Running Injuries Flashcards
{{BLANK}} is the second most popular sport with 2nd most number of participants
Track & Field
Currently, in the U.S., {{BLANK}} is the 2nd most common physical activity in teenagers
Running
The highest injury rate while running occurs in the {{BLANK}} age group
12-14 yo
In a study of preadolescent and adolescent children, {{BLANK}}% of physical education-related injuries were associated with running
25%
The safety goal for runners includes:
- Maintain normal growth
- Self-motivated
- Injury free
- Females should have normal menstruation
What are risk factors for injuries seen in running?
- Increase in mileage or intensity
- Change/poor footwear
- Change in lifestyle
- Prior injuries
- Change in terrain/rough terrain
- Poor biomechanics
Majority of running injuries result from {{BLANK}}
Overuse
Roughly {{BLANK}}% of runners experience injuries requiring medical attention
25%
What are the (3) grades of muscle strains?
- Grade I: mild, few muscle fibers, heals in 2-3 weeks
- Grade II: mod., majority of muscle fibers, heals in 3-6 weeks, swelling & decreased function
- Grade III: severe, complete tear of myotendinous unit, ≤ 12-weeks to heal, pain, swelling, inability to bear weight
Avulsion fractures typically occur due to?
- Forceful contraction of muscle leads to fracture
- Occurs at bone-tendon junction
- Risk: weak physeal plate in children
{{BLANK}} is a gradual onset of dull pain, worsens w/ running, local tenderness w/ or w/o swelling, ecchymosis, and worsens with resistance training
Apophysitis
Why does apophysitis occur more commonly in children?
ligaments & tendons are 5 x stronger than physis & apophysis
{{BLANK}} is one of the leading causes of lateral knee pain in runners
Iliotibial band syndrome (ITBS)
The {{BLANK}} test is used to identify a patient who has suspected iliotibial band syndrome
Ober’s test
{{BLANK}} is a common cause of anterior knee pain due to overuse, poor patellar tracking, quadriceps weakness. It can present gradually as dull pain around the patella. Pain typically worsens with prolonged sitting or climbing stairs.
Patellar femoral pain syndrome (PFPS)
Shin spinlts are also called?
Medial tibial stress syndrome
What is the pathogenesis of medial tibial stress syndrome?
Periosteal inflammation of tibia
What is the pathophysiology behind stress factors?
Osteoblasts activity > Osteoclasts
What is the gold standard for stress fracture evaluation?
3 phase bone scans
What can increase the risk of stress fractures?
6-8 weeks after increase in intensity & duration of runs
Sites: tibia, metatarsals, fibula, navicular, calcaneum
What are high-risk areas of stress fractures?
- Femoral neck
- Tarsal navicular bone
- Anterior cortex of middle 3rd tibia
- Proximal 5th metatarsal
What are the Ottawa ankle rules?
- Tender medial malleolus
- Tender lateral malleolus
- Tender base of 5th metatarsal
- Tender navicular bone
- Inability to bear weight
ML5NB
