Revista de Medicina Desportiva

Médico de equipa do futebol profissional
Health & Performance Department – Sport Lisboa e Benfica

“… Desde logo, trata-se de um clube (Benfica) com dimensão mundial e com objetivos desportivos completamente diferentes dos contextos anteriores nos quais tinha trabalhado. Esse aspeto reflete- -se nos vários departamentos que integram o clube e que funcionam no suporte à equipa de futebol profissional. O Health & Performance Department (HPD) engloba uma equipa com diferentes grupos profissionais e diferentes valências, tendo como principais objetivos manter os atletas saudáveis, no máximo potencial das suas capacidades e disponíveis para a competição. De facto, a principal diferença sentida no trabalho diário, está relacionada com a maior densidade competitiva, em que as estratégias de recuperação assumem, ainda, um papel mais importante, uma vez que é fundamental manter os atletas prontos para competição, que habitualmente acontece a cada três dias. …”

Helena Afonso Pais, Dr. Diogo Lino Moura

Padel is a recent sport but exhibits one of the biggest popularity growth rates worldwide. It differs from the rest of racquet sports since it is played in a smaller field, which translates to a higher frequency of shots, predominantly overhead shots. This factor contributes to a higher prevalence of injuries of the upper limbs in Padel when compared to other racquet sports, however, the most frequent injuries occur on the lower limbs. The scientific literature about traumatic lesions is still premature and limited. More studies are essential about the incidence, type and mechanism of injuries in this growing sport, the impact of game technique as a risk factor, identifying other risk factors, as well as developing preventive strategies.

Dra. Rita Tomás, Dr. Basil Ribeiro, Prof. Doutor Hélder Dores

Drª. Alexandra Pimentel, Drª. Anabela Brito

Dra. Filipa Fernandes, Dra. Inês Bernardo Nunes

Prof. Doutor João Páscoa Pinheiro
Dra. Joana Pinheiro, Dra. Lurdes Rovisco Branquinho

The definition of sports injury is not consensual, allowing for different frameworks, classifications, and therapeutic programs. It has a high prevalence in the community and, due to its consequences, it is understood as a public health problem. Considering the conceptual orientation of the World Health Organization and the idea of functionality, it is important to promote the transition from the biomedical model to the biopsychosocial model in the context of sports injuries.

Dr. Diogo Neves Gameiro, Dr. Emanuel Cortesão Seiça, Dr. Alexei Buruian, Dr. Francisco Alpoim Gomes, Dr. Carlos Pereira

The use of megaprostheses is increasing in orthopedic field and physical exercise (PE) in these patients is considered dangerous. The purpose of this paper is to understand which PE level these patients achieve. This review comprised 5 articles based on research made in Pubmed® with the keywords megaprosthes* AND sports [MeSH term]. UCLA score varied between 4 and 7, with the maximum value obtained in patients with humeral reconstructions. 2 studies found a correlation between pre and postoperative PE level. Walking, bicycling, and swimming were the most performed activities. Low, medium, and even high-impact activities may be performed by well selected patients. However, more studies are needed, to a better counseling, and factors as age, preoperative PE level and patient expectations should be considered.

Dr. Miguel Relvas Silva, Dra. Maria João Almeida, Dr. Manuel Ribeiro Silva, Prof. Doutor Nuno Neves

Sports activity represents one of the most common causes of traumatic cervical injuries, with major impact in patients’ quality of life. There is controversy regarding guidelines for safe return to sports, mainly in contact/collision sports and among patients submitted to surgical treatment of cervical injuries. The authors report a clinical case of a young athlete treated with cervical corpectomy and anterior instrumented arthrodesis due to a cervical fracture, his clinical recovery with progressive return to sports and perform a revision on this topic.

Dr. Rui Pombal

It is estimated that about 18.2 medical occurrences per million commercial aviation passengers occur annually worldwide. The characteristics of the cabin environment have an overall physiological and functional impact that influences onboard emergencies and their approach. In-flight intervention is essentially based on crew action, first aid equipment and potential support from volunteers and/or ground-based guidance. The equipment available on board and the context and duties of the doctor who volunteers to help assist the ill passenger are discussed. To facilitate the performance of the volunteer doctor, a pictorial mnemonic and an offline application are suggested.

Dr. Basil Ribeiro

A rabdomiólise resulta da destruição do músculo esquelético com libertação subsequente do conteúdo intracelular para a corrente sanguínea. Está habitualmente relacionada com o esforço físico extenuante, mas também com outras causas: trauma, comprometimento vascular, drogas, toxinas e infeções. As queixas mais frequentes são a dor, a fraqueza muscular, o edema local e a urina escura, embora nem sempre esteja presente. O alongamento passivo aumenta a dor. Nas complicações mais graves, referem-se insuficiência renal aguda, a síndrome do compartimento (queixas semelhantes) e a hipercaliemia. A rabdomiólise relacionada com o spinning tem vindo a ser referida cada vez mais na literatura médica desde o primeiro caso relatado em 2004.