Soft Tissue Disorders Lecture Powerpoint

Question 1

Soft tissue injuries are often….

Answer 1

….missed or undertreated, can take longer to heal than bone, can be very disabling

Question 2

Principle imaging modality for soft tissue injury

Answer 2

MRI

Question 3

Sprain

Answer 3

Stretch or tear of a ligament (stabilize joints connecting bone to bone so they are flexible but have an end point)

Question 4

Strain

Answer 4

Injury of Musculotendinous unit, may impact muscle body or closer to attachment points, may impact function such as strength or range of motion

Question 5

Grade 1-3 strain

Answer 5

1 - stretching (tenderness with active use and minimal strength loss)
2 - partial tear (clear weakness with resisted muscle and pain with passive stress)
3 - complete rupture (significant functional and strength deficits, ecchymosis, full thickness tear)

Question 6

Degenerative tendon ruptures typically occur in these 2 populations

Answer 6

• older >40

- physically active individuals such as athletes

Question 7

In tendon tear/rupture functional ability may or may not be…

Answer 7

…impaired - not indicative alone, depends on degree of injury

Question 8

Muscle strain can either be ___ or ___

Answer 8

acute (sudden ecchymosis and swelling and deformity)

chronic (swelling gone away, can visualize deformity still)

Question 9

Imaging studies for soft tissue injury (2)

Answer 9

• x ray (indirect evidence, displacement of joint or avulsed fragment)
• MRI (diagnostic, determines partial vs complete)

Question 10

Treatment of muscle strain (2)

Answer 10

• partial, then splinting or casting

- complete, then urgent repair or reconstruction

Question 11

Muscle vs tendon vs ligament tear injury recovery speed

Answer 11

Muscle (fastest), tendon, ligament (slowest)

Question 12

Rupture vs laceration

Answer 12

2 examples of tendon injuries with rupture being force based and laceration being cut based

Question 13

Grade 1-3 sprain

Answer 13

1 - stretching of ligament, good stability and no laxity
2 - partial tearing, slight laxity
3 - complete tear, no end point and severe laxity

Question 14

Varus stressing tests ___collateral ligament, valgus tests ____

Answer 14

lateral, medial

Question 15

Ulnar collateral ligament tear of the MP joint is also called….

Answer 15

….Gamekeeper’s thumb

Question 16

In complete gamekeeper’s thumb tears, 50% will have stener lesion (detached ligament stuck between tendons), this needs what for treatment?

Answer 16

Surgery

Question 17

Scapholunate ligament tear

Answer 17

May result from FOOSH, causes pain mostly on top of the wrist, diagnosed via MRI, treatment consists of surgical repair of ligament and pinning of bones

Question 18

Complications of muscle injury

Answer 18

• hematoma
• recurrent injury
• myositis ossificans (calcification of tissue limiting motion of joints)