Intro to STIs Flashcards
Types of injury
Traumatic Injury
‘Overuse’ Injury (cumulative ‘load)
Not just Sports Injuries!
Types of Soft Tissue Injury
ligament - sprain/tear
Bursa -bursitis
Joint capsule - joint dislocation/subluxation
Muscle - strain/tear, contusion
Tendon - partial/complete rupture, tendinopathy, tensosynovitis
soft tissue injury of synovium
synovitis
soft tissue injury of fascia
fasciitis
soft tissue injury of menisci
menisci tear
fat pad soft tissue injury
inflammation
soft tissue injury labrum
tear
soft tissue injury of nerve
compression, irritation,sensitisation
inflammatory phase of acute/traumatic injury
Vasodilation
Plasma proteins/exudate of tissue fluid/ oedema
Stimulation of pain fibres
Cellular response
proliferative phase of acute/traumatic injury
Elimination of debris
Revascularisation
Fibroblast proliferation
remodelling phase of acute/traumatic injury
Contraction of wound
Maturation of collagen fibres
Continues up to 6 months
aims of treatment of injury in the inflammatory phase
Minimise traumatic exudate,
Minimise pain, loss of function,
Promote rapid acceleration to subsequent phases
aims of treatment in the proliferation phase
Facilitate removal of debris
Optimise fibroblast production
promote revascularisation
aims of treatment in remodelling phase
Ensure mobile and well conditioned scar
general factors that delay healing
Age Protein deficiency Vitamin deficiency Steroids (inhibitory effect) Colder Temperature
local factors which delay healing
Type and size of injury Poor blood supply to the area Continued inflammation Infection Excessive movement too early
function of ligaments
reinforces a joint capsule
attaches bone to bone
provides passive stability to joint - allow movement to take place in certain planes
restrain too much movement
what kind of impulses are sent from the ligaments what is its purpose
Proprioceptive impulses are transmitted from the ligament to Central Nervous System (CNS), where muscles are recruited to provide dynamic support
mechanism of injury in ligament injury
force beyond its tensile strength is applied due to Trauma Collision Direct blow Sport
what characteristics does connective tissue have to have
pliable and strong
when longitudinal stress is applied to connective tissue
Elongation: straightening out of crimping
Microfailure: e.g. in cumulative overload
Failure (tearing): e.g. macrofailure or clinical strain.
grade I ligament sprain
stretching small tear
little to no loss of structural integrity
Grade II ligament sprain
moderate but incomplete tear of ligament collagenous fibres
less structural integrity
Grade III ligament sprain
complete tear
loss of structural integrity