Chapter 15 and 16- injuries and emergencies Flashcards
What is a muscle strain?
injuries where muscles work beyond their capacity, resulting in microscopic tears in the muscle fibers
What are the 3 grades of muscle sprains?
Grade 1- mild strain, few fibers are stretched or torn. injured muscle is tender and painful
Grade 2- moderate, large number of fibers are injured. more severe pain and tenderness, swelling, loss function
Grade 3- Complete tear, complete loss of muscle function, severe pain, swelling, tenderness
Ligament sprains usually occur when? and what are the most common joints?
With trauma like fall or sports.
Ankle, knee, thumb, finger, shoulder
What are the 3 grades for a ligament sprain?
Grade 1- little tenderness and swelling, minimal impairment, RICE
Grade 2- Moderate tenderness and swelling, decreased ROM, moderate impairment, RICE and evaluation
Grade 3- Significant swelling and tenderness, severe imapirment, immobilization, RICE, Doctor
What is overuse condition?
Tendinitis, bursitis, fascitis
What is the most common cartilege damage?
Damage to miniscus, which is shock absober
What are low or high impact fractures?
Low impact- short fall or repeated microtrauma, minor stress fracture.
High impact- disabling and require medical attention.
What are the 3 phases of the healing process?
- inflammation phase last for up to 6 days
- fibroblastic/proliferation phase 3 days- 21 days, wound fills with collagen that will form a scar.
- maturation.remodeling phase, day 21- 2years. remodel of scar, rebuild bone
What are signs and symptoms of inflamation?
Pain, swelling, redness, warmth, loss of function.
What is a shoulder strain/sprain?
the soft tissue structures get abnormally stretched or compressed. Can lead to rotator cuff tears.
Local pain that radiates down arm, some swleling and tenderness.
Does a sprain and strain involve a tendon or ligament?
Strain- tendon
Sprains- ligament
How should you manage a shoulder strain or sprain?
Avoid aggravating activities physical therapy Modalities from ice and heat Oral anti inflammatory cortisone injections
What happens in a rotator cuff injury
Individuals that engage in overhead movements.
Can be acute or chronic.
What is refered to as Tennis Elbow?
Lateral epicondylitis.
Overuse or trauma of the wrist extensors
What is called Golfer elbow?
Medial Epicondylitis
overuse or trauma of the wrist flexors
What is the most common compression symptome of the wrist?
Carpal tunnel syndrome.
Narrowing of the carpal tunnel due to inflamation
What is greater tronchanteric bursitis?
Painful inflamation of the tronchateric between the femur, gluteus medius, and IT band. From overuse pain or numbness from hip down to the lateral knee.
Need to focus on strengthening the Gluteus and hip rotator muscles
Need to focus on stretching IT band, hamstring, and quads
What is Ilitobial Band Syndrome and how is it usually caused>
Repetetive overuse syndrome distal portion of the IT band rubs against femur epicondylt.
primarily a training error
what is patellofemoral Pain Syndrome? (PFPS)
Anterior knee pain or runners knee. most common in runners. From overuse, bomechanical, and muscle dysfuntion.
What is infrapatellar tendinities?
Jumpers knee
inflamation of the patellar tendon at its insertion into distal end of patella and proximal tibia. From jumping sports.
what are shin splints and what are the two typoes?
General term to describe exertional leg pain.
Two types:
Medial tibial stress- posterior shin splints
Anterior shin splints
What are the 2 types of ankle sprains?
Lateral or inversion, roll ankle out
Medial or eversion, ankle goes in. Rare