Musculoskeletal and Nerve Trauma Flashcards
What is Trauma
produced by some sort of force. internal, or external.
What is a Mechanical Injury?
Force that changes the structure of a muscle/tendons/ligament.
What are the properties of tissues?
Load
Stiffness
Stress
Strain
What is Load (tissue Property)
external force causes reaction within the tissues
What is stiffness (tissue property)
ability of a tissue to resist a load.
What is stress (tissue property)
internal resistance to load
What is Strain (tissue property)
internal change in tissue
What is Creep?
a deformation in shape. creep is a constant force/strain
What are the components of tissue loading?
Tension, compression, shearing (across the fibers)
Traumatic Injury
direct blow
Overuse Injury
repetitive dynamic use over time
Musculotendinous Injuries
High incidence in athletics. composed of contractile cells that produce movement.
What characteristics does a musculotendinous unit posses?
irritability, contractility, conductivity, elasticity.
What are the three types of muscle?
cardiac, smooth, striated
What is a muscle strain?
A stretch, rip, or rear to muscle or adjacent tissue.
What is the cause of a muscle strain?
1)failure in reciprocal coordination of agonist and antagonist. 2)electrolyte imbalance due to profuse sweating 3) strength imbalance.
Grade I Muscle Strain
some fibers have been stretched or torn resulting in tenderness and pain on active ROM, movement painful but full ROM present
Grade II Muscle Strain
Number of fibers have been torn and active contraction is painful, usually a depression or divot is palpable, some swelling and discoloration result
Grade III Muscle Strain
Complete Rupture of muscle or musculotendinous junction, significant impairment, with initially a great deal of pain that diminishes due to nerve damage.
How long should treatment of a muscle strain last?
6-8 weeks. Return to play too soon could result in major injury.
What is a Muscle Cramp?
Painful involuntary skeletal muscle contraction. Occurs in well-developed individuals when muscle is in shortened position. can be experienced at night, or at rest.
What is Muscle Guarding?
Following injury, muscles within an effected area contract to splint the area in an effort to minimize pain through limitations in motion
What is a Muscle Spasm?
A reflex caused by trauma.
What is a Clonic Muscle Spasm?
alternating involuntary muscular contractions and relaxations in quick succession
What is a Tonic Muscle Spasm?
Rigid Contraction that lasts a period of time
What is Muscle Soreness?
Overexertion in strenuous exercise resulting in muscular pain.
What are the two types of muscle soreness?
Acute-onset muscle soreness
Delayed-onset muscle soreness
What is the breaking point of a tendon?
6-8% increased length. tears generally occur in the muscle, not the tendon.
What is the most susceptible tendon to injury?
Achillies
What is tendonitis?
inflammation of the tendon
What is tendonosis
Without proper healing, tendonitis may begin to degenerate and result in tendinosis
Tendonopathy
Often refers to tendonitis or tendonosis
Tenosynovitis
inflammation of the synovial sheath
What is a myofascial trigger point?
discrete, hypersensitive nodule within tight band of muscle or fascia. Develop as the result of mechanical stress
Latent Myofascial trigger points
Latent - does not cause spontaneous pain. may restrict movement or cause muscle weakness. become aware of presence when pressure is applied.
Active Mysofascial Trigger Point
Causes pain at rest, applying pressure = pain = jump sign, tender to palpation with referrred pain. point tender vs. trigger point. found most commonly in muscles involved in postural support
What is a contusion?
result of a sudden blow to the body. can be both deep and superficial.
Atrophy
Atrophy is wasting away of muscle due to immobilization, inactivity, or loss of nerve functioning
Contracture
Contracture is an abnormal shortening of muscle where there is a great deal of resistance to passive stretch.
Synarthrotic
Immovable joint –> skull
Amphiarthrotic
Slightly moveable –> vertebrae
Diarthrotic
Freely moveable
Ball and Socket Joint
Allows all possible motion –> shoulder
Hinge
Flexion and Extension.. elbow
Pivot
Rotation around an axis… atlas/axis
Ellipsoidal
Convex head in a concave socket… wrist
saddle-shaped joint
MP joint of thumb
Gliding
Allows a small amount of gliding back and forth. carpals/tarsals
Grade I Ligament Sprain
Some pain, minimal loss of function, no abnormal motion, and mild point tenderness
Grade II Ligament Sprain
pain, moderate loss of function, swelling, and instability with tearing and separation of ligament fibers. may or may not have surgery
Grade III Ligament Sprain
Extreme pain, inevitable loss of function, severe instability and swelling, and may also sublux. can result in join effusion and swelling, local temp increase, pain and point tenderness, ecchymosis, and possibly an avulsion fracture.
Dislocation
Occurs when at least one bone in a joint is forced out of alignment and must be manually or surgically reduced.
Subluxation
Partial dislocation causing complete separation of two bones. bones come back together on their own.