Lesão Grau 2 da Junção Miotendinosa do Iliopsoas num Jogador Profissional de Futebol

Autores

Palavras-chave:

Lesões em Atletas/reabilitação, Futebol, Medicina Desportiva, Músculos Psoas/lesões, Volta ao Desporto

Resumo

O síndrome pubálgico trata‐se de uma entidade nosológica comum no futebol profissional e globalmente reconhecida como uma lesão de gestão complexa. A patologia do iliopsoas é a segunda causa mais comum de síndrome pubálgico em atletas, mas as lesões musculares traumáticas do iliopsoas são raras e insuficientemente documentadas na literatura. Este caso clínico descreve uma lesão grau 2 da junção miotendinosa do iliopsoas num jogador de futebol de elite a competir na Primeira Liga Portuguesa de Futebol, em que foi submetido a um plano de reabilitação associado a evacuação de hematoma ecoguiado e posterior infiltração com PRP desleucocitado, permitindo o return to play 23 dias após a lesão e sem recidiva durante um período superior a 12 meses.

Downloads

Os dados de download ainda não estão disponíveis.

Referências

Musahl V, Karlsson J, Krutsch W, Mandelbaum BR, Espregueira‐Mendes J, d’Hooghe P. Return to Play in Football: An Evidence‐based Approach. Berlin: Springer; 2018. doi:10.1007/978‐3‐662‐55713‐6.

Martins F, França C, Marques A, Iglésias B, Sarmento H, Henriques R, et al. Sports Injuries of a Portuguese Professional Football Team during Three Consecutive Seasons. Int J Environ Res Public Health. 2022;19:12582. doi: 10.3390/ijerph191912582.

López‐Valenciano A, Ruiz‐Pérez I, Garcia‐Gómez A, Vera‐Garcia FJ, De Ste Croix M, Myer GD, et al. Epidemiology of injuries in professional football: a systematic review and meta‐analysis. Br J Sports Med. 2020;54:711‐8. doi: 10.1136/bjsports‐2018‐099577.

Ekstrand J. Keeping your top players on the pitch: the key to football medicine at a professional level. Br J Sports Med. 2013;47:723‐4.

Ekstrand J, Krutsch W, Spreco A, van Zoest W, Roberts C, Meyer T, et al. Time before return to play for the most common injuries in professional football: a 16‐year follow‐up of the UEFA Elite Club Injury Study. Br J Sports Med. 2020;54:421‐6. doi: 10.1136/bjsports‐2019‐100666.

Weir A, Brukner P, Delahunt E, Ekstrand J, Griffin D, Khan KM, et al. Doha agreement meeting on terminology and definitions in groin pain in athletes. Br J Sports Med. 2015;49:768‐74. doi: 10.1136/bjsports‐ ‐2015‐094869.

Tsukada S, Niga S, Nihei T, Imamura S, Saito M, Hatanaka J. Iliopsoas Disorder in Athletes with Groin Pain: Prevalence in 638 Consecutive Patients Assessed with MRI and Clinical Results in 134 Patients with Signal Intensity Changes in the Iliopsoas. JB JS Open Access. 2018 Mar 12;3:e0049. doi: 10.2106/JBJS.OA.17.00049.

Eberbach H, Fürst‐Meroth D, Kloos F, Leible M, Bohsung V, Bode L, et al. Long‐standing pubic‐related groin pain in professional academy soccer players: a prospective cohort study on possible risk factors, rehabilitation and return to play. BMC Musculoskelet Disord. 2021;22:958. doi: 10.1186/s12891‐021‐04837‐x.

Lundgårdh F, Svensson K, Alricsson M. Epidemiology of hip and groin injuries in Swedish male first football league. Knee Surg Sports Traumatol Arthrosc. 2020;28:1325‐32. doi: 10.1007/s00167‐019‐05470‐ ‐x.

Mosler AB, Weir A, Eirale C, Farooq A, Thorborg K, Whiteley RJ, et al. Epidemiology of time loss groin injuries in a men’s professional football league: a 2‐year prospective study of 17 clubs and 606 players. Br J Sports Med. 2018;52:292‐7. doi: 10.1136/bjsports‐2016‐097277.

Lifshitz L, Bar Sela S, Gal N, Martin R, Fleitman Klar M. Iliopsoas the Hidden Muscle: Anatomy, Diagnosis, and Treatment. Curr Sports Med Rep. 2020;19:235‐43. doi: 10.1249/JSR.0000000000000723.

Blankenbaker DG, Tuite MJ. Iliopsoas musculotendinous unit. Semin Musculoskelet Radiol. 2008;12:13‐27. doi: 10.1055/s‐ ‐2008‐1067934.

Balius R, Pedret C, Blasi M, Miguel M, Vallejo B, Margalet E, et al. Sonographic evaluation of the distal iliopsoas tendon using a new approach. J Ultrasound Med. 2014;33:2021‐30. doi: 10.7863/ul‐ tra.33.11.2021.

Roger B, Guermazi A, Skaf A. Muscle Injuries in Sport Athletes: Clinical Essentials and Imaging Findings. Berlin:(Springer International Publishin,; 201). doi:10.1007/978‐3‐319‐43344‐8.

Ejnisman L, Andrade‐Silva FB, Pontin PA, Ottoni JJ, Magliocca GD, Safran MR. Nonoperative Treatment of Psoas Tendon Avulsion in a Professional Athlete: A Case Report and Evidence Based Review. JBJS Case Connect. 2020;10:e0490. doi: 10.2106/JBJS.CC.18.00490.

Ander, &, Vital, K. Rare case of hip pain due to iliopsoas tendon rupture; a case report and review of the literature. J Rehabil Med Clin Commun. 2022;5:2541. doi: 10.2340/jrmcc.v5.2541

Moriarty CM, Baker RJ. A Pain in the Psoas. Sports Health. 2016;8:568‐72. doi: 10.1177/1941738116665112.

Isern‐Kebschull J, Pedret C, Mechó S, Pruna R, Alomar X, Yanguas X, et al. MRI findings prior to return to play as predictors of reinjury in professional athletes: a novel decision‐making tool. Insights Imaging. 2022;13:203. doi: 10.1186/s13244‐022‐01341‐1.

Bisciotti GN, Volpi P, Alberti G, Aprato A, Artina M, Auci A, et al. Italian consensus statement (2020) on return to play after lower limb muscle injury in football (soccer). BMJ Open Sport Exerc Med. 2019;5:e000505. doi: 10.1136/bmjsem‐2018‐000505.

Iriarte I, Pedret C, Balius R, Cerezal L. Ultrasound of the Musculoskeletal System: Anatomical exploration and pathology.Madrid: Berri; 2021

Downloads

Publicado

2024-01-21

Edição

Secção

Case Report

Como Citar

Lesão Grau 2 da Junção Miotendinosa do Iliopsoas num Jogador Profissional de Futebol. (2024). Orthopaedic SPOT, 1(1), 38-43. https://orthopaedicspot.com/index.php/journal/article/view/8