• H Riepenhof, R Del Vescovo, J-N Droste, S McAleer, and A Pietsch.
• Sportprävention, Sportrehabilitation, BG Klinikum Hamburg, Bergedorfer Str. 10, 21033, Hamburg, Deutschland. h.riepenhof@bgk-hamburg.de.
• Unfallchirurg. 2018 Jun 1; 121 (6): 441-449.

BackgroundMuscle injuries are common in professional sports, especially in football. Recent epidemiological studies showed that muscle injuries account for more than 30% of professional football injuries (1.8-2.2/1000 h exposure); however, even though there are significant differences within a European comparison, a single professional football team diagnosed on average 12 muscle injuries per season, corresponding to more than 300 availability days lost.ObjectiveThe aim of this work is to present the diagnosis, general treatment and comprehensive management of muscle injuries in professional football.Material And MethodsThe present work is based on current scientific findings, experiences of the authors and examples from routine practice in the management of muscle injuries in a professional sports environment.Results And ConclusionThe authors present a model of gradual progression for the treatment of muscular injuries and their rehabilitation. Due to the time-pressured nature of the professional sports environment, often promoted by coaches and media, this model could help lead players to recover as quickly as possible and return to competitive sports without relapse or sequel injury. This model integrates the player into the treatment plan. The progression sequences in the rehabilitation should be made clear to players and other parties involved, which are crucial for optimal healing. Even if absolute certainty cannot be achieved, i.e. the occurrence of re-injury or secondary injury, this model attempts to minimize the level of risk involved for the returning athlete. Since it is hardly possible to act strictly in line with more conservative guidelines due to the particular circumstances of the professional sport environment, the experiences of the authors are presented in the sense of best practice in order to support future decision-making processes.

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