Quiz 10: 1 Flashcards
Name 3 s/s of a concussion
- HA
- cognitive changes
- lability
- LOC
- amnesia
- irritability
- slowed rxn time
- drowsiness
- insomnia
retrograde amnesia
can’t remember anything before concussion/incident
anterograde amnesia
can’t form new memories from time of concussion/incident
What is the name for the concussion assessment tool used to dx sport concussions?
- SCAT3
- Maddockks score
- Glasgow coma scale (GCS)
How does neuroimaging contribute to diagnosing a concussion and why?
- very little
- no visible evidence of neuro damage/bleeds etc for minimal to mild
- can show for mod to severe
Where do the majority of sports concussions fall on the Glasgow coma scale?
min-mild
How long does it take for sx of a concussion to resolve
7-10 days
In what % of the population has a recovery of 7-10 days been shown?
80-90%
True or falce. Athletes can return to play immed following a concussion
false
Name 2 criteria you need for return to sport?
- must pass graded exertion first
- exhibits no concussion related sx
- return to school
- are they confident to go back?
- new helmet/head gear
What was the former cornerstone of tx for a concussion
rest alone
How can a person get an indirect blow causing a concussion?
contrecoup injury
Which 4 special tests do you perform on all shoulder pts to check general capsular motion/laxity
- sulcus at 0
- sulcus at 90
- anterior load and shift
- posterior load and shift
List 2 other GH instability special tests
- apprehension test
- jobe subluxation/relocation
- posterior glide I and II
- jerk test
What does a positive test indicate?
apprehension test
macrotraumatic injury to GH (dislocation)
What does a positive test indicate?
jobe subluxation/relocation
repetitive microtrauma to GH possibly resulting in dislocation
Name one special test that checks for SLAP lesions
- compression rotation
- A/P slide
- speed’s test
- o’brien’s test
What are the structures implicated in this test
compression rotation
whole labrum (SLAP)
What are the structures implicated in this test
A/P slide
ant/post superior labrum (SLAP)
What are the structures implicated in this test
Speed’s test
LHB
What are the structures implicated in this test
O’Brien’s
SLAP
AC
List 3 posiitve findings of SLAP lesion special tests
- deep pain
- locking/pseudolocking
- clicking/clunking
Draw and label the oreo in relation to types of RTC impingements including which types of impingements occur at each of the layers:
bursal side (top)
- bursal side
- mechanical irritation
- 1˚ and 2˚
Draw and label the oreo in relation to types of RTC impingements including which types of impingements occur at each of the layers:
intrinsic (middle)
- interstitial tear of the tendon
- internal impingement
Draw and label the oreo in relation to types of RTC impingements including which types of impingements occur at each of the layers:
articular side (bottom)
- supraspinatus and infraspinatus tendons
- tensile injury due to instability
- internal and 2˚ impingements
Which tendons are implicated with RTC impingement?
- supraspinatus
- infraspinatus
Which GH motion is usually the cause for internal impingement
GH abd with IR
Which tendon is typically involved in internal impingements in GH abd/IR
infraspinatus
