Chapter 9: Exam 1 Flashcards

1
Q

Trauma

A

A physical injury or wound produced by internal or external force

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2
Q

Why must an ATC know about the mechanics of an injury?

A

Knowing how the injury occurred helps narrow down what the injury might be

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3
Q

What causes mechanical injuries?

A

Result from force or mechanical energy that changes state of rest or uniform motion of matter

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4
Q

Load

A

An external force acting on the body causing internal reactions within the tissue

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5
Q

Stiffness

A

Ability of a tissue to resist a load (greater stiffness=greater magnitude a load can resist)

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6
Q

Stress

A

Internal resistance to a load

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7
Q

Strain

A

Change in shape tissue (ex. Length)

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8
Q

Elastic deformation

A

Occurs until the yield point and plastic deformation occurs until failure point (can bend/stretch without injury)

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9
Q

Yield point

A

Point where elastic deformation turns to plastic deformation

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10
Q

How does tissue failure occur?

A

Results from forces that exceed the structural capacity of a tissue

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11
Q

Why does each tissue have a different failure point?

A

Different tissues have different structural properties and can withstand different amounts of force before tissue failure and injury occur

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12
Q

Compression

A

Force that results in tissue crush-2 forces applied towards one another

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13
Q

Tension

A

Force that pulls and stretches tissue

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14
Q

Shearing

A

Force that moves across the parallel organization of tissue

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15
Q

Bending

A

Two force pairs act at opposite ends of a structure (axial loading)

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16
Q

Torsion

A

Twisting in opposite directions from opposite ends (ex. High ankle sprain)

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17
Q

Types of Tissue Loading (5)

A
  • compression
  • tension
  • shearing
  • bending
  • torsion
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18
Q

Primary injury

A

Direct immediate consequence of excessive force

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19
Q

Secondary injury

A

Delayed sometime after the initial trauma or an accommodation to the primary injury

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20
Q

Acute injury (trauma)

A

Mechanical failure of tissue due to excessive force occurring in a single bout (ex. Muscle strain, ligament sprain)

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21
Q

Chronic injury (overuse)

A

Mechanical failure of soft tissue due to repeated micro trauma occurring over an extended period of time. Gradual onset and prolonged duration (ex. Cramps, tendinitis, stress fracture)

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22
Q

Muscle strain

A

Stretch, tear, or rip to the muscle or adjacent tissue

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23
Q

Muscle strain causes (3)

A

Often unclear…
Abnormal muscle contraction due to..
-failure in reciprocal coordination of agonist and antagonist
-electrolyte imbalance due to profuse sweating
-strength imbalance

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24
Q

Ranges of muscle strains

A

Mild separation of connective tissue to complete tendinous avulsion or muscle rupture

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25
Q

Muscle cramps

A

Involuntary muscle contractions due to electrolyte imbalance

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26
Q

Muscle guarding

A

Muscle contraction in response to pain **natural splinting

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27
Q

Clonic muscle spams

A

Involuntary, alternate between contraction and relaxation rapidly

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28
Q

Tonic muscle spasms

A

Constant contraction for long period of time

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29
Q

Tendon

A

Attaches muscle to bone and double the strength of the muscle it serves

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30
Q

Tendon injuries

A
  • tendinitis
  • tenosynovitis
  • strain/ rupture
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31
Q

Mechanism of tendon strain/ rupture

A

High magnitude, single load, tensile forces

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32
Q

Mechanism of tendinitis/ tenosynovitis

A

Low magnitude, repetitive load, tensile forces

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33
Q

Mechanisms of compressive forces

A

Bony structures and external compression

34
Q

Tendinitis

A

Gradual onset and diffuse tenderness, swelling and pain, without proper healing it can worsen and become tendinosis or tensynovitis
***rest

35
Q

Contusions

A

Results from a sudden blow to the body

36
Q

Results of contusions

A

Hematoma results from blood flow and lymph flow into surrounding tissue.

