LECTURE 1

Question 1

stages of tissue healing

Answer 1

acute
subacute
chronic

Question 2

strain

Answer 2

mild injury to muscle usually
biarticulates are usually most strained (quads, hams, gastroc)

Question 3

sprain

Answer 3

injury of ligament or soft tissue

Question 4

grade I sprain

Answer 4

ligament stretched, but intact

Question 5

grade 2 sprain

Answer 5

incomplete or partial tear
most patients have this type of sprain

Question 6

grade 3 sprain

Answer 6

complete tear
If muscle/tendon is completely torn, then NO PAIN, SEVERELY WEAK

Question 7

complete muscle tear/grade 3 strain

Answer 7

no pain
severe weakness

Question 8

partial muscle strain
grade I/II

Answer 8

pain, reduced strength

Question 9

popeye muscle tear

Answer 9

long head of biceps (biarticulate)
distal tear, muscle belly migrates up

Question 10

what attitude does foot rest when achilles has grade 3 strain

Answer 10

neutral (no longer plantar)

Question 11

dislocation

Answer 11

complete loss of anatomical relationship

Question 12

subluxation

Answer 12

incomplete or partial dislocation

Question 13

which direction does shoulder most commonly dislocate?

Answer 13

anterior!

Question 13

tendinitis

Answer 13

inflammation of tendon
results in scarring/calcium deposits

Question 14

tendinosis

Answer 14

pathology of chronic degeneration WITHOUT inflammation

Question 14

does tendinosis include pain?

Answer 14

yes! just less inflammation

Question 15

use load instead of reps
(heavy loads, then back off) to heal

Answer 15

tendons!!!!
(has to due with adaptation to load)

Question 16

synovitis

Answer 16

inflammation of synovial membrane
-excessive synovial fluid in the joint or tendon sheath

Question 17

contraindication of soft tissue

Answer 17

synovitis

Question 18

common bursitis sites

Answer 18

subacromial bursa
olecranon bursa
GT bursa
prepatellar bursa

Question 19

ganglion

Answer 19

ballooning of wall of joint capsule
RA

Question 20

hemarthrosis

Answer 20

bleeding into joint
severe trauma

Question 21

contusion

Answer 21

bruising from direct blow
capillary rupture, bleeding
edema and inflammation

Question 22

grade I soft tissue lesion

Answer 22

mild pain in 24 hours
swelling, tenderness
some pain when tissues stressed
normal joint feel

Question 23

grade 2 soft tissue lesion

Answer 23

moderate pain
painful when palpation, stress to tissues
increased mobility with joint feel

Question 24

grade 3 soft tissue lesion

Answer 24

severe pain
palpation can reveal defect
painless when tissue stressed
unstable joint feel

Question 25

5 cardinal signs of inflammation?

Answer 25

pain
heat
redness (erythema)
swelling (edema)
loss of function

Question 26

normal collagen in our body is what type?

Answer 26

85% OF COLLAGEN
type 1

Question 27

after injury, fibroblasts synthesize what type of collagen?

Answer 27

type III: ELASTIC
babies!

Question 28

___contraction/overstretch of biarticulate muscles can cause injury

Answer 28

eccentric contraction!

Question 29

periosteum is where ____ attach

Answer 29

tendons!

Question 30

upper extremity heals ____ than lower extremity

Answer 30

faster

Question 31

what heals faster, distal or proximal bone?

Answer 31

distal

Question 32

unfavorable conditions for bone healing

Answer 32

smoking
wide separation of bone ends
severe comminution or soft tissue damage
shearing or rotary forces acting at fracture site