Exam 2 Flashcards
Rest
Varies from minutes to days/weeks
Depends on severity of injury
Control effects of trauma
Minimize additional damage
Can include crutches, braces, boots, knee walkers, etc. to incorporate rest and support
Ice
Form of cold therapy
Reduces pain and swelling
Ice bag for 20-30 minutes allowing for rewarding in between applications (about an hour)
Apply as often as possible for a minimum of 5-6 times per day
Compression
Controls/reduces edema
Support
Pain relief
Apply day and night
Elevation
Venous return, limits fluids pooling
Level
Equipment
Length of time
Combination with other modalities
What is the application of RICE?
Best approach to the care of soft tissue injury is RICE along with prescribed pharmacologic agents and supervised rehab exercise
What does each letter of the RICE acronym represent?
Rest, Ice, Compression, Elevation
What are the four motions of the foot/ankle?
Dorisflexion (flex)
Plantarflexion (point)
Inversion (in)
Eversion (out)
What are common signs/symptoms of lower leg/foot fracture?
Swelling and/or deformity at the site of fracture
Possible broken bone end projecting through skin
Inability to bear weight on the affected leg
Discoloration at the site
Athlete reports of a snap or pop was heard
Point of tenderness for stress/growth plates
What are common signs/symptoms of lateral ankle sprain?
What are common signs/symptoms of medial ankle sprain?
What are common signs/symptoms of chronic compartment syndrome?
Pain and swelling in lower leg
Loss of sensation or motor control of lower leg/foot
Inability to use muscles in compartment
Loss of pulse in foot
What are common signs/symptoms of high ankle sprain (tib/fib)?
Dorsiflexion followed by axial loading with external rotation of the foot
Positive sprain test
In great pain
“Squeeze test” elicits pain in syndesmosis area
What are common signs/symptoms of achilles tendonitis?
Increased temperature in the immediate area
Tendon is painful on touch and movement and appears thickened
The pain associated with this condition is localized to a small area of the tendon and typically intensifies when movement is initiated after rest
What are common signs/symptoms of acute compartment syndrome?
Pain and swelling in lower leg
Loss of sensation or motor control of lower leg/foot
Inability to use muscles in compartment
Loss of pulse in foot
What are common signs/symptoms of shin splints?
Lower leg pain either medially or posteromedially
Reports of chronic problem that progressively worsens
Pain can be unilateral or bilateral
1st-degree ankle sprain
Pain
Mild disability
Point tenderness
Little laxity
Little or no swelling
3rd-degree ankle sprain
Pain and severe disability
Point tenderness
Loss of function
Laxity
Moderate to severe swelling
2nd-degree ankle sprain
Pain
Mild to moderate disability
Point tenderness
Loss of function
Some laxity
Swelling mild-moderate
What should be done in providing first aid care for lower leg/foot fracture?
Immobilize the foot and leg using a sprint
Apply sterile dressing to any open wounds
Watch and treat for shock
Arrange for transport to a medical facility
What should be done in providing first aid care for lateral ankle sprain?
RICE
Apply a horeseshoe or doughnut shaped pad
Crutches if needed
Referral if questioning severity of the ankle sprain
Allow time for recovery, rehab, and return to play
What should be done in providing first aid care for medial ankle sprain?
What should be done in providing first aid care for high ankle sprain (tib/fib)?
Immediately ice, compress, and elevate
Apply a doughnut-shaped pad and elastic wrap for compression
Rest and use crutches for first 72 hours, followed by wearing a WALKING BOOT for 3-7 days
Refer athlete to a medical facility for physician’s evaluation
What should be done in providing first aid care for achilles tendinitis?
Not necessary if chronic
Rest, ice, compression, protection
What should be done in providing first aid care for acute compartment syndrome
Apply ice and have the individual rest
Elevate
DO NOT APPLY COMPRESSION
Use NSAIDS
Analyze gait
Seek medical advice if numbness, loss of movement, or loss of pulse=medical emergency
What should be done in providing first aid care for chronic compartment syndrome?
Apply ice and have the individual rest
Elevate
DO NOT APPLY COMPRESSION
Use NSAIDS
Analyze gait
Seek medical advice if numbness, loss of movement, or loss of pulse=medical emergency
What should be done in providing first aid care for shin splints?
Apply ice and have individual rest
Use NSAIDs
Analyze gait for biomechanical deficiencies
Seek medical advice if worsens
What are the four ligaments of the knee (name and abbreviations)?
What is the name of cartilage disks in the knee?
ACL
PCL
MCL
LCL
Knee ligament injury occurance
MCL, LCL, ACL., PCL
LCL role
Helps keep the outer side of your knee joint stable
LCL
Sprain to LCL is a less common sports injury
Hit to the medial portion of the knee
MCL role
Prevent the leg from extending too far inward
MCL
Sprain to MCL is a common sports injury
Hit to the lateral portion of the knee
PCL role
One of the main stabilizers of the knee joint and serves primarily to resist excessive posterior translation of the tibia relative to the femur
PCL
Injured when the lower leg moves forcefully in a posterior direction
Injured when the femur gets pushed forward while the tibia is held in place
ACL
Injured when the tibia moves forcefully in an anterior direction
Injured when femur gets pushed backward while tibia is held in place
Quick rotational movements without contact, stops and starts, awkward landings
Non-contact injury