37
Q

Prevention of contusions

A

Padding

38
Q

Myositis ossificans

A

Chronically inflamed and contused tissues may result in generation of calcium deposits

39
Q

Prevention of tendon injuries

A

Gradual loading

40
Q

Ligaments

A

Attach bone to bone and are strongest in the middle and weakest in the ends

41
Q

Ligament injuries (ACL)

A

-High magnitude, single load, tensile force

42
Q

Ligament injuries (shoulder instability)

A

Low magnitude, repetitive load, tensile forces (constant tensile forces lead to ligamentous deterioration)

43
Q

Dislocations and subluxations

A

Caused by bony surfaces not articulating correctly and results in separation of bony articulating surfaces

44
Q

Subluxation

A

Partial dislocation causing incomplete separation of two bones. Bones spontaneously come back together

45
Q

Dislocation

A

Total disunion of bony alignment which must be manually or surgically reduces (gross deformity)

46
Q

Bone anatomical characteristics

A
  • dense connective tissue matrix
  • outer compact tissue
  • inner porous cancellous bone
47
Q

Epiphysis

A

End of the bone—> spongy bone surrounded by compact bone

48
Q

Diaphysis

A

Center of the bone—>dense

49
Q

Bone fractures classification

A
  • open

- closed

50
Q

Closed fracture

A

Little movement or displacement

51
Q

Open fracture

A

Displacement of the fractured ends and breaking through the surrounding tissue

52
Q

Signs and symptoms of bone fractures

A
  • deformity
  • pain
  • point tenderness
  • swelling
  • pain on active and passive movements
  • false joint
  • possible crepitus
53
Q

How to get a definite diagnosis for fracture

A

X-Ray

54
Q

Seriousness of fracture

A

Serious if not managed properly

55
Q

Greenstick fracture

A

Splinters

56
Q

Comminuted

A

Compressive, crushed

57
Q

Linear

A

Parallel

58
Q

Transverse

A

Horizontal

59
Q

Oblique

A

Diagonal

60
Q

Spiral

A

Twisting; looks diagonal

61
Q

Depressed fracture

A

Depressed below the normal surface (skull)

62
Q

Epiphyseal conditions (3)

A
  • injury to growth plate
  • articular epiphysis
  • apophyseal injuries
63
Q

Epiphyseal injury ages

A

10-16 years old b/c bone is not fully developed and still growing

64
Q

Classification of Epiphyseal conditions

A

Salter-Harris (5 types)

65
Q

Stress Fracture other names

A

“March” “fatigue”

66
Q

Cause of stress fracture (7)

A

Exact cause unknown:

  • overtraining
  • amenorrhea/ hormonal imbalance
  • inadequate nutrition
  • returning to competition too soon
  • “too much too fast”
  • footwear or foot biomechanics
67
Q

Stress fracture symptoms

A
  • swelling
  • point tenderness
  • vibration percussion will cause pain at site
68
Q

Stress fracture treatment

A
  • treated early-bony changes might not show up for several weeks
  • rest
  • immobilization
69
Q

Most common nerve injury

A

Neuropraxia; produced by direct trauma

70
Q

Common ways nerves get lacerated and compressed

A

Fractures and dislocations

71
Q

What can abnormal nerve responses be attributed to?

A

Injury or athletic participation

72
Q

Nerve responses to stress

A
  • anesthesia
  • paresthesia
  • hyperesthesia
73
Q

Anesthesia

A

Loss of sensation

74
Q

Paresthesia

A

Altered sensation

75
Q

Hyperesthesia

A

Increase sensitivity

76
Q

Primary mechanisms of nerve injuries

A

Compression and tension

77
Q

Nerve injuries:acute or chronic

A

Either

78
Q

Neuropraxia

A

Interruption in conduction through nerve fiber

79
Q

Neuropraxia cause

A

Compression or blunt trauma

80
Q

Neuropraxia symptoms

A
  • impact motor more than sensory

- temporary loss of function (hours to months)

81
Q

Are nerve injuries painful?

A

Sometimes

82
Q

Burner/stingers

A
  • Caused by traction (most common) or compression
  • nerves are stretched
  • if repeated, it can cause long term injury