Pathology of Injury Flashcards
All injury happens because of ______.
trauma
What is trauma also known as? What is it?
- MOI: mechanism of injury
- how did they get hurt
Define trauma. How does it help us?
- Defined as a physical injury that is produced by an external or internal force
- Gives you clues as to what might be hurt
What is a mechanical injury?
- Force is applied to the body (int/ext) and that results in a disturbance of either structure (ex. Broken bone, torn skin, torn ligament) or function (ex. Can’t bend elbow, can’t touch toes etc.)
What is mechanical failure?
- Point that injury happens, point where the body’s ability to withstand all forces is surpassed
- May take several times to reach threshold or just once
What are the 5 types of tissue loading?
- compression
- tension
- shearing
- bending
- torsion
Describe compression.
- tissues get “squished”/shortened
- ex. fracture
Describe tension.
- tissues get pulled apart
- ex. tears, strains
Describe shearing.
- friction
- forces aren’t balanced
- ex. road rash, blisters, disc injuries
Describe bending.
- bending where not meant to bend
- ex. strain, breaks, dislocate, tears
Describe torsion.
- twisting
- most disruptive
- body is not meant to twist in those ways
What is the difference between traumatic and overuse injuries?
- Traumatic: happens from 1 trauma or 1 MOI.
- Overuse: happens from lots of micro traumas, generally ends in the word “…itis” (inflammation)
What is the musculotendinous unit?
- Where the muscle becomes a tendon
- Point of change in a structure
- Point of weakness: place that trauma will hit first
Describe tendons.
- Tissue that attaches a muscle to a bone
- Most have tendons in each end
- Also a point of weakness
- Makes muscle smaller (concentrates down) so it has a small attachment space
Why is injury at the tendon rare? Where are we more likely to injure?
- Generally double the strength of the muscle
- More likely to have an injury at the musculotendinous unit or where tendon attaches to bone
Describe the aponeuroses.
- Thicker band of tissue (not a muscle) that joins 2 structures together, generally bones
- Helps disperse forces
Why is damage to the aponeuroses difficult to heal?
they do not have a very good blood supply
What are the 5 symptoms for every injury?
- inflammation
- redness
- bruising
- deformity
- heat
Strains can only happen in ____ and _____.
muscles and tendons
Describe a grade 1 strain.
- mild symptoms
- No deformity
- No loss of function
- May have pain, but this is dependent on each person
- Mild inflammation
- Redness
- Possibly mild bruising
- Mild heat
- Stretching of structure
Describe a grade 2 strain.
- moderate inflammation
- More redness and heat
- Some bruising
- Some deformity (can physically palpate it)
- Some tearing of structures
- Loss of some function
Describe a grade 3 strain
- severe inflammation
- Very red
- Very bruised
- Hot to the touch
- Significant deformity
- No function
- Nothing attached = doesn’t hurt anymore
- Feels like they “got shot, excruciating pain for 5 seconds, then no pain at all”
What causes muscle cramps?
- Happen because of an external or internal force
- Dehydration
- Heat
- Electrolyte imbalance
- Lack of oxygen
What kind of pain does muscle cramps give? What can we do for someone feeling this?
- Stabbing feeling, generally in 1 muscle group
- Massage, hydrate, get them air… nothing much else you can do for them