Overuse Injuries

Question 1

Culprits of Overuse Injuries

Answer 1

The athlete
Sports played
Body you live in

Question 2

Prevention of Overuse Injuries

Answer 2

Stretch prior to activity
Warm up prior to activity
Good enough shape to participate
Ease back into activity
Don't play through the pain

Question 3

Locations of Overuse Injuries

Answer 3

Shoulders
Elbows
Knees

Question 4

Describe Overuse Shoulder Injuries

Answer 4

Fatigued tendons

Fatigued muscles

Question 5

Describe Subacute Shoulder Injuries

Answer 5

Fatigued tendons & muscles that slowly begin to tear/wear out

Question 6

Describe Acute Shoulder Injuries

Answer 6

Fell
Threw too hard
Swung to hard

Question 7

Types of Shoulder Overuse Injuries

Answer 7

Tendonitis

Tendonopathy

Question 8

Define Tendonitis

Answer 8

Irritation/inflammation of a tendon
Night time pain
Pain down side of shoulder with overhead activity

Question 9

Define Tendonopathy

Answer 9

“Sick” tendon

Pain evident for a longer period of time

Question 10

Treatment of Shoulder Injuries

Answer 10

Make sure that's "all" it is
NSAIDs
Ice
PT
Steroid injection

Question 11

Diagnostics for a Subacute Shoulder Injury

Answer 11

X-rays

MRI

Question 12

Treatment for Subacute Shoulder Injuries

Answer 12

NSAIDs
Ice
PT
+/- corticosteroid injection

Question 13

Diagnostics for Acute Shoulder Injuries

Answer 13

X-ray

MRI

Question 14

Indications for Performing an MRI in Shoulder Injuries

Answer 14

Drop arm sign
External rotation lag sign
Dislocation

Question 15

Shoulder Injuries that are Concerning

Answer 15

Pain doesn’t improve with conservative treatment
+ x-ray: fracture/arthritis
+ MRI: rotator cuff, labral tear, biceps tendon tear

Question 16

Recovery for Rotator Cuff Repair

Answer 16

Healing phase: 6 weeks
Rehab: 6 weeks
Strengthening: 6 weeks
3-4 months: start resuming previous activities

Question 17

3 Compartments of the Knee

Answer 17

Patellofemoral
Medial
Lateral

Question 18

2 Types of Cartilage in the Knee

Answer 18

Articular cartilage

Meniscal cartilage

Question 19

Define Articular Cartilage

Answer 19

Thin lining of resilient connective tissue that serves as padding & an ultra low friction surface

Question 20

Define Meniscal Cartilage

Answer 20

Serve to deepen the contact of the femur on the tibia, provide stability, distribute force

Question 21

4 Main Ligaments in the Knee

Answer 21

ACL
PCL
LCL
MCL

Question 22

Problems with the Knee

Answer 22

Tendonitis
Meniscal tears
Ligament injuries
Cartilage injuries
Arthritis

Question 23

Define Tendon

Answer 23

Attaches muscle to bone

Question 24

Define Tendonitis

Answer 24

Irritation/inflammation of a tendon

Question 25

Treatment of Tendonitis

Answer 25

Rest Ice NSAIDs Focused PT

Question 26

Define Meniscal Tears

Answer 26

Disruption of the continuity of the meniscus of the knee

Question 27

Mechanism of Injury for Meniscal Tears

Answer 27

Twisting Turning Deep knee bends Pivoting

Question 28

Symptoms of Meniscal Tear

Answer 28

``` Intermittent focal pain Swelling Nighttime pain Pain with activity Catching/locking ```

Question 29

Treatment for Meniscal Tears

Answer 29

PT Injections Arthroscopic surgery

Question 30

ACL Tear

Answer 30

Fix: active, physical individual | No age restriction

Question 31

When is an ACL tear fix contraindicated?

Answer 31

Significant arthritis

Question 32

When to Fix a PCL Tear

Answer 32

Symptomatic

Question 33

When is a PCL tear repair contraindicated?

Answer 33

Significant arthritis

Question 34

Treatment of MCL Injury

Answer 34

Brace: 6 weeks | Weight bearing as tolerated

Question 35

Treatment of LCL Injury

Answer 35

Brace | Fix: part of complex lateral injuries

Question 36

Define Cartilage Injuries

Answer 36

Damage to the articular cartilage of the knee

Question 37

Treatment of Cartilage Injury

Answer 37

"Smooth down" cartilage Microfracture Cartilage transplant

Question 38

Indications for Cartilage Transplant

Answer 38

Smaller, focal cartilage defects | Attempt prevention of progression to osteoarthritis

Question 39

What is viscosupplementation?

Answer 39

Solution of hyaluronan | Hyaluronan is the lubricant & shock absorber in joints

Question 40

Factors Determining how Long Viscosupplementation will Last

Answer 40

Age Weight Stage of disease

Question 41

Maximum Benefit Time for Viscosupplementation

Answer 41

12 weeks

Question 42

Contraindications of Viscosupplementation

Answer 42

None

Question 43

Elbow Overuse Injuries

Answer 43

``` Medial epicondylitis (golfer's elbow) Lateral epicondylitis (tennis elbow) ```

Question 44

Treatment of Elbow Overuse Injuries

Answer 44

NSAIDs | RICE

Question 45

Treatment for Recalcitrant Cases of Elbow Overuse Injuries

Answer 45

Corticosteroid injection | Platelet rich plasma (PRP) injection

Question 46

Describe Platelet Rich Plasma (PRP)

Answer 46

High concentration of functionally viable platelets & their associated growth factors

Question 47

How is platelet rich plasma (PRP) placed into the body?

Answer 47

Arthroscopically or open

Question 48

Function of Platelet Rich Plasma (PRP)

Answer 48

Placed directly into the tear site to stimulate a reparative healing response for soft tissue & bone repair

Question 49

Applications for PRP Injections

Answer 49

Direct liquid from injections of concentrated platelets for the various tendonitis problems Clot from applications with extended growth factor release (cuff repairs)