Soft Tissue Injuries

Question 0

What kind of soft tissue injuries are there?

Answer 0

Sprains, strains, dislocation, and subluxation

Question 1

How are most musculoskeletal problems caused?

Answer 1

Resulting in fractures, dislocations, associated soft tissue injury, or combo

Question 2

What are the most common types of MS injuries?

Answer 2

Strains and sprains

Question 3

How do you sprain and strain usually occur?

Answer 3

Usually occur around the joints and in the spinal muscles

Question 4

What are the characteristics of a sprain?

Answer 4

Stretching or tearing ligament tissue surrounding a joint, can be classified by 1st to 3rd°, most common are the ankle and the wrist

Question 5

What are the clinical manifestation of soft tissue injuries?

Answer 5

Severe pain due to Rich nerve endings around the joints, edema, decreased function and movement, and bruising

Question 6

What is the difference between a minor or severe sprain?

Answer 6

A minor sprain can last from 3 to 6 weeks
shinsplints, tendinitis, mild ligament injury, mild meniscal injury
A severe sprain can cause avulsion fracture in which is when the ligament polls lose a fragment of the bone

Question 7

What’s the difference between a severe acute strains?

Answer 7

Severe strain involve rotator cuff tear, torn ligament, meniscal tear
Acute strains can involve partial or complete tear and is surgical

Question 8

The diagnostic test done for soft tissue injuries?

Answer 8

History and physical examination
Ability to flex affected site or weight bear
Degree and location of the pain
X-ray to rule out fracture or widening of joint structures

Question 9

What is the collaborative care for soft tissue injuries?

Answer 9

P.R.I.C.E
P is protect from further injury
R is rest affected area until symptoms lesson, limit movement during acute phase
I is ice the area to reduce inflammation
C is compress extremity by wrapping
E is elevate extremity above the level of the heart even during sleep
NSAIDS
Encourage use of affected extremity after 48 hours or as Dr. orders

Question 10

What is the health teaching needed to be done for soft tissue injuries?

Answer 10

Stretching and warm-up exercises

Strengthening, balancing, stretching, and injuring exercises are important to protect joints and muscles

Question 11

What is dislocation?

Answer 11

Severe injury of One or more ligaments surrounding a joint, complete displacement or separation of the joints articular surface

Question 12

What are the causes of dislocation?

Answer 12

Trauma, or training techniques, overtraining, congenital conditions, pathological conditions

Question 13

What are the most common areas affected by dislocation?

Answer 13

Thumb, elbow, shoulder, hip, patella

Question 14

What are the clinical manifestations of dislocation?

Answer 14

Deformities, local pain, swelling, tenderness, loss of function of affected joint and limb

Question 15

What are the complications of dislocation?

Answer 15

Injury to the joy, intra-articular number, number of dislocations, avascular the necrosis and damage to Adjacent vascular tissue

Question 16

What are the diagnostic studies done for dislocation?

Answer 16

X-ray
Joint may need to be aspirated for presence of hemmarthrosis or fat cells
Fat cells indicate intra-articular number
This location is an emergency, there is a risk for avascular in a necrosis, it requires local or general anesthesia or conscious sedation

Question 17

What is the care for dislocation?

Answer 17

Pre-reduction is extremely painful
Protect the joint from further injury, provide analgesics as ordered, provide psychological support
Postproduction it is important to provide pain relief and joint movement is usually restricted, Joint will be immobilized for specific period of time

Question 18

What is important to note with dislocation?

Answer 18

There is a higher risk for dislocating the same joint because ligaments and scar tissue shorten the joint

Question 19

What is subluxation?

Answer 19

Partial or incomplete displacement of a joint surface, can occur for the same reason as dislocation, manifestations are the same but less severe care is the same, healing time is usually less

Question 20

What is carpal tunnel syndrome?

Answer 20

When the median nerve is compressed beneath the transverse carpal ligament

Question 21

What are the risk factors and underlying causes for carpal tunnel syndrome?

Answer 21

Trauma, edema related to tendon inflammation, neoplasm, ganglia, diabetes, hypothyroidism

Question 22

What are the clinical manifestations of carpal tunnel syndrome?

Answer 22

Weakness
burning pain
numbness and tingling in the distribution of the median nerve
impaired sensation of the distribution of the median nerve

Question 23

What are the diagnostic studies done for carpal tunnel syndrome?

Answer 23

History and physical examination
Occupational tasks and hobbies
Positive phalen’s sign

Question 24

What is the collaborative care for carpal tunnel syndrome?

Answer 24

Educate dangers of continuous repetitive wrist movement, teaching about ergonomic aids, vocational therapy, splint, corticosteroid injection, surgical decompression if other treatments are ineffective

Question 25

What are the surgical options for carpal tunnel syndrome

Answer 25

Endoscopic carpal tunnel release

open carpal tunnel release

Question 26

What is a rotator cuff injury?

Answer 26

It is compromised or four shoulder muscles which stabilize the humeral head in the glenoid fossa, assist with range of motion of the joint and rotation of the humorous
A tear in one or more of the muscles can be a gradual degenerative process related to aging, poor posture, repetitive stress, and injury
Can also be due to a sudden adduction applied to the cough while the arm is in abduction

Question 27

What are the clinical manifestations of a rotator cuff injury?

Answer 27

Shoulder weakness and pain
Limited range of motion, unable to perform over the head activity
Severe pain when the arm is abductive 60 to 120°

Question 28

What is the diagnostic process for rotator cuff injury?

Answer 28

The drop arm test, arm fall suddenly after patient is asked to slowly lower it to the side after it’s been abducted 90°
X-ray
Arthrogram or arthroscopy
MRI

Question 29

What is the treatment for rotator cuff injury?

Answer 29

Maintain passive range of motion exercises to regain abduction strength
Rest and immobilize the affected joint, ice, heat, corticosteroids, physiotherapy, NSAIDS

Question 30

What is the surgical repair for rotator cuff injury?

Answer 30

Repair via arthroscopically if the tire is minor or via Acromioplasty if it’s a major tear

Question 31

What is the collaborative care for rotator cuff injury?

Answer 31

Dr. may order to immobilize shoulder For a specific period.
Be careful of frozen shoulder, if it is immobilized for too long
Exercises should begin postop day one or two