Classification and grading of muscle injuries: a narrative review.

Abstract:

:A limitation to the accurate study of muscle injuries and their management has been the lack of a uniform approach to the categorisation and grading of muscle injuries. The goal of this narrative review was to provide a framework from which to understand the historical progression of the classification and grading of muscle injuries. We reviewed the classification and grading of muscle injuries in the literature to critically illustrate the strengths, weaknesses, contradictions or controversies. A retrospective, citation-based methodology was applied to search for English language literature which evaluated or utilised a novel muscle classification or grading system. While there is an abundance of literature classifying and grading muscle injuries, it is predominantly expert opinion, and there remains little evidence relating any of the clinical or radiological features to an established pathology or clinical outcome. While the categorical grading of injury severity may have been a reasonable solution to a clinical challenge identified in the middle of the 20th century, it is time to recognise the complexity of the injury, cease trying to oversimplify it and to develop appropriately powered research projects to answer important questions.

journal_name

Br J Sports Med

authors

Hamilton B,Valle X,Rodas G,Til L,Grive RP,Rincon JA,Tol JL

doi

10.1136/bjsports-2014-093551

subject

Has Abstract

pub_date

2015-03-01 00:00:00

pages

306

issue

5

eissn

0306-3674

issn

1473-0480

pii

bjsports-2014-093551

journal_volume

49

pub_type

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