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Calf Muscle Tears and Return to Play Times
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INTRODUCTION:
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Cal injuries are common amongst athletes and the time required to return to play can vary depending on injury severity.
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Understanding average return to play and healing times can help set realistic expectations for athletes and coaches and prevent re-injury if returning too soon. .
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METHODS:
Entwisle & Schneider, et al. (2018), assessed a group of patients with calf muscle tears and evaluated the integrity of the connective tissue. .
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They also used MRI to determine injury severity and assess any correlation between the grading score and time to return to play. .
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100 patients with clinical suspicion and MRI confirmation of calf muscle injury were evaluated. .
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Each calf muscle tear was evaluated with MRI for:
Particular muscle injured
Location of injury
Integrity of the connective tissue
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The muscle tears were graded 0โ€“3 depending on the degree of muscle and connective tissue injury. .
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Return to play for each patient was tracked. .
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RESULTS:
In 100 patients, 114 injuries were detected. .
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Connective tissue involvement was observed in 63 out of 100 patients. .
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18 patients had Grade 3 Tears (Full Failure).
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Mean time to return to play:
Grade 0: 8 days
Grade 1: 17 days
Grade 2: 25 days
Grade 3: 48 days
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CONCLUSION:
The integrity of the connective tissue can be used to estimate and guide the time to return to play in calf muscle tears.
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Thoughts? Questions? Comments?
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Write them below. .
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SOURCE:โ€จEntwisle & Schneider, et al. Connective tissue injury in calf muscle tears and return to play: MRI correlation. British Journal of Sports Medicineย 2018;52:929-933.

10 Feb 2020

Comments
  • @calismooth

    @vmsanchez28

    18 Feb 2020

  • @rita.bello.71

    What about calf atrophy? Do you know something about it?

    10 Feb 2020

  • @cgradess

    Mean age of these folks? Sorry too lazy to find/read full study๐Ÿ˜…

    10 Feb 2020

  • @gelangford

    The new classification of injuries to be precise is : What are the new findings? โ–ธ A new muscle injury classification. โ–ธ Classification based on extent (grades 0โ€“4) and site (a, b or c) of injury. โ–ธ Site of injury is determined as myofascial (a), muscular/ musculotendinous (b) or intratendinous (c). โ–ธ Extent of injury is determined by MRI features of the muscle injury. Figure 6 Figure 7 Pollock N, et al. Br J Sports Med 2014;48:1347โ€“1351. doi:10.1136/bjsports-2013-093302 Grade 3c injury to long head of biceps femoris. How might it impact on clinical practice in the near future? โ–ธ The classification system is in current use within elite track and field in the UK to provide validation for future clinical and research use. โ–ธ As this system has an ease of use, reproducibility and a clinically relevant and logical structure, it could have significant impact on enhancing current clinical practice.

    10 Feb 2020

  • @gatotwidd

    ๐Ÿ‘

    10 Feb 2020

  • @michael__parsons_99

    Is there a general name given to each grade tear, or is it just called grade 1,2, and 3

    10 Feb 2020

  • @physicaltherapyresearch

    . . #rehab #pain #painscience #physiology #physicaltherapy #physiotherapy #massage #orthopedic #chiropractic #medicine #sportsmedicine #science #research #health #wellness #nervoussystem #neuroscience #brain #physicaltherapyresearch #dpt #dptstudent #exercise #fitness #workout #calfstrain

    10 Feb 2020