscle injuries.
No immediate complications were reported during or after the embolization procedures.

Implications:

TAE is a viable and effective treatment for severe exercise-induced muscle hemorrhage.
This approach may reduce the need for more invasive surgical interventions.
Further research is warranted to define the optimal role of TAE in sports-related muscle trauma.