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Exercise-induced traumatic muscle injuries with active bleeding successfully treated by embolization: three case
Yoonjung Heo1,2, 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.
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.
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