title: Spanish Consensus Statement: The Treatment of Muscle Tears in Sport.
abstract: On the 21st of March, 2015, experts met at Clínica CEMTRO in Madrid, Spain, under the patronage of The Spanish Society for Sports Traumatology (SETRADE), The Spanish Federation of Sports Medicine (FEMEDE), The Spanish Association of Medical Services for Football Clubs (AEMEF), and The Spanish Association of Medical Services for Basketball Clubs (AEMB) with the aim of establishing a round table that would allow specialists to consider the most appropriate current general actions to be taken when treating muscle tears in sport, based on proven scientific data described in the medical literature. Each expert received a questionnaire prior to the aforementioned meeting comprising a set of questions concerning therapeutic indications generally applied in the different stages present during muscle repair. The present Consensus Document is the result of the answers to the questionnaire and resulting discussion and consensus over which are the best current indications in the treatment of muscle tears in sport. Avoiding immobilization, not taking nonsteroidal anti-inflammatory drugs (NSAIDs) randomly, fostering early mobilization, increasing vascularization of injured, site and regulating inflammatory mechanisms-without inhibiting these from the early stages of the recovery period-all stood out as main points of the Consensus Document. Additionally, there is controversy concerning cell stimulation techniques and the use of growth factors or cell inhibitors. The decision concerning discharge was unanimous, as was the criteria considered when it came to performing sport techniques without pain.
authors.affiliation: Chief of Sports Medicine and Trauma Unit, Head of Research and Education, Clínica CEMTRO, Madrid, Spain; Spanish School of Sports Traumatology Catholic University of Murcia, Murcia, Spain, SETRADE Secretary.
authors.forename: Tomas F
authors.initials: TF
authors.lastname: Fernandez-Jaén
authors.affiliation: Medical Director at AMS Exercise Medical Center, Málaga, Spain.
authors.forename: Guillermo Álvarez
authors.initials: GÁ
authors.lastname: Rey
authors.affiliation: SETRADE 1st Vice President; Chief of Surgery Unit, Hospital ASEPEYO Sant Cugat, Clínica Diagonal Trauma Unit, Barcelona, Spain.
authors.forename: Jordi Ardevol
authors.initials: JA
authors.lastname: Cuesta
authors.affiliation: Arriaza y Asociados Medical Institute, Hospital HM Modelo, La Coruña, Spain.
authors.forename: Rafael Arriaza
authors.initials: RA
authors.lastname: Loureda
authors.affiliation: Member of the Medical Commission for The International Volleyball Federation, Sevilla, Spain.
authors.forename: Fernando Ávila
authors.initials: FÁ
authors.lastname: España
authors.affiliation: Consell Català de l'Esport, Generalitat de Cataluña, Clínica Diagonal, Barcelona, Spain.
authors.forename: Ramón Balius
authors.initials: RB
authors.lastname: Matas
authors.affiliation: President of SETRADE; Orthopaedic Surgery and Trauma Service, Traumatology Clinic, Valladolid, Spain.
authors.forename: Fernando Baró
authors.initials: FB
authors.lastname: Pazos
authors.affiliation: Chief of Sports Medicine Unit, Sport Medicine Center for Andalusia, Sevilla, Spain. Coeditor, Andalusian Journal of Sports Medicine .
authors.forename: Juan
authors.initials: J
authors.lastname: de Dios Beas Jiménez
authors.affiliation: Chief of Sports Medicine Service, CLINICA TECMA, Valencia, Spain.
authors.forename: Jorge Candel
authors.initials: JC
authors.lastname: Rosell
authors.affiliation: Traumavist - Clinica Vistahermosa, Alicante, Spain.
authors.forename: César Cobián
authors.initials: CC
authors.lastname: Fernandez
authors.affiliation: ISAK Secretary General; Masters Course in Sports Traumatology Course Director, Murcia Catholic University, Murcia, Spain.
authors.forename: Francisco Esparza
authors.initials: FE
authors.lastname: Ros
authors.affiliation: Chief of Spanish Paralympic Committee Medical Service (CPE), Madrid, Spain.
authors.forename: Josefina Espejo
authors.initials: JE
authors.lastname: Colmenero
authors.affiliation: Physiotherapy and Touch Therapy Medical Center, Pamplona, Spain.
authors.forename: Jorge Fernández
authors.initials: JF
authors.lastname: de Prado
authors.affiliation: Orthopaedic Surgery and Trauma Ward at Hospital Miguel Domínguez, Pontevedra, Spain; Head of The Spain National Football Team and Real Club Celta de Vigo Football Team Medical Services, Pontevedra, Spain.
authors.forename: Juan José García
authors.initials: JJ
authors.lastname: Cota
authors.affiliation: Medical Director, Dr Garrido Center, Salamanca, Spain.
