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    Tratamento das lesões musculares agudas da coxa com ou sem punção do hematoma em atletas
    (Universidade Federal de São Paulo (UNIFESP), 2016-10-26) Sales, Rodrigo Moreira [UNIFESP]; Pochini, Alberto de Castro Pochini [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)
    Objectives: compare athletes mean time to return to sport after an acute thigh muscle injury in which a hematoma was present and was punctured or not. Methods: interventional, controlled and non-randomized clinical study with 20 amateurs and professionals athletes with acute muscle injury divided into thigh partial moderate lesions or thigh (sub)total lesions, according to Munich Consensus Statement. Nine athletes were included in the intervention group and 11 athletes in the control group. In the intervention group, the athletes underwent puncture of the hematoma associated with physical therapy and the control group underwent physical therapy. The data were tabulated in a spreadsheet (Excel template). The time to return to sport variable was analyzed by GraphPad Prism 6 via Mann-Whitney test and 95% (p<0.05) was used as a significance level. Results: the study population was composed mostly of men, eight of whom were young practitioners of sports in amateur level. There were three women, two of whom were amateur. The mean age of participants was 34.70 ± 12.79 years, and ranged from 18 to 68 years in males and 39 to 48 years in females.There were 13 patients with posterior thigh lesions, five with anterior lesions and two with adductor lesions. The mean time to return to sport considering all injuries was 48,50 ± 27,50 days in the intervention group. In the control group, this period was 102.09 ± 52.02 days revealing a significant difference between groups with p= 0.022. Conclusion: The hematoma muscle puncture is a possible alternative to address acute muscle injuries and it showed to be safe and effective to shorten time to return to sport in athletes with moderate partial muscle injuries or (sub) totals muscle injuries associated with hematomas