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Injury Patterns and Conservative Management in Elite Handball: A Multidisciplinary Approach to Diagnosis and
Cătălin-Adrian Miu1,2, Mihai Hurmuz1,2, Luminița-Oana Miu3
1Department XV, Discipline of Orthopedics, "Victor Babeș" University of Medicine and Pharmacy Timișoara, Eftimie Murgu Square 2, 300041 Timișoara, Romania.
Background:
Musculoskeletal injuries are frequent in handball players due to the high-impact nature of the sport. Accurate diagnosis and tailored treatment are essential for recovery. Magnetic resonance imaging (MRI) has become the gold standard for evaluating complex sports-related injuries. This case report aims to assess the role of MRI in diagnosing trauma in professional handball players and the effectiveness of individualized treatment approaches.
Methods:
Four male members of the "Politehnica" Timișoara first team who sustained match- or training-related injuries between January 2023 and December 2024 underwent an 1.5 T MRI. Individualized conservative protocols included rest, NSAIDs, physiotherapy, and graded kinesitherapy.
Results:
The first case involved a right back with a knee hematoma and a vastus lateralis tear. Conservative treatment led to recovery. The second case was a left back with peripheral neuropathy caused by hamstring avulsion at the ischial tuberosity. Conservative therapy alleviated symptoms. The third case involved a left winger with adductor muscle tears, which recovered with conservative management. The fourth case, a goalkeeper, had a type III navicular fracture misdiagnosed on radiography, correctly identified via MRI and treated conservatively.
Conclusions:
MRI is invaluable in diagnosing handball-related injuries, enabling accurate assessments and effective individualized treatment, resulting in early recovery.
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