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Flashcards in soft tissue injuries Deck (93)
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1

what does soft tissue refer to?

musculoskeletal tissue other than bone

2

soft tissue injuries include

muscle, blood vessels, ligaments, tendons, cartilage, skin, etc

3

tendons attach

muscle to bone

4

ligaments attach

bone to bone

5

another name for bruises

contusion

6

muscle injury caused by impact of blunt object of force

contusion

7

damage to contusions lie

closest to the bone

8

bleeding without breaking skin

contusion (bruise)

9

contusion symptoms

history of blunt trauma, weakness and/or pain to muscle group
tightness/swelling to muscle
inability to fully flex the joint (e.g. limited knee flexion for quadr injury)
palpable hematoma (solid swelling of clotted blood within the tissue) in muscle tissue

10

contusion muscle damage can be either

minor- involving only swelling on a cellular level
major- involving rupture of the capillaries and leading to heavy bleeding

11

Contusions: ROM of affected limb

mild - affected joint flexion ROM >90 degrees
moderate – 45-90 degrees
severe <45 degrees

12

Treatment of contusions

apply ice to the injured area immediately

after injury, and place the muscle on a light stretch (90˚) for 20 minutes

Repeat the “ice-on-stretch” 1–2 times every
2 hours for the first 48–72 hours

Compression wrap, rest extremity for 3 days

Begin muscle stretching 2-3 times per day, 3-7 days after injury, start light activity, increasing activity each day if no pain, ice area after activity

13

what are strains?

injury to muscle or tendon, or muscle- tendon unit

14

another name for strains

pulled muscle

15

strains are caused by

Caused by pulling or twisting injury, overuse/overstressed from heaving lifting or exertion, or by sudden stretch of a contracting muscle

16

strain symptoms

pain, muscle spasms, muscle weakness, stiffness, swelling & local tenderness

17

strain prevention

proper stretching, warm up (sports, physical work/activity), avoid over exertion

18

treatment of strain

RICE

Rest and protect the injured area. May also requiretemporary immobilization with splints, etc.

Ice injury for 20 minutes at a time, 3 to 8 times a day for first 3 days

Compression of injured area using elastic bandages

Elevate. Rest injured extremity above heart, to controlor reduce swelling

19

Preventing muscle strains

Strength Training
Weaker muscles more susceptible to muscle strain than stronger ones. Strength training may help make muscles more resistant to strains

Warm-Up
Warming up prior to a workout will prepare muscles for strenuous activity. Warming up may include a brisk walk, slow jogging, and/or light calisthenics

Stretch
Do slow, deliberate stretch for each muscle group to reduce muscle tension, improve range of motion, promote circulation, improve flexibility

20

sprains

joint ligament and capsule

21

sprains caused by

excessive move of the joint, resulting in torn or stretched ligaments

22

symtoms of sprains

pain, rapid swelling, tenderness,
discoloration, limited joint movement

23

Grade III sprains result in

joint instability

24

Treatment for sprains

Home treatment: RICE protocol

Medications Nonsteroidal anti-inflammatory drug (NSAID; i.e. aspirin and ibuprofen)

Ambulatory aids for lower extremity (crutches)

Immobilization: brace support, cast boots, air braces, short cast, etc.

Surgical repair may be necessary

Physical therapy if prescribed, may include
early ROM, strengthening, balance training (for ankle injuries), agility exercises, etc.

25

Preventing sprains

Maintain good muscle strength, balance, and flexibility
Warm up thoroughly before exercise and physical activity
Pay careful attention when walking, running, or working on uneven surface
Wear proper shoes made for your activity
Slow down or stop & rest when you feel pain or fatigue

26

elbow injuries

olecranon fracture & ORIF repair, susceptible to injury

27

treatment of elbow injuries is usually

splint or surgery

28

elbow fracture with ORIF protocol

Removable cast for 3-6 weeks, depending on fracture and repair
ROM starting in the 1st week
CPM (continuous passive motion unit)
Progressive strengthening program
Precautions: no lifting or carrying with involved arm or driving until healed (6 weeks)
Progressive lifting and carrying after 6 weeks

29

ORIF

Open reduction internal fixation (ORIF) is a surgery to fix severely broken bones. It's only used for serious fractures that can't be treated with a cast or splint

30

elbow lateral epicondylitis "tennis elbow"

Overuse or cumulative trauma, wear & tear, but can occur without injury

ages 30-50