Soft Tissue Injuries Flashcards
What is a strain?
Muscle injury resulting in partial or full thickness tear
What is a sprain?
Ligamentous injury resulting in a partial or full thickness tear
What is the most common part of the body that is sprained?
Ankle
True or false: strains can occur anywhere along the muscle, including tendon insertions
True
What is tendinitis? How long does it last for? Treatment?
Acute inflammation of tendon, usually from overuse
- usually resolves in 2-3 days
- RICE and PT
What is tendinopathy?
Chronic inflammation of a tendon that can last for several months
What is the treatment for tendinopathy?
NSAIDs do not work–PT, PRP
True or false: shoulder injuries are common
True
What indicates that laxity is an issue?
If there is pain associated with it
what are the three major extrinsic factors in shoulder joint pain?
Intensity
Duration
Frequency
what is the major intrinsic factor in shoulder pain?
Skeletal immaturity
Where do the long and short heads of the bicep tendon attach to?
Long head = supraglenoid tubercle
Short head = Coracoid process
Which head of the biceps is usually affected?
Long head
What causes the pain with biceps tendonitis?
tendon becomes inflamed in the bicipital groove
What is Yergason’s test?
Supinate arm against resistance to check for bicipital tendonitis
What is Speed’s test?
tests for bicipital tendonitis or superior labral tears
-hold hand fully out and supinated. Pain in the bicipital groove
How reliable is pain in locating the pathology of shoulder pain?
Poor
What are the two muscles that are likely injured with lateral shoulder pain?
Supraspinatus
Infraspinatus
What is the muscle that is likely injured with anterior shoulder pain?
Subscapularis
What are the history bits that are common to shoulder muscle tears?
Pain when rolling onto that side at night
What is the full can test, and what does it assess for?
Supraspinatus
What is the correct way to test the supraspinatus with empty can test?
arms in 45 degree abduction
What is the bear hug test, and what does it assess for?
- Examiner tries to pull the patient’s hand from the shoulder contralateral shoulder
- Positive test = weakness of the subscapularis
What is the external rotation test, and what does it assess for?
elbow at side and flexed to 90. Resisted external rotation weakness = Infraspinatus / teres minor