Clinical and sonographic assessment of closed muscular injury

Abstract EN

Objective: The aim of this study was to assess the presence of muscle lesion and its type.

Also, to determine the site and extension of the muscular injury and compare the clinical and sonographic findings. Methodology: Thirty nine patients were included in this study.

Their age range from 15 to 45 years with a mean age was 22 years.

Ultrasound examination was performed 1 to 5 days after the injury.

Twenty eight patients were 1 day after the injury, 9 patients were after 3 days and 2 patients after 5 days. Results: Twenty one patients (53.8%) were diagnosed clinically as contusion, 19 patients (48.7%) of them were confirmed songraphically as contusion and 2 patients (5.1%) were only muscle distension.

Out of 4 patients (10.25%) clinically diagnosed as muscle laceration, interruption of muscle fibers was observed in all of them.

Two patients (5.1%) of 2 were confirmed songraphically that they had muscle rupture.

Out of 12 patients (30.76%) diagnosed as muscle distension, ultrasound confirmed the diagnosis in 8 of them (20.5%).

In 4 out of 12 patients the ultrasound findings were non-specific.

Conclusions: Ultrasound was an excellent modality in the diagnosis of muscular injuries.

Ultrasound allows the physician to differentiate between different types of injury including muscular rupture, laceration, contusion or expansion.