Specific Sport Injuries Flashcards

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1
Q

Why is a lateral ankle sprain more prevalent than medial ankle sprain

A

Weaker ligaments
Fibula acts as a mechanical barrier
Most people land in an inverted foot position

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2
Q

Lateral ankle sprain is what percentage of all sporting injuries

A

10-15%

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3
Q

Injury sequence of a lateral ankle sprain

A

Anterior talofibular ligament
Calcaneofibular ligament
Posterior talofibular ligament
Muscluotendinous units supporting the ankle joint

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4
Q

Stress fracture

A

Hairline or microscopic break in bone due to repetitive stress rather than trauma

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5
Q

Stress fracture risk factors and symptoms

A

Inadequate shock absorption, sudden increase in training, nutrition factors are all among risk as well as it being more common in post menopausal women.
There is pain and swelling at locality, pain at rest, can be diagnosed via a bone scan, a stress reaction may proceed, takes 6-8 weeks for the bone the heal

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6
Q

Achilles’ tendon bursitis

A

Repeated trauma/ friction causing inflammation of the bursa
Tendocaneal- irritated by shoes especially heal
Retrocaneal- irritated by calcaneous and/ or tendon
Causes pain in back of heels when running, wearing shoes or swelling
Cannot use massage but heel raise, Ice, shoe change if acute and a bursa resection if it is chronic

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7
Q

Plantar faciitis (muscle under foot is the plantar fascia)- causes

A

Inflamation caused by excessive stretching of the plantar fascia
Caused by overpronation (flat feet), reduced range in Dorsi flexion, sudden increase in activity, excessive weight, improper fitting footwear.

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8
Q

Plantar fasciitis symptoms

A

Stiffness and pain first thing in the morning
Pain upon direct pressure over site of disfunction
Pain upstairs, on tiptoes or standing for long periods
Pain sometimes lessons as exercise continues
Associated tightness if achillies and gastrocnemius

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9
Q

Achilles tendonitis and causes

A

Chronic micro tears to Achilles tendon by repetitive activity
Caused by overuse, chronic increase in training, unaccustomed activities, overpronation, excessive tension into dorsiflexion

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10
Q

Symptoms of Achilles tendonitis

A
Pain upon palpating
Pain on tendon during exercise 
Possible creaking/ crepitus upon movement 
Pain and stiffness in the morning 
Pain when walking upstairs
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11
Q

What are Shin splints

A

Generic complain for pain in the shin area, stress fracture, compartment syndrome, medial tibial stress syndrome, periostitis of medial tibia due to attachment of soleus and it contracting eccentrically

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12
Q

Causes of shin splints

A

Overpronation
Sudden increase in training
Running in spikes and forefoot strikers and hard surfaces
Sports with repeated landing and taking off
Insufficient warmup
Tight soleus muscles

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13
Q

Compartment syndrome- and acute vs chronic

A

When the muscle becomes too big for the fascia that surrounds it
Acute compartment syndrome is a medical emergency but we can treat chronic compartment syndrome with a hands on technique
Acute- trauma, 3rd degree tear, fractures
Chronic- hypertrophy, venous/ arterial blood supply impaired, hypoxia causing pain on hard surfaces

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14
Q

Symptoms of compartment syndrome

A
Sharp pain in muscles 
Weakness, sensory loss, lack of pulse 
Swelling and tenderness 
Pain during exercise and goes at rest 
Difficulty in plantar and Dorsi flexion
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15
Q

Causes of ACL

A

Lateral blow
Trauma forcing femur backwards
External rotation and valgus strain

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16
Q

PCL sprain causes

A

Hypertension
Falling on tibial tuberosity
Trauma forcing tibia backwards

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17
Q

Meniscal tear

A

Cause by strong and sudden twisting, deep knee bends or a lateral blow and MCL damage

Causes pain inside joint and along joint line, locking clicking and giving way, inability to fully extend

18
Q

Osgood schlatters disease

A

Inflammation of the periosteum at the attachment of the patella tendon, cause by overuse/ repeated trauma often in combination with a growth spurt.
Causes pain on palpation of tibial tuberosity, pain with resisted knee extension, tightness of quads and red and hot skin

