12: MSK

Question 1

Inflammation, irritation, and/or swelling of a tendon.

Answer 1

Tendonitis

Question 2

3 causes of tendonitis.

Answer 2

1. Injury
2. Overuse
3. Aging (tendon loses elasticity)

Question 3

3 common symptoms of tendonitis.

Answer 3

1. Pain
2. Tenderness
3. Increase of pain with movement

Question 4

What is general management of minor MSK injuries?

Answer 4

• Always evaluate neurovascular with MSK injuries.
• Immobilize (24 hours)
• RICE
• Heat, ROM, ice (after 24 hours)
• NSAID or Tylenol

Question 5

In a sprain, what can lead to small bone fragments that are visible on x-ray?

Answer 5

Avulsion at the points of origin or insertion usually results in one or more small bone fragments, which may often be identified radiographically.

Question 6

A stretching or tearing of muscle or tendon.

Answer 6

Strain

Question 7

Sprain classification schemes generally focus on the _____ aspects of the ligamentous injury.

Answer 7

Sprain classification schemes generally focus on the qualitative aspects of the ligamentous injury.

Question 8

Ligamentous injury.

Answer 8

Sprain

Question 9

Sprain of grade 1, 2, or 3?

Ligament is minimally torn. Stable joint.

Answer 9

Grade 1

Question 10

Sprain of grade 1, 2, or 3?

Ligament is partially torn. Some instability of joint.

Answer 10

Grade 2

Question 11

Sprain of grade 1, 2, or 3?

Complete ligament tear and joint instability.

Answer 11

Grade 3

Question 12

Musculotendinous injury.

Answer 12

Strain

Question 13

Strain grade 1, 2, or 3?

Complete rupture of a muscle or tendon. These can present with a palpable defect in the muscle or tendon. However, swelling in the area may make this difficult to appreciate. These injuries sometimes require surgery to reattach the damaged muscle and tendon.

Answer 13

Grade 3

Question 14

Strain grade 1, 2, or 3?

Mild damage to individual muscle fibers (less than 5% of fibers) that causes minimal loss of strength and motion. These injuries generally take about 2-3 weeks to improve.

Answer 14

Grade 1

Question 15

Strain grade 1, 2, or 3?

More extensive damage with more muscle fibers involved. However, the muscle is not completely ruptured. These injuries present with significant loss of strength and motion. These injuries may require 2-3 months before a complete return to athletics.

Answer 15

Grade 2

Question 16

_____ sprain injury involves minimal tearing of ligament and associated fibers, as well as a varying degree of internal hemorrhage.

Answer 16

First-degree sprain injury involves minimal tearing of ligament and associated fibers, as well as a varying degree of internal hemorrhage.

Question 17

_____ sprain usually results in definite structural breakdown as a result of partial tearing. Hemorrhage is both internal and periligamentous, with moderately extensive inflammatory edema.

Answer 17

Second-degree sprain usually results in definite structural breakdown as a result of partial tearing. Hemorrhage is both internal and periligamentous, with moderately extensive inflammatory edema.

Question 18

_____ sprain is most severe and often involves complete rupture of the ligament body.

Answer 18

Third-degree sprain is most severe and often involves complete rupture of the ligament body.