Exertional muscle injury: evaluation of concentric versus eccentric actions with serial MR imaging.

Abstract:

:Eccentric muscular actions involve the forced lengthening or stretching of muscles and tend to produce exertional injuries. This study used magnetic resonance (MR) imaging to serially evaluate muscles in five healthy, untrained subjects who performed exhaustive biceps exercise by doing isolated eccentric and concentric actions with a dumbbell. Symptoms were assessed, and T2-weighted images of the arms were obtained before exercise and 1, 3, 5, 10, 25, 40, 50, 60, and 80 days after exercise. Statistically significant increases in T2 relaxation times indicative of muscle injury occurred on each day of MR imaging evaluation in muscles performing eccentric actions, peaking on day 3 in two subjects; day 5, two subjects; and day 10, one subject. The pattern and extent of the abnormalities on MR images were variable. Pain, soreness, and joint stiffness were present on days 1, 3, and 5 in muscles that performed eccentric actions. MR imaging showed subclinical abnormalities that lasted as long as 75 days after the disappearance of symptoms (two subjects). Muscles that performed concentric actions had no changes in T2 relaxation times and were asymptomatic throughout the study.

journal_name

Radiology

journal_title

Radiology

authors

Shellock FG,Fukunaga T,Mink JH,Edgerton VR

doi

10.1148/radiology.179.3.2027970

subject

Has Abstract

pub_date

1991-06-01 00:00:00

pages

659-64

issue

3

eissn

0033-8419

issn

1527-1315

journal_volume

179

pub_type

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