Evidence map›Paper›PMID 23080315›Full record

ArticleBritish journal of sports medicine2013

Terminology and classification of muscle injuries in sport: the Munich consensus statement.

Hans-Wilhelm Mueller-Wohlfahrt, Lutz Haensel, Kai Mithoefer, Jan Ekstrand, Bryan English, Steven McNally, John Orchard, C Niek van Dijk, Gino M Kerkhoffs, Patrick Schamasch and 4 more

2 registry-linked trialsOpen access · hybridAbstract readConsensus Statement
In one paragraph

Article in British journal of sports medicine, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 195 papers, 8 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
195citing papers in PubMed, 8 pooled it
20.2field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT05646160 naunknown statusnot on this mapstarted 2018, after this paper: background citation

Effects of Myofascial Trigger Points Therapy in Migraine.

TypeinterventionalSponsorJózef Piłsudski University of Physical EducationRan2018 to 2023Enrolled100ConditionsMigraine, Pain, Shoulder, Trapezius Muscle Strain Left, Trapezius Muscle Strain RightArmsIschemic Compression of Myofascial Trigger Points (IC-MTRPs)
NCT07566039 nanot yet recruitingnot on this mapstarted 2026, after this paper: background citation

Prospective Cohort Study of Athletes Following an Injection of Platelet-Poor Plasma Into an Acute Muscle Injury

TypeinterventionalSponsorUniversity of Colorado, DenverRan2026 to 2030Enrolled90ConditionsLower Extremity InjuryArmsPlatelet Poor Plasma (PPP) Injection
3 · Its place in the literature

Who cites it

195 citing papers in PubMed, 8 syntheses or guidelines pooled it, 592 citations in OpenAlex.

  1. Pooled it
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  3. Guideline
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  7. Running shoes for preventing lower limb running injuries in adults.The Cochrane database of systematic reviews · 2022
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  13. Suture anchor repair of proximal rectus femoris avulsions in elite football players.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2015
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135 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

14 authors at 8 institutions in 6 countries.

Hans-Wilhelm Mueller-WohlfahrtMW Center of Orthopedics and Sports Medicine, Munich and Football Club FC Bayern Munich, Munich, Germany.
Lutz Haensel
Kai Mithoefer
Jan Ekstrand
Bryan English
Steven McNally
John Orchard
C Niek van Dijk
Gino M Kerkhoffs
Patrick Schamasch
Dieter Blottner
Leif Swaerd
Edwin Goedhart
Peter Ueblacker
Academic Medical Center · NLUniversität Bayern · DEAustralian Football League · AUCharité - Universitätsmedizin Berlin · DEHarvard University · USInternational Olympic Committee · CHManchester City Football Club · GBRoyal Dutch Football Association · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo provide a clear terminology and classification of muscle injuries in order to facilitate effective communication among medical practitioners and development of systematic treatment strategies.

methodsThirty native English-speaking scientists and team doctors of national and first division professional sports teams were asked to complete a questionnaire on muscle injuries to evaluate the currently used terminology of athletic muscle injury. In addition, a consensus meeting of international sports medicine experts was established to develop practical and scientific definitions of muscle injuries as well as a new and comprehensive classification system.

resultsThe response rate of the survey was 63%. The responses confirmed the marked variability in the use of the terminology relating to muscle injury, with the most obvious inconsistencies for the term strain. In the consensus meeting, practical and systematic terms were defined and established. In addition, a new comprehensive classification system was developed, which differentiates between four types: functional muscle disorders (type 1: overexertion-related and type 2: neuromuscular muscle disorders) describing disorders without macroscopic evidence of fibre tear and structural muscle injuries (type 3: partial tears and type 4: (sub)total tears/tendinous avulsions) with macroscopic evidence of fibre tear, that is, structural damage. Subclassifications are presented for each type.

conclusionsA consistent English terminology as well as a comprehensive classification system for athletic muscle injuries which is proven in the daily practice are presented. This will help to improve clarity of communication for diagnostic and therapeutic purposes and can serve as the basis for future comparative studies to address the continued lack of systematic information on muscle injuries in the literature. WHAT ARE THE NEW THINGS: Consensus definitions of the terminology which is used in the field of muscle injuries as well as a new comprehensive classification system which clearly defines types of athletic muscle injuries. LEVEL OF EVIDENCE: Expert opinion, Level V.

Indexed as

Terminology as TopicAthletic InjuriesContusionsHumansMuscle FatigueMuscular DiseasesMusculoskeletal SystemNeuromuscular DiseasesRuptureSprains and Strains

Identifiers

PMID23080315
PMCPMC3607100
OpenAlexW2167403442

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.