Chapter 9: Exam 1 Flashcards
Trauma
A physical injury or wound produced by internal or external force
Why must an ATC know about the mechanics of an injury?
Knowing how the injury occurred helps narrow down what the injury might be
What causes mechanical injuries?
Result from force or mechanical energy that changes state of rest or uniform motion of matter
Load
An external force acting on the body causing internal reactions within the tissue
Stiffness
Ability of a tissue to resist a load (greater stiffness=greater magnitude a load can resist)
Stress
Internal resistance to a load
Strain
Change in shape tissue (ex. Length)
Elastic deformation
Occurs until the yield point and plastic deformation occurs until failure point (can bend/stretch without injury)
Yield point
Point where elastic deformation turns to plastic deformation
How does tissue failure occur?
Results from forces that exceed the structural capacity of a tissue
Why does each tissue have a different failure point?
Different tissues have different structural properties and can withstand different amounts of force before tissue failure and injury occur
Compression
Force that results in tissue crush-2 forces applied towards one another
Tension
Force that pulls and stretches tissue
Shearing
Force that moves across the parallel organization of tissue
Bending
Two force pairs act at opposite ends of a structure (axial loading)
Torsion
Twisting in opposite directions from opposite ends (ex. High ankle sprain)
Types of Tissue Loading (5)
- compression
- tension
- shearing
- bending
- torsion
Primary injury
Direct immediate consequence of excessive force
Secondary injury
Delayed sometime after the initial trauma or an accommodation to the primary injury
Acute injury (trauma)
Mechanical failure of tissue due to excessive force occurring in a single bout (ex. Muscle strain, ligament sprain)
Chronic injury (overuse)
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)
Muscle strain
Stretch, tear, or rip to the muscle or adjacent tissue
Muscle strain causes (3)
Often unclear…
Abnormal muscle contraction due to..
-failure in reciprocal coordination of agonist and antagonist
-electrolyte imbalance due to profuse sweating
-strength imbalance
Ranges of muscle strains
Mild separation of connective tissue to complete tendinous avulsion or muscle rupture
Muscle cramps
Involuntary muscle contractions due to electrolyte imbalance
Muscle guarding
Muscle contraction in response to pain **natural splinting
Clonic muscle spams
Involuntary, alternate between contraction and relaxation rapidly
Tonic muscle spasms
Constant contraction for long period of time
Tendon
Attaches muscle to bone and double the strength of the muscle it serves
Tendon injuries
- tendinitis
- tenosynovitis
- strain/ rupture
Mechanism of tendon strain/ rupture
High magnitude, single load, tensile forces
Mechanism of tendinitis/ tenosynovitis
Low magnitude, repetitive load, tensile forces