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A Journal on Sports Medicine

Official Journal of the Italian Sports Medicine Federation
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Medicina dello Sport 2009 June;62(2):201-7

language: English, Italian

Ultrasound-guided percutaneous treatment of muscle hematomas in athletes

Francavilla G. 1, Sorrentino F. 2, Iovane A. 2, Sanfilippo A. 3, Francavilla V. C. 1, D’Arienzo M. 3

1 Department of Sports Medicine, University of Palermo, Palermo, Italy
2 Dibimel, Radiological Science Section, University of Palermo, Palermo, Italy
3 Orthopedic and Traumatology Clinic, University of Palermo, Palermo, Italy


Muscle lesions, a frequent event in sport, often cause hematomas. In fact, both in the traumatic direct injuries, as in American football, and in the traumatic indirect ones, as in strength sports, lesions interesting leg’s muscles cause intra- and extramuscular hematomas. A diagnosis in a short time, allow us to evaluate the lesion rank and plan a surgery approach. Authors present high resolution ultrasound (HRSU) as a new diagnostic method for this kind of lesion. It allows us to confirm clinic diagnosis, define the lesion’s areas and follow-up. Moreover, HRSU has an important role in therapy, promoting in real time the blood’s aspiration from lesion’s area. Three phases after trauma, destruction, reparation and remodelling, represent three particular moments corresponding to hematoma’s formation, fagocitosis, and regeneration of fibres with the final solution of reorganization and reabsorption of scars. Authors present their cases of sportsmen submitted to HRSU of hematic effusion interposed in the lesion and following aspiration that, in the light of the results obtained, is the most appropriate method for functionality recovery time reduction and return to competitions.

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