authors.forename: Jose Ignacio Garrido
authors.initials: JI
authors.lastname: González
authors.affiliation: Imaging and Postural Dynamics Ward, National Sport Medicine Center, Consejo Superior de Deportes, Madrid, Spain.
authors.forename: Manuela González
authors.initials: MG
authors.lastname: Santander
authors.affiliation: Sports Medicine and Traumatology Ward, Clinica CEMTRO, Madrid, Spain.
authors.forename: Miguel Ángel Herrador
authors.initials: MÁ
authors.lastname: Munilla
authors.affiliation: Mutua Asepeyo, Alicante, Spain; Emergency Ward, Hospital Universitario de San Juan, Alicante, Spain.
authors.forename: Francisco Ivorra
authors.initials: FI
authors.lastname: Ruiz
authors.affiliation: School of Sports Science, Castilla la Mancha University, Toledo, Spain; Echography MSK International Chair Director, Murcia Catholic University, Murcia, Spain.
authors.forename: Fernando Jiménez
authors.initials: FJ
authors.lastname: Díaz
authors.affiliation: President of Spanish Federation for Sports Medicine, Spain; Chair Director of International Sport Medicine, Murcia Catholic University, Murcia, Spain.
authors.forename: Pedro Manonelles
authors.initials: PM
authors.lastname: Marqueta
authors.affiliation: FREMAP, Chief medical services Sporting Gijon CF, Oviedo, Spain.
authors.forename: Antonio Maestro
authors.initials: AM
authors.lastname: Fernandez
authors.affiliation: Chief of Spanish Handball Federation Medical Services, Madrid, Spain; Member of Spanish Olympic Committee medical commission, Madrid, Spain; Member of the International Handball Federation.
authors.forename: Juan José Muñoz
authors.initials: JJ
authors.lastname: Benito
authors.affiliation: Chief of Sports Medicine Ward, Consorcio Sanitario Terrassa - CAR Sant Cugat, Catalunya International University, Barcelona, Spain.
authors.forename: Ramón Olivé
authors.initials: RO
authors.lastname: Vilás
authors.affiliation: President, The Spanish Association for Football Clubs Medical Services (AEMEF); School of Physical Activity and Sport Sciences (INEF), Lleida University, Lleida, Spain.
authors.forename: Xavier Peirau
authors.initials: XP
authors.lastname: Teres
authors.affiliation: Department of Morphological Sciences (Histology Section), School of Medicine and Nursing, Universidad de Córdoba, Córdoba, Spain.
authors.forename: José Peña
authors.initials: JP
authors.lastname: Amaro
authors.affiliation: Trauma ER Ward, Hospital General Universitario de Alicante, Alicante, Spain.
authors.forename: Juan Pérez San
authors.initials: JP
authors.lastname: Roque
authors.affiliation: Medical Director, Real Federación Española de Atletismo, Madrid, Spain; Medical Director, Clínica Dr. Sanz Vázquez, Guadalajara, Spain.
authors.forename: Christophe Ramírez
authors.initials: CR
authors.lastname: Parenteu
authors.affiliation: Chair, Department of Medical Physiology and Biophysics, School of Medicine, University of Seville. Seville, Spain.
authors.forename: Juan Ribas
authors.initials: JR
authors.lastname: Serna
authors.affiliation: Chief, Arthroscopy Surgery Unit Trauma Ward, Hospital San Jose Vithas, Vitoria-Gastéis, Spain.
authors.forename: Mikel Sánchez
authors.initials: MS
authors.lastname: Álvarez
authors.affiliation: Clínica Sánchez Marchori, Hospital 9 de Octubre, Valencia, Spain.
authors.forename: Carlos Sanchez
authors.initials: CS
authors.lastname: Marchori
authors.affiliation: Director, School of Sports Medicine, Oviedo, Spain; Professor, Oviedo University, Oviedo, Spain.
authors.forename: Miguel Del Valle
authors.initials: Mdel V
authors.lastname: Soto
authors.affiliation: Chief, Atlético Madrid CF Medical Services, Madrid, Spain.
authors.forename: José María Villalón
authors.initials: JM
authors.lastname: Alonso
authors.affiliation: Chair, Sports Traumatology, Catholic University of Murcia. Murcia, Spain; President of Clínica CEMTRO, Madrid, Spain.
authors.forename: Pedro Guillen
authors.initials: PG
authors.lastname: García
authors.affiliation: Assistant Physician, Orthopaedic Surgery and Trauma Ward, Dr Jose Penna Hospital, Bahia Blanca, Argentina.
authors.forename: Nicolas Hugo
authors.initials: NH
authors.lastname: de la Iglesia
authors.affiliation: Biomedical Research Unit, Clínica CEMTRO. Madrid, Spain.
authors.forename: Juan Manuel Lopez
authors.initials: JM
authors.lastname: Alcorocho
keywords: consensus document; injuries; muscle; therapeutic guide; treatment