19
Q

Piriformis syndrome

A

Condition in which the piriformis spasms and causes buttock pain. Can also irritate the nearby sciatic nerve and cause pain, numbness and tingling along the back of the leg and potentially into the food

20
Q

Causes of piriformis syndrome

A

Lumbar spine pathology
Overuse
Gait

21
Q

Patellofemoral syndrome (chondromalciacia patella)

A

Degeneration of the posterior surface of the patella caused by a Q angle greater than 18-20 degrees
Tight itb and quads
Disparity between lateral and medial quads
Weak abductors
Overuse or repetitive trauma

22
Q

Symptoms of patellofemoral syndrome (chondromalscia patella)

A

Anterior pain in knee joint and medial border of the patella
Pain downstairs, sitting, standing and squatting
Crepitus, creaking
Sometimes swelling

23
Q

Illiotibial band syndrome (runners knee)

A

Inflamation of the ITB as it moves over the lateral femoral condyle caused by overuse
Overpronation
Tight lateral tissues, TfL and glut max specifically
Leg length discrepancy
Poor biomechanics

24
Q

Symptoms of runners knee (illiotibial band syndrome)

A

Pain in lateral knee
Pain running downhill or climbing stairs
Click when knee bends to 30 degrees
Tenderness to oalpste

25
Q

Osteoarthritis of the knee

A

Degeneration of the articular cartilage within the knee

Chance of development increases with heredity, gender, obesity, gender, joint overuse

26
Q

Symptoms of osteoarthritis of the knee

A
Swelling 
Pain and stiffness with pain at rest at advanced stages 
Crepitus 
Increased temperature 
Reduced mobility and X ray changes
27
Q

Trochanteric bursitis

A

Inflammation of either the deep bursa or the greater trochanter caused by overpronation, running on cambered roads and a trauma or blow to the area

28
Q

Symptoms of trochanteric bursitis

A

Pain on running
Swelling and inflamation
Pain on passive abductors
Radiating at night

29
Q

Rotator cuff strain

A

75% of all shoulder pain is in the supraspinatus tendon

Weakest point is 1 cm from the attachment to the greater tuberosity of the humerous

30
Q

Rotator cuff strain can be caused by

A

Trauma- direct fall into shoulders and lifting heavy objects
Or overuse- increase age or use decreases blood flow and elasticity

31
Q

Symptoms of rotator cuff strain

A

Intense pain when injury occurs if acute
Pain on palpation
Pain on resisted movement

32
Q

Adhesive capsulitis (frozen shoulder) stages

A

Stage 1- painful (gradual onset) 2-9 months
Stage 2- stiffening, progressive loss of motion, 4-12 months
Stage 3- thawing phase, 6-9 months, gradual motion improvement

33
Q

Adhesive capsulitis (frozen shoulder) causes and symptoms

A

Caused by hormonal release, genetic component, autoimmune response to unhurt, fracture surgery
Symptoms- pain and stiffness, decreases range of movement and pain at night

34
Q

Dislocated shoulder

A

Most common traumatic sporting injury
Male 9:1 women
Either anterior or posterior but much greater incidence of anterior dislocation

35
Q

Lateral and medial epicondylitis

A

Tennis elbow and golfers elbow
Degenerative overuse injury to the flexor and extensor tendons
Pain on palpation and resisted movement
Weakness in movement and pain may radiate down the forearm

36
Q

Subacromial burstisis

A

Inflammation of the bursa underneath the acromion and on top of the supraspinatus tendon. Cause by a fall or blow to the shoulder, supraspinatus tendonopathy or overuse of arm above shoulder level

37
Q

Sciatica

A

Pressure on the sciatic nerve at a point along its course caused by prolapsed disk, spondylothesis, space occupying lesion, ostephytic growths and piriformis

38
Q

Sciatica symptoms

A

Radiating pain down the leg, possible lower back pain dependant upon cause

39
Q

Whiplash

A

Rapid extension followed by flexion or vice Versa
Graded 1 to 4
Grade 1- stiffness and tenderness but no physical signs and no loss of mobility
Grade 4- neck complaints, fracture, dislocation of injury to spinal chord

40
Q

Carpal tunnel syndrome

A

Impingement on the median nerve through the carpal tunnel caused by inflamation of flexor tendons, pregnancