title: Muscle injury: current perspectives and trends in Brazil.
abstract: OBJECTIVE
  To evaluate the management, procedures and perspectives of sports physicians and orthopedists in Brazil with regard to diagnosing and treating muscle injuries.
  
  
  METHODS
  A questionnaire containing 20 questions relating to the topic of muscle injury was applied to sports physicians and orthopedists during the Second Brazilian Congress of Arthroscopy and Sports Traumatology, in 2013.
  
  
  RESULTS
  Completely answered questionnaires were received from 168 sports physicians and orthopedists. Doctors from all regions of Brazil with a mean of 11 years of experience of treating muscle injuries were interviewed. Lower limbs were affected in 97% of the cases, particularly the quadriceps, adductor and sural triceps. The injury occurred during the eccentric phase in 62% of the interviews; 39% underwent ultrasound examination and 37% magnetic resonance imaging (MRI) for the injury to be diagnosed. Medication, rest and cryotherapy during the acute phase (87.5%) and medication, rest and physiotherapy during treatment of the injury (56%) were the prevalent options. The criteria for returning to sports were very subjective and disparate among the options presented, and most of the interviewees had already used some therapy that was adjuvant to traditional methods.
  
  
  CONCLUSIONS
  The number of muscle injuries treated per year was greater than 30, independent of whether in the public or private sector. These injuries occurred mainly at the muscle-tendon junction, in the lower limbs and during the eccentric phase of muscle contraction. Ultrasound was the examination most performed, while MRI was considered ideal. For most of the interviewees, the preferred treatment involved rest, medication and physiotherapy. In addition, 52% believed that platelet-rich plasma was an efficient treatment and 42% said that they had already used it.
authors.affiliation: Paulista Medical School, Federal University of São Paulo (UNIFESP), São Paulo, SP, Brazil.
authors.forename: Diego Costa
authors.initials: DC
authors.lastname: Astur
authors.affiliation: Paulista Medical School, Federal University of São Paulo (UNIFESP), São Paulo, SP, Brazil.
authors.forename: João Vitor
authors.initials: JV
authors.lastname: Novaretti
authors.affiliation: Paulista Medical School, Federal University of São Paulo (UNIFESP), São Paulo, SP, Brazil.
authors.forename: Renato Kalil
authors.initials: RK
authors.lastname: Uehbe
authors.affiliation: Paulista Medical School, Federal University of São Paulo (UNIFESP), São Paulo, SP, Brazil.
authors.forename: Gustavo Gonçalves
authors.initials: GG
authors.lastname: Arliani
authors.affiliation: Paulista Medical School, Federal University of São Paulo (UNIFESP), São Paulo, SP, Brazil.
authors.forename: Eduardo Ramalho
authors.initials: ER
authors.lastname: Moraes
authors.affiliation: Paulista Medical School, Federal University of São Paulo (UNIFESP), São Paulo, SP, Brazil.
authors.forename: Alberto
authors.initials: A
authors.lastname: de Castro Pochini
authors.affiliation: Paulista Medical School, Federal University of São Paulo (UNIFESP), São Paulo, SP, Brazil.
authors.forename: Benno
authors.initials: B
authors.lastname: Ejnisman
authors.affiliation: Paulista Medical School, Federal University of São Paulo (UNIFESP), São Paulo, SP, Brazil.
authors.forename: Moises
authors.initials: M
authors.lastname: Cohen
keywords: Epidemiology; Management; Muscle injury; Perspectives; Treatment