Bine Injury Flashcards

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1
Q

What percentage of fractures occur in sport?

A

11%

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2
Q

What type of fractures are most commonly seen in sports?

A

Closed fractures

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3
Q

What is the typical consequence of fractures in sports?

A

High time-loss

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4
Q

What percentage of fractures occur in the lower limb?

A

73%

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5
Q

What percentage of fractures occur in the upper limb?

A

71%

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6
Q

What percentage of upper limb fractures are treated conservatively?

A

Around 90%

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7
Q

What percentage of fractures in sport are managed with surgery?

A

40%

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8
Q

Which sports account for over half of fractures in sport?

A

Football and Rugby

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9
Q

What should be considered when assessing fracture risk in sports?

A

Participation numbers

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10
Q

Fill in the blank: ____% of fractures in sport occur in the foot and ankle.

A

73%

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11
Q

Risk factors related to bone injuries

A

Demand of sport
Protective equipment
Surface and equipment
Age
Biomechanics
Training load

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12
Q

Mechanism of acute fracture

A

Direct force contact to bone

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13
Q

What are stress fractures primarily caused by?

A

Repetitive actions coupled with force

Stress fractures occur due to repeated stress and loads on the bones.

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14
Q

Which limb do stress fractures mostly occur in?

A

Lower limb

Stress fractures are primarily observed in the lower limb due to its exposure to stress and loads.

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15
Q

What is the prognosis for stress fractures if identified early?

A

Good prognosis

Early identification of stress fractures leads to a better recovery outcome.

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16
Q

What is a potential risk if stress fractures are not treated properly?

A

Non-union

Some locations of stress fractures may lead to complications such as non-union if not addressed.

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17
Q

What should athletes maintain to prevent stress fractures?

A

Good training rest ratio

Ensuring a proper balance between training and rest can help mitigate the risk of stress fractures.

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18
Q

List three high-risk locations for stress fractures.

A
  • Femoral Neck (tension side)
  • Scaphoid & Carpals
  • Patella
    Anterior tibia
    Calacaneus
    Talus
    Navicular
    Medial malleolus

These locations are particularly susceptible to stress fractures due to their anatomical and functional characteristics.

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19
Q

List three low-risk locations for stress fractures.

A
  • Clavicle
  • Scapula
  • Humerus
    Ulna
    Radius
    Posterior tibia
    ## Footnote

While still possible, these locations are generally less prone to stress fractures compared to others.

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20
Q

True or False: Stress fractures can occur in the femoral shaft.

A

True

The femoral shaft is one of the locations where stress fractures can occur.

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21
Q

Fill in the blank: Stress fractures can occur in the _______ and _______.

A

[Navicular], [Metatarsal Shaft]

These bones are among those that can experience stress fractures.

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22
Q

Identify one location associated with compression side stress fractures.

A

Femoral Neck

The femoral neck is known to be a site of stress fractures under compression.

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23
Q

What is one common symptom of a stress fracture?

A

Pain during activity

Stress fractures typically present as pain that worsens with physical activity.

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24
Q

What is an avulsion injury?

A

An injury where part of a bone where a tendon or ligament is attached pulls away

Avulsion injuries can involve soft tissue becoming detached or part of the bone itself being pulled away.

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25
Q

What are the possible management options for an avulsion injury?

A

Sometimes managed without surgery, depending on the severity

The decision for surgery depends on how far the bone or tissue has come away.

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26
Q

What types of avulsion injuries exist?

A

Over-use or acute injuries

Over-use injuries develop gradually, while acute injuries occur suddenly.

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27
Q

What are some risk factors for avulsion injuries?

A

Risk factors include:
* Age
* Training load
* Playing surface
* Muscle tightness

These factors can increase the likelihood of sustaining an avulsion injury.

28
Q

What is a common site for both acute fractures and stress fractures?

A

Tibia

The tibia is the main weight-bearing bone of the lower leg.

29
Q

What type of trauma is a common cause of acute tibia fractures?

A

Direct trauma to the bone

30
Q

What are common mechanisms for stress fractures in the tibia?

A

Repetitive running or jumping

31
Q

What is the main weight-bearing bone of the lower leg?

