Clinical lecture: soft tissue injuries Flashcards
What Is a soft tissue
Rotator cuff tendon
Patellar ligament
Achillies tendon
Joint capsule and ligaments
(Anything but bone)
Soft tissue injuries
Whiplash
Bruised ligaments
whiplash
sprain
ruptures
Strains
Mechanisms of soft tissue injury
Direct, acute, injury
Long term wear and tear
Repetitive strain injury
Clinical exams of soft tissue injurues
Look, Feel, Move, Special test
Investigations of soft tissue injury
History of presenting complaint
SH
PMH
FH
Investigations- XRay, ultrasound, CT, MRI
examinations
Treatment of soft tissue injury
Analgesia
RICE
Immobilise
Physio
Surgical repair
Education/Information
Common upper limb soft tissue injuries
Shoulder ACJ dislocation
Shoulder dislocation
Roatator cuff tear
Long head of biceps tear
elbow dislocation…
Common lower limb soft tissue injuries
ACL
Ankle sprains
Muscle strains…
other soft tissue injuries
Whiplash
Synovitis
lower back pain
…
Acromioclavicular joint dislocation
Fall onto top of shoulder
Grade 1-6
Noticeable bump in skin
Clavicle moves superiorly
Ligaments stretched in grade 1
All ligaments torn in grade 3
Placement of clavicle determines grades 4-6
Sling for 6 weeks
surgery in sever cases
Education
Distal biceps rupture
HPC, PMH, DH, Allergies etc
Lifting
Usually men 40-50
clinical examination- hook test
MRI/ Ultrasound
Sling and physio
Surgical reconstruction
education
ACL
Footballer injury
HPC, PC, DH, Allergies etc
Examination
Investigation
Anterior draw test- not immediately after due to pain
Lachman’s test
MRI
Patient factors
Usually conservative treatment
Surgical reconstruction
Education
Achillies tendon rupture
History, previous heel pain
clinical exam- calf squeeze test
Ultrasound/ MRI
Patient characteristics
Conservative-3 months in boot- most treated like this- heel elevated and gradually have less plantar flexion in boot
surgical reconstruction
Whiplash
Road Traffic accident
Neck moved very quickly
Reassurance
make sure not missing a fracture
