Football Injuries

Question 1

what term describes a transient change in neurologic function secondary to an acute force applied to the head/neck?

Answer 1

concussion

Question 2

in a cervical strain, there will be decreased ROM on what relative side of the injury?

Answer 2

contralateral side

Question 3

what is the primary criteria to meet to return to sport after cervical spine strain?

Answer 3

full, unrestricted ROM without pain

Question 4

what football injury is caused by excessive side bending of the neck, resulting in paresthesias, numbness, weakness from the neck to the arm?

Answer 4

burner/stinger

Question 5

what is the treatment for a burner/stinger?

Answer 5

nsaids,rest, PT

Question 6

you should examine an athlete with burner / stinger 24 hours after initial injury to evaluate for what?

Answer 6

delayed weakness

Question 7

when should an athlete with burner/stinger be allowed to return to play?

Answer 7

when strength is full and there is resolution of neurologic symptoms

Question 8

which motion will cause the most pain in a cervical spine fracture?

Answer 8

flexion

Question 9

t/f in the case of cervical spine fracture, pads and helmets should not be removed until the spine is immobilized

Answer 9

true

Question 10

what are the two major components to conservative management for AC joint grade 1/2 injury?

Answer 10

RICE and PT

Question 11

what grades make up a complete AC joint separation?

Answer 11

grades 3-6

Question 12

why is MRI recommended after anterior shoulder dislocation?

Answer 12

to assess the extent of cartilage injury

Question 13

t/f immobilization and therapy has been shown to decrease the rate of shoulder dislocation in young people

Answer 13

false

Question 14

what is the treatment for an athlete with recurrent shoulder dislocations?

Answer 14

surgical referral

Question 15

why is an early emphasis on strengthening and ROM important in rehab for rotator cuff tendinopathy/biceps tendinopathy?

Answer 15

prevention of adhesive capsulitis

Question 16

what is the gold standard for diagnosis of valgus extension overload in throwing athletes due to the risk of laxity?

Answer 16

MRI

Question 17

which nerve function is important to test for in the case of an elbow dislocation?

Answer 17

median

Question 18

the most common type of elbow dislocation is what direction?

Answer 18

posterior

Question 19

an athlete who experiences elbow dislocation can usually return to sport with protective bracing within how many weeks?

Answer 19

3-6 weeks

Question 20

non displaced scaphoid fracture can be treated conservatively with what type of cast for what initial duration?

Answer 20

long arm cast x 4-6 weeks

Question 21

after a patient with non displaced scaphoid fracture is done with casting, what is the next step until healed?

Answer 21

thumb spica splint

Question 22

complete UCL tears of the thumb are typically managed in what way? why?

Answer 22

surgery- due to high risk of Stener lesions

Question 23

what is the primary difference between simple and complex thumb MCP joint dislocations?

Answer 23

simple - reducible
complex - non reducible

Question 24

a Bennet fracture of the thumb typically requires what length of immobilization before gradual return to play?

Answer 24

4-6 weeks

Question 25

how long should you use a protective splint for a thumb MCP joint dislocation after reduction?

Answer 25

4-6 weeks

Question 26

what is the typical general treatment for a proximal phalanx fracture?

Answer 26

surgical fixation

Question 27

for a dorsal dislocation of a PIP or DIP joint, after reduction, buddy tape for how long?

Answer 27

3-6 weeks

Question 28

why do you perform XR for mallet finger?

Answer 28

rule out bony avulsion

Question 29

what is the first line treatment for central slip injury?

Answer 29

extension splint x 6 weeks

Question 30

what type of imaging is needed to evaluate for posterior dislocation of the SC joint?

Answer 30

CT

Question 31

what is the gold standard imaging for athletic pubalgia?

Answer 31

MRI

Question 32

what factor is more important than radiographic healing in determining return to play for spondylolisthesis?

Answer 32

clinical progress

Question 33

t/f any football player that sustained thoracolumbar fracture and received fusion for treatment should not be allowed to return to play

Answer 33

true

Question 34

groin strain is a term that can apply typically to what two muscle groups of the thigh?

Answer 34

adductor and iliopsoas

Question 35

why should an XR be performed in the case of a groin strain?

Answer 35

rule out avulsion fracture

Question 36

how are most avulsion injuries of the hip treated?

Answer 36

rest, ice, rehab

Question 37

most uncomplicated lumbar and thoracic back strains resolve in what period of time?

Answer 37

7-10 days

Question 38

what resisted motion of the hip will reproduce pain in the case of osteitis pubis?

Answer 38

resisted adduction

Question 39

which condition is characterized by bone resorption at the pubic symphysis and widening/sclerosis of bone at the inferior ramus?

Answer 39

osteitis pubis

Question 40

what is the general timeline of rest needed for osteitis pubis to resolve?

Answer 40

2-3 months

Question 41

why should radiographs be performed prior to attempted reduction of a hip dislocation?

Answer 41

check for femoral neck fracture

Question 42

hip dislocation/subluxation in what general direction is most common?

Answer 42

posterior

Question 43

for a quadriceps contusion, how should you treat the injury overnight to prevent hematoma formation?

Answer 43

immobilize the leg in flexion

Question 44

what is the most common site of hamstring strain?

Answer 44

short head of the biceps femoris

Question 45

at what percentage recovery from a hamstring injury/strain would you start jogging/performing functional rehab?

Answer 45

70% recovery

Question 46

a grade III MCL injury will take how long until full return to sport with knee bracing?

Answer 46

4-6 weeks

Question 47

what is the most common type of treatment for an isolated PCL injury?

Answer 47

conservative management

Question 48

return to play after meniscal repair and post-op physical therapy is generally at what time period?

Answer 48

6-8 weeks

Question 49

why is an XR needed in the case of patellar dislocation?

Answer 49

rule out patellar / trochlear ridge fractures

Question 50

when can an athlete with quadriceps or patellar tendinosis progress to eccentric rehab?

Answer 50

when asymptomatic

Question 51

name the third ligament to be sprained in a plantar flexed, inversion ankle sprain

Answer 51

posterior talofibular ligament

Question 52

ankle bracing can be helpful for what grades of ankle sprain?

Answer 52

grades II and III

Question 53

what is the general treatment for most fifth metatarsal tuberosity avulsion or metaphyseal fractures?

Answer 53

walking boot

Question 54

for a partial tear of the capsule in turf toe, how many weeks does an athlete typically need to restrict activity and wear protective footwear?

Answer 54

3-6 weeks

Question 55

how long should you restrict a football athlete from play after splenic rupture?

Answer 55

3-4 weeks