RESUMO Objetivo: Comparar a incidência e características das lesões ocorridas em duas temporadas consecutivas no campeonato Paulista de Futebol. Métodos: Realizamos um estudo prospectivo, através de questionário eletrônico previamente desenvolvido pelo Comitê Médico da Federação Paulista de Futebol e enviado aos médicos dos times das séries A1 e A2 do Campeonato Paulista de Futebol após cada rodada. Resultados: A série A1 apresentou 17,63 lesões por 1000 horas de jogo e a série A2 14,91 lesões por 1000 horas de jogo. A incidência de lesões por 1000h de jogo caiu de 24,16 para 17,63 na serie A1 (p<0,037) e de 19,10 para 14,01 na serie A2 (p<0,064). Os laterais foram os mais acometidos, as lesões musculares as mais frequentes e os membros inferiores os mais acometidos. A maioria das lesões ocorreu entre 30 e 45 minutos de jogo e somente 11,9% das lesões necessitaram de cirurgia. Conclusão: Houve uma queda da prevalência e da incidência de lesões entre as temporadas. A maioria das lesões ocorreu nos membros inferiores, o tipo mais comum de lesão foi o estiramento, seguido de entorse e contusão, o exame mais pedido foi a ressonância magnética e a maioria das lesões foi classificada como moderada (8-28 dias). Nível de evidência III, Estudo Transversal Descritivo.

ABSTRACT Purpose: The purpose is to compare the incidence and characteristics of injuries sustained in two consecutive seasons of the São Paulo State Football Championship. Methods: Prospective study performed using an electronic form previously developed by the Medical Committee of the São Paulo State Football Federation, sent to the physicians responsible for the tournament's series A1 and A2 teams, after each round. Results: 17.63 injuries sustained per 1000 hours of matches in the A1 series and 14.91 injuries sustained per 1000 hours of matches in the A2 series. Incidence of injuries per 1000 hours of matches decreased from 24.16 to 17.63 in the A1 series (p<0.037) and from 19.10 to 14.01 in the A2 series (p<0.064). External defenders suffered most injuries, while muscular injuries were most common and lower limbs, the most affected areas. Most injuries occurred between 30 and 45 minutes of the match and only 11.9% of the injuries required surgery. Conclusions: Prevalence and frequency of injuries decreased between seasons. Most injuries were sustained in the lower limbs; strains were the most common injuries, followed by strains and contusions; MRIs were the most frequently requested exams and most injuries were classified as moderate (8-28 days). Level of evidence III, Cross-Sectional Study.

Objective:To evaluate the low energy extracorporeal shock waves therapy (ESWT) associated with physical therapy in the treatment of chronic muscle injuries classified as grades 2 and 3 in the lower limbs of amateur athletes.Methods:Eight athletes presenting with lower limb muscle injury for more than three weeks were treated with physiotherapy and ESWT. We evaluated the following parameters during treatment: palpable gap, muscle strength, pain, and Tegner score, as well as ultrasound image features and the ability to return to sports practice.Results:The average time of the first evaluation of the injury was 8.75 weeks. All patients presented muscle strength grade V after eight weeks. The pain score evolved from 5.75 to 0.5 points of the visual analogue scale (VAS), at the end of the treatment. The Tegner score after treatment was six points on average. Patients returned to sports practice after 8.14 weeks.Conclusion:ESWT associated with physical therapy proved to be effective to treat long-term muscle injury, with good performance and the ability to return to sport practice for all patients. Level of Evidence IV, Case Series, Prospective Study.

Objetivo: Avaliar quadris de pacientes com tetraparesia espástica considerando a gravidade das deformidades articulares, a idade e a escoliose. Métodos: Realizamos um estudo descritivo transversal de 40 pacientes (um a 17 anos); 21 (52,5%) do sexo feminino e 19 (47,5%) do masculino em pacientes da Associação Cruz Verde; 19 (47,5%) apresentaram prematuridade, 26 (65,0%) anóxia, quatro (10,0%) meningite, 10 (25,0%) hidrocefalia e 15 (37,5%) microcefalia; 38 (95,0%) apresentavam espasticidade, um (2,5%) atetose e um (2,5%) o padrão misto; 28 (70,0%) apresentavam tetraparesia e 12 (30,0%) dupla hemiparesia. Nenhum paciente deambulava, 38 (95,0%) foram classificados como GFMCS V e dois (5,0%) como IV. Consideramos dois grupos, conforme a necessidade ou não do tratamento cirúrgico dos quadris pelo risco de luxação e dor. Utilizamos os testes de Thomas, abdução brusca e Nelaton-Galeazzi. A escoliose foi avaliada pela simetria do tronco e gibosidade. Resultados: Observamos correlação entre a escoliose e a positividade do teste da abdução brusca. Não houve correlação entre a idade e a contratura dos quadris. Não houve diferença entre os tipos topográficos e a contratura do quadril. Conclusões: Não encontramos correlação entre a idade e o grau de contratura articular; pacientes com escoliose apresentaram maior comprometimento da abdução do quadril.

Objective: To evaluate CP patients considering the hip joint and analyzing the relation between severity, age and scoliosis. Methods: A transversal descriptive study was performed in 40 patients (1 to 17 y.o.), 21 (52,5%) female and 19 (47,5%) male from Cruz Verde Association; 19 (47,5%) had history of prematurity; 26 (65,0%) with anoxia; meningitis in 4 (10%), hydrocephalus in 10(25,0%); microcephalus in 15 (37,5%). From the total 38 (95,0%) presented spasticity, 1 (2,5%) athetoid and 1 (2,5%) mixed. According to topographic classification 28 (70,0%) presented tetraparesis and 12 (30,0%) double hemiparesis. All of them are non-ambulators and 38 (95,0%) were classified as GFMCS V and 2 (5,0%) were level IV. The patients were divided in two groups (with or without indications for hip surgical treatment). The hips were analysed by Thomas, abduction, and Nelaton-Galeazzi tests. The scoliosis was clinically analysed considering trunk symmetry and dorsal hump. Results: We observed positive correlation between the patients’ scoliosis and hip flexion contracture. There was no difference between the patients’ age and and hip flexion contracture. There was no difference between topographic types and hip contractures. Conclusions: We did not find positive correlation between patients’ age and hip contractures; patients with scoliosis present worse hip abduction compromise.