lec 10 - common injuries Flashcards

1
Q

what is apophysitis

A

growth based repetitive injury due to overloads at the growth plate
- pulling on the growth plate that can cause an overproduction of bone
- ex = severs, osgood schlatters

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2
Q

what is PARS

A

adolescent low back injury
- load going through spine with repeated extension and rotation
- creates a stress response that can lead to a fracture

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3
Q

what is synovitis

A

inflammation of the synovial membrane at the joints

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4
Q

what is chondromalacia

A

inflammation and degenerative changes of articular cartilage under the patella
- bone can be revealed in severe cases (lead to sclerosis)

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5
Q

what is chronic compartment syndrome

A

exercise induced condition
- due to repetitive impact activity / overloading
- swelling and increased pressure causing reduced blood flow and pain

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6
Q

where does chronic compartment syndrome occur

A

most commonly in the lower legs
- any of the 4 compartments can be affected

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7
Q

what is the primary risk factor for repetitive injuries

A

load management and recovery problems

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8
Q

what is important in the treatment of repetitive injuries

A

not only managing the injury ]
essential to address the factors that have contributed to the development of the injury
educate about training loads and pathologies

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9
Q

what are prevention strategies for repetitive injuries

A

strength training major muscle groups regularly
gradually increase training load
cross training
correct form and technique
sleep, rest days, nutrition
proper equipment - mainly footwear

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10
Q

what is another name for shin splints

A

medial tibial stress syndrome (MTSS)

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11
Q

what is MTSS

A

pain (diffuse) and inflammation along middle to distal third of the posteromedial aspect of tibia
(periosteal inflammation)

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12
Q

what are the risk factors for MTSS

A

female, high BMI, training load errors
usually over pronation of foot and external tibial rotation

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13
Q

what is the treatment for MTSS

A

alternative training
correction fo malalignment and training problems
exercise therapy - strength and flexibility

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14
Q

what are the symptoms of tibial stress fracture

A

focal pain (localised)
significant pain when running, often disappears during rest, returns when activity starts again

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15
Q

what are the risk factors for tibial stress fracture

A

females (especially with abnormal / absent menstrual cycles)
diet problems

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16
Q

what is the treatment of tibial stress fracture

A

crutches / brace
alternative training
when pain free - add in progressive training (deload first until symptom free)

17
Q

what are the risk factors for low back pain

A

previous back injury
family history of MBP
anatomical structure of the spine
improper technique
overloading the structures of the spine
sleep deficits, nicotine, stress

18
Q

what % of the general pop and athletes will experience low back pain in their lifetime

A

general pop = 85% (up to 20-30% can become persistent)
athletes = 1-94%

19
Q

what is DDD

A

degenerative disk disease
- typically age realted
- heavy stress to the spine
- intervertebral disc degenerates

20
Q

what is the most common sporting injury

A

ankle sprain

21
Q

80% of ankle injuries are caused by what

A

sudden inversion / supination

22
Q

what are the structures put under stress in a lateral ankle sprain

A

ATFL, PTFL, CFL, peroneal tendons

23
Q

what is the mechanism of a lateral ankle sprain

A

sudden excessive supination and/or inversion
occurs 130-180ms after initial foot contact

24
Q

what is the grading system for ankle sprain

A

grade 1 = partial rupture of ATFL, PTFL, or CFL
grade 2 = total rupture of one of the 3 of partial rupture of 2
grade 3 = total rupture of 2

25
what is the treatment for lateral ankle sprain
grade 1 and 2 = brace and taping grade 3 = immobilisation early functional treatment progressive exercise therapy
26
what is the mechanism of a medial ankle sprain
excessive eversion
27
what are the structures put under stress in a medial ankle sprain
deltoid ligament tibialis posterior and toe flexion tendons - sometimes combined with malleolar fractures or syndesmosis injury
28
what is the occurence of reinjury of ankle sprains
10x higher when RTS
29
what is the function of exercise in ankle sprain recovery
balance and proprioception exercises used to protect ankle - balance training can decrease reinjury by 36% - NMT can decrease reinjury by 50%
30
what is a syndesmosis injury
high ankle sprain sprain of syndesmotic ligaments that connect the tibia and fibula - partial or complete rupture of syndesmosis
31
what is the mechanism of a syndesmosis injury
forced external rotation (similar to ACL mechanism) - high risk sports = downhill skiing, football, rugby
32
what are complications of ankle sprains
increased risk for recurrent injuries chronic ankle instability ankle OA persistent pain reduced function
33
what is chronic ankle instability
instability from repeated inversion trauma problem with lateral ligament complex treatment = brace, balance and strength, surgery
34
what are osteochondral fractures
usually occur in association with ankle sprains cause recurrent pain, stiffess and/or locking may progress to ankle OA