PEDS 440 - SOAP+ Common Shoulder/Knee Injuries

Question 1

What are common “red flags” that should be cleared?

Answer 1

Dizziness, Fatigue, Balance problems, fainting, change in weight/appetite, Chest Pains, Shortness of breath, Menstrual Irregularities, Hearing or speech problems, headaches, vision problems

Question 2

What are 4 things to find out when getting the athletes chief complaint?

Answer 2

Description of how injury occurred, location of the injury, Date of Injury (chronic/acute), level of discomfort

Question 3

What does PQRST stand for in regards to behavior of symptoms

Answer 3

Provoke, Quality, Region, Severity, Time

Question 4

In regards to the mechanism of injury, what needs to be included in the SOAP notes in regards to anatomical position

Answer 4

Nature of forces acting on the body and how they relate to anatomical position. Need to identify body position, direction of forces applied, and point of application

Question 5

Pain during activity that decreases with rest

Answer 5

Joint Adhesion

Question 6

Morning stiffness that reduces with activity

Answer 6

Chronic inflammation and edema

Question 7

Pain or aching that progressively worsens with activity

Answer 7

Joint congestion

Question 8

Pain at rest and worsens at the beginning of activity in comparison to the end of activity

Answer 8

Acute Inflammation

Question 9

Pain is not influenced by rest or activity (always hurts)

Answer 9

Bone pain or systemic disorder

Question 10

Pain that increases with trunk motion

Answer 10

intervertebral disc involvement

Question 11

PRICE stands for

Answer 11

Protection, Rest, Ice, Compression, Elevation

Question 12

If one shoulder appears more square and the other more rounded this may indicate what injury

Answer 12

Shoulder dislocation

Question 13

If the lateral end of the clavicle is easily visible

Answer 13

sprain or dislocation

Question 14

Fall on Out Stretched Arm, Holding injured arm and head tilted towards injured arm. Indicates what injury

Answer 14

Clavicle break

Question 15

Shoulder separation is a

Answer 15

Acromioclavicular joint sprain

Question 16

Painful abduction between 70-120 degrees may indicated what

Answer 16

Shoulder impingement

Question 17

Most commonly Injured Rotator Cuff Muscle

Answer 17

Supraspinatus

Question 18

What is bursitis

Answer 18

Chronic inflammation of the bursa due to friction of movement or acute trauma, can cause impingement.

Question 19

Pump Bump

Answer 19

retrocalcaneal bursitis caused typically by irritation from heel of shoe

Question 20

Turf Toe

Answer 20

Hyper extension resulting in sprain of big toe. Use shoe with stiffer sole.

Question 21

3 types of ankle sprains and their respective injured ligaments

Answer 21

High: Ant/Post Tib Fib, interosseous membrane
Inversion: LCL - ant/post talo fib and calc.fib
Eversion: Deltoid ligament

Question 22

Medial Tibial Stress Syndrome is also known as

Answer 22

Shin Splints

Question 23

Valgus force will damage which ligament in the knee

Answer 23

MCL

Question 24

Varus force will damage which ligament in the knee

Answer 24

LCL

Question 25

Athlete is decelerating with foot planted on the ground then turns into the direction of planted foot forcing tibial internal rotation. What injury is this a common description of?

Answer 25

ACL sprain

Question 26

Falling with full weight on a bent knee will most likely injury which structure?

Answer 26

PCL

Question 27

what is a common way to injure the meniscus?

Answer 27

Weight bearing combined with rotational force while extending or flexing the knee

Question 28

What is Jumper’s Knee?

Answer 28

Running, kicking, jumping, causing injury to the extensor muscle and patellar tendon. Pain under the bottom of knee cap

Question 29

What is runner’s knee?

Answer 29

is an overuse condition where friction is created as the knee moves. may be tender, warm, and swollen

Question 30

Macrotrauma is caused by what type of MOI (acute/chronic) and list 3 common types of this kind of injury

Answer 30

Macro = Acute

1. Fracture
2. Dislocation
3. Sprain

Question 31

Microtrauma is caused by what type of MOI (acute/chronic) and list 3 common types of this kind of injury

Answer 31

Micro = Chronic (Overuse)

1. Tendinitis
2. Tenosynovitis
3. Bursitis