Injury Unit 1 & 2 Flashcards

(53 cards)

1
Q

4 things to do on the assessment of time and purpose

A
  1. Onset of injury
  2. Prior to initial treatment
  3. During Tx Phase
  4. Before returning athlete to full activity status
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2
Q

Etioloy

A

the cause, set of causes, or manner of causation of disease or condition

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3
Q

What should we refer to with a non-injured paired structure?

A

We should do a bilateral comparison, demonstrate painful movement patterns, and evaluate injured vs noninjured

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4
Q

What are the 7 steps of the evaluation model?

A
  1. History
  2. Observation
  3. Palpation
  4. Range of motion tests
  5. ligamentous tests
  6. special tests
  7. neurological tests
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5
Q

What do we look for and ask with history?

A
  • Open-ended questions are better than yes/no questions
  • Established “mechanisms of injury” (MOI)
  • Determines what structures are involved (micro trauma/macro trauma)
  • Onset & duration of symptoms? (insideous)
  • Sounds and sensation felt at the time of injury?
  • Prior medical history?
  • Changes in changes routine/patterns?
  • Changes in equipment?
  • Previous Tx? Medical referral? Xrays? (congenital)
  • Psychological and emotional state?
  • Where to go from here? And how?
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6
Q

sign examples

A

sweating, discoloration, bleeding, redness

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7
Q

what is gait?

A

walking pattern

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8
Q

What do we look for while inspecting an athlete?

A

Gait, posture, movement patterns, guarding, gross deformity, swelling, ecchymosis, atrophy, hypertrophy, calluses, bilateral symmetry, and skin

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9
Q

Atrophy

A

shrunk, decreased in size and strength

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10
Q

hypertrophy

A

grow in size

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11
Q

what is palpation’s digital pressure?

A

examining by touch

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12
Q

What do we do and look for with palpation?

A

digital pressure, visualization, positioning, touch distal to injury, delay, point tenderness, swelling, spasm, deformity, temperature, crepitus, surgical scars, symmetry

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13
Q

Crepitus

A

crunch, grinding, course rubbing between bone and cartilage or the fractured parts of the bones

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14
Q

Ligamentous Testing

A

application of a specific stress to test the integrity of isolated ligaments

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15
Q

Laxity

A

Clinical sign of looseness under ligamentous testing

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16
Q

Instability

A

symptom of giving out

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17
Q

What do we rule out?

A

Cardiovascular or respiratory distress, head/neck injury, profuse bleeding, fractures/dislocations, peripheral nerve injuries, and other soft tissue injuries

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18
Q

What is mechanical injury?

A

A force applied to any body part the results in a harmful disturbance in structure and/or function

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19
Q

How does Mechanical Injuries occur?

A

Caused by external forces that result in internal tissue damage

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20
Q

How is mechanical injuries determined?

A

Tissue response to external load is determined by mechanical properties of tissue

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21
Q

5 cardinal signs of the inflammatory system

A
  1. redness
  2. swelling
  3. heat/warmth
  4. pain
  5. loss of function
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22
Q

How does elastic property increase?

A

By stress or load

23
Q

What are the 3 ways of tissue loading?

A
  1. compression
  2. tensile (longitudinal tearing and muscles/tendons
  3. shearing
24
Q

Examples of musculoskeletal injuries

A
  1. strains
  2. tendinitis
  3. heterotopoic ossificans
  4. bursitis
25
Examples of bone injuries
1. exostosis 2. apophysitis 3. fractures
26
Examples of joint injuries
1. sprains 2. subluxations 3. dislocations 4. osteochondral defects 5. osteochondritis dessicans 6. arthritis
27
What is a strain?
stretching or tearing of a muscle or tendon
28
How does a strain occur?
eccentric muscle contraction due to dynamic overload
29
How many grades are there for strains?
3 grades
30
what is a first grade strain?
1. overstretching and micro tearing, no gross fiber disruption 2. mild pain and tenderness 3. full AROM and PROM 4. Pain with resisted contraction
31
what is a second grade strain?
1. further stretching and partial tearing 2. immediate pain, localized tenderness, and disability 3. varying degrees of swelling, ecchymosis, decreased ROM and decreased strength
32
what is a third grade strain?
1. complete rupture 2. audible "pop" 3. immediate pain 4. loss of function & palpable defect 5. muscle hemorrhage and diffuse swelling
33
What kind of trauma is Teninitis?
Microtrauma
34
Tenosynovitis
Inflamation of the fluid filled sheath that surrounds a tendon. More localized and crepitus more pronounced.
35
Crepitus
a grating sound or sensation produced by friction between bone and cartilage or the fractured parts of a bone.
36
1st Degree Tendintis
Pain and slight dysfunction during activity
37
2nd Degree Tendinitis
Results in decreased function and pain after activity
38
3rd Degree Tendinitis
Constant pain that prohibits activity
39
Heterotopic Ossificans
Formation of bone within a muscle belly's fascia; fibroblasts begin to transform into osteoblasts and chondroblasts that form immature bone
40
Bursitis
Localized swelling
41
What is a sprain?
Injury to ligament or capsular structure
42
First Degree Sprain
- Mild overstretching, no disruption in tissue - Mild pain and tenderness over ligament - Little or no disability - Pain at end range - No joint laxity (firm end-feel)
43
Second Degree Sprain
- Further stretching and partial disruption of ligament - Moderate to severe pain, tenderness - Ecchymosis and rapid swelling - Limited ROM and function - Stress testing show varying degrees of joint instability (laxity) - Still a end point
44
Third Degree Sprain
- Complete disruption of ligament - Instability - "Pop" - Immediate pain and disability - Rapid swelling, ecchymosis, and loss of function - Stress testing reveal moderate to severe joint instability
45
Joint Articulations
Luxation and Subluxation
46
Luxation (dislocation)
Severe stretching or complete disruption of ligaments (3rd degree)
47
Subluxation
partial dislocation; stretching and tearing of joint capsule and ligaments. "Goes in and out"
48
Signs and symptoms of a joint dislocation
- Immediate pain, rapid swelling, deformity, and loss of function - Joint slipping or "giving out"
49
What are two type of Articular Surface Injuries?
Osteochondral defects and Osteochondritis Dessicans
50
Osteochondral Defects
- Fractures of a bone's articular cartilage - Progressive softening of cartilage - Severity based on depth of the defect - Partial and Full-thickness - Also depends on location
51
Osteochondritis Dessicans
- Dislodges fragments of bone within the joint space - Stable or free floating - Joint "locking"
52
Apophysitis
- Growing pains - Inflammation of growth plate - Muscle pulling away from bone - History of recent rapid growth spurt - Lack of flexibility may contribute - Sever's Disease
53
How does bone stress fractures occur?
Recent change in a workout, equipment, playing surfaces, frequency, intensity, duration, or intensity, amenorrheic women