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Os sinais e sintomas das les\u00f5es grau I s\u00e3o edema e desconforto; grau II, perda de fun\u00e7\u00e3o, gap e equimose eventual; grau III, rotura completa, dor intensa e hematoma extenso. O diagn\u00f3stico pode ser confirmado por ultrassom (din\u00e2mico e barato, por\u00e9m examinador-dependente); e resson\u00e2ncia magn\u00e9tica (RM) (maior defini\u00e7\u00e3o anat\u00f4mica). A fase inicial do tratamento se resume \u00e0 prote\u00e7\u00e3o, ao repouso, ao uso otimizado do membro afetado e crioterapia. Anti-inflamat\u00f3rios n\u00e3o hormonais (AINHs), ultrassom terap\u00eautico, fortalecimento e alongamento ap\u00f3s a fase inicial e amplitudes de movimento sem dor s\u00e3o utilizados no tratamento cl\u00ednico. J\u00e1 o cir\u00fargico possui indica\u00e7\u00f5es precisas: drenagem do hematoma, reinser\u00e7\u00e3o e refor\u00e7o musculotend\u00edneos.<\/jats:p>","DOI":"10.1055\/s-0041-1731417","type":"journal-article","created":{"date-parts":[[2022,1,20]],"date-time":"2022-01-20T23:42:23Z","timestamp":1642722143000},"page":"001-013","source":"Crossref","is-referenced-by-count":23,"title":["Les\u00e3o muscular: Fisiopatologia, diagn\u00f3stico e tratamento"],"prefix":"10.1055","volume":"57","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6932-3543","authenticated-orcid":false,"given":"Jo\u00e3o Paulo Cortez","family":"SantAnna","sequence":"additional","affiliation":[{"name":"Grupo de Medicina do Esporte, Instituto de Ortopedia e Traumatologia, Hospital das Clinicas, Faculdade de Medicina, Universidade de S\u00e3o Paulo, S\u00e3o Paulo, SP, Brasil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8449-7493","authenticated-orcid":false,"given":"Andr\u00e9","family":"Pedrinelli","sequence":"additional","affiliation":[{"name":"Grupo de Medicina do Esporte, Instituto de Ortopedia e Traumatologia, Hospital das Clinicas, Faculdade de Medicina, Universidade de S\u00e3o Paulo, S\u00e3o Paulo, SP, Brasil"},{"name":"Centro de Excel\u00eancia M\u00e9dica da FIFA, S\u00e3o Paulo, SP, Brasil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8645-3956","authenticated-orcid":false,"given":"Arnaldo Jos\u00e9","family":"Hernandez","sequence":"additional","affiliation":[{"name":"Grupo de Medicina do Esporte, Instituto de Ortopedia e Traumatologia, Hospital das Clinicas, Faculdade de Medicina, Universidade de S\u00e3o Paulo, S\u00e3o Paulo, SP, Brasil"},{"name":"Centro de Excel\u00eancia M\u00e9dica da FIFA, S\u00e3o Paulo, SP, Brasil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6665-3608","authenticated-orcid":false,"given":"Tiago Lazzaretti","family":"Fernandes","sequence":"additional","affiliation":[{"name":"Grupo de Medicina do Esporte, Instituto de Ortopedia e Traumatologia, Hospital das Clinicas, Faculdade de Medicina, Universidade de S\u00e3o Paulo, S\u00e3o Paulo, SP, Brasil"},{"name":"Centro de Excel\u00eancia M\u00e9dica da FIFA, S\u00e3o Paulo, SP, Brasil"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2022,1,20]]},"reference":[{"issue":"02","key":"ref1","doi-asserted-by":"crossref","first-page":"225","DOI":"10.1016\/S0278-5919(20)31029-2","article-title":"Introduction to overuse injuries","volume":"6","author":"S A Herring","year":"1987","journal-title":"Clin Sports Med"},{"issue":"10","key":"ref2","doi-asserted-by":"crossref","first-page":"619","DOI":"10.1136\/bjsports-2015-095559","article-title":"Muscle injury is the principal injury type and hamstring muscle injury is the first injury diagnosis during top-level international athletics championships between 2007 and 2015","volume":"50","author":"P Edouard","year":"2016","journal-title":"Br J Sports Med"},{"issue":"06","key":"ref3","doi-asserted-by":"crossref","first-page":"1226","DOI":"10.1177\/0363546510395879","article-title":"Epidemiology of muscle injuries in professional football (soccer)","volume":"39","author":"J Ekstrand","year":"2011","journal-title":"Am J Sports Med"},{"key":"ref4","doi-asserted-by":"crossref","first-page":"18","DOI":"10.1016\/j.ptsp.2018.10.011","article-title":"Epidemiology of injury in English Professional Football players: A cohort study","volume":"35","author":"A Jones","year":"2019","journal-title":"Phys Ther Sport"},{"issue":"04","key":"ref5","doi-asserted-by":"crossref","first-page":"211","DOI":"10.1136\/bjsports-2016-096037","article-title":"Injuries among weightlifters and powerlifters: a systematic review","volume":"51","author":"U Aasa","year":"2017","journal-title":"Br J Sports Med"},{"key":"ref6","first-page":"10","volume-title":"Les\u00e3o muscular - 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