A

Tibia

32
Q

What is the most common type of wrist fracture?

A

Distal radius fracture

33
Q

What type of fractures are mostly seen in the wrist and hand?

A

Acute fractures

34
Q

What is the mechanism of injury for a distal radius fracture?

A

A fall onto an outstretched hand

35
Q

True or False: Over-use is a common cause of distal radius fractures.

A

False

36
Q

Fill in the blank: Any of the bones in the wrist and hand can become fractured, however, some are more common than others. The _______ is the most common type of wrist fracture.

A

distal radius fracture

37
Q

What types of fractures can occur in the 5th metatarsal?

A

Acute or stress response fractures

38
Q

Where do stress fractures of the 5th metatarsal typically occur?

A

Further back on the bone

39
Q

What is the mechanism behind stress fractures in the 5th metatarsal?

A

Repetitive over-use

40
Q

What typically causes fractures of the head and shaft of the 5th metatarsal?

A

Impact or extreme force

41
Q

What is an avulsion fracture of the 5th metatarsal?

A

Occurs when the foot rolls too far inwards and the tendon of the peroneal muscle pulls away from the bone

42
Q

What can cause an avulsion fracture of the 5th metatarsal?

A

It can be traumatic or due to over-use

43
Q

What is a lumbar stress fracture?

A

An over-use injury.

44
Q

Who is more susceptible to lumbar stress fractures?

A

Youth athletes who are at PHV.

45
Q

What type of athletes are at increased risk of lumbar stress fractures?

A

Athletes who frequently rotate through their core or complete high-load repetitive actions.

46
Q

What factors increase the risk of lumbar stress fractures?

A

Poor posture and weak stabilising muscles.

47
Q

What can sport governing bodies do to ensure safety in sports?

A

Change/update rules based on injury epidemiology data

This involves assessing data on injuries to make informed decisions about rule changes.

48
Q

What is the purpose of head injury assessments in sports?

A

To evaluate and manage head injuries during play

These assessments help in determining whether a player can safely continue participating.

49
Q

What type of tackles are addressed in the context of Rugby?

A

Tackles that may result in head injuries

Evaluations of tackles are essential for player safety and rule adjustments.

50
Q

What role does protective equipment play in sports?

A

It helps reduce the risk of injuries

Protective gear is designed to safeguard players from impacts and injuries.

51
Q

What technology may be allowed to enhance player safety?

A

Head impact technology

This technology can monitor and assess the severity of head impacts during games.

52
Q

What is the aim of protective helmets?

A

To redistribute the impact forces

Helmets are designed to minimize the risk of head injury during impacts.

53
Q

What are the two main components of a helmet?

A

Tough exterior and a foam interior

The tough exterior absorbs impact while the foam interior provides cushioning.

54
Q

At lower speeds, what do helmets provide?

A

The desired level of protection

Helmets are effective in protecting against injuries at lower speeds.

55
Q

What happens to the level of protection from helmets at higher speeds?

A

The level of protection diminishes

Higher speed impacts can exceed the protective capability of helmets.

56
Q

What is a performance consideration regarding helmets?

A

False sense of protection could increase risk of injury to self and others

Users may engage in riskier behaviors believing they are fully protected.

57
Q

What does the British Dental Association recommend for anyone participating in contact sports?

A

Mouthguards

58
Q

Why should mouthguards be well fitted?

A

To offer full protection

59
Q

What does the Academy of Sports Dentistry state about mouthguards?

A

They must protect from direct and indirect trauma

60
Q

How often should mouthguards be inspected?

A

Routinely by a dentist, depending on the age of the athlete and demands of the sport

61
Q

What aspects can mouthguards affect that may impact athletic performance?

A

Speech and comfort

62
Q

True or False: Mouthguards are proposed to reduce the risk of concussion.

A

True

63
Q

Mouthguards should be inspected by a dentist based on what factors?

A
  • Age of the athlete
  • Demands of the sport
64
Q

Fill in the blank: Mouthguards can affect _______ and comfort of the athlete.

A

speech

65
Q

What is currently under-researched regarding mouthguards?

A

Their effectiveness in reducing the risk of concussion