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    Solicitações de métodos de imagem para diagnóstico e acompanhamento das lesões musculoesqueléticas em um clube do futebol profissional.
    (Universidade Federal de São Paulo (UNIFESP), 2019-12-09) Lucero, Mariano Jose [UNIFESP]; Pinfildi, Carlos Eduardo [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)
    Introduction: Musculoskeletal injuries in soccer are considered common in athletes and physically active individuals, causing disorders, personal and institutional expenses, and treatment depends on the diagnosis and monitoring of the injury status. It is noteworthy that imaging methods can be considered an alternative route of complementation, necessary for the aid of diagnosis and in some cases for the monitoring of sports injuries. Objective: To evaluate and quantify the imaging methods required for the diagnosis and follow-up of musculoskeletal injuries in a professional football club. Method: A retrospective study of male professional soccer players was carried out during the seasons from 2012 to 2016. A total of 825 exams were collected through medical records and records that allowed the analysis of injuries according to the type of injury, the anatomical location and the extent of it. In addition, the diagnostic efficacy of the different imaging methods and injury follow-up examinations was determined. Moreover, the correlation with the characteristics of the collected samples was performed, determining the individualized cost of each test and its economic impact. Results: Of the 825 samples evaluated, 780 (94.5%) were magnetic resonance imaging (MRI), and only 45 (5.5%) were computed tomography (CT). For diagnostic purposes 546 (66.2%) exams were requested; and for follow-up purposes 279 (33.8%). Of the total number of exams requested, 272 (33%) were considered unchanged images; 182 (22.1%) demonstrated muscle injury; 100 (12.1%) exams marked joint injuries; and 70 (8.5%) demonstrated ligament injury. Considering optional imaging methods to those requested, we can observe that of the total number of requests, 19 (2.3%) lesions could be diagnosed by radiographic imaging; 128 (15.5%) lesions by computed tomography; 128 (15.5%) by ultrasound and 550 (66.7%) lesions could be diagnosed by magnetic resonance. Conclusion: Magnetic resonance imaging was the main imaging method required for the diagnosis and monitoring of musculoskeletal injuries in professional soccer athletes. The main injuries found were muscle injuries affecting the lower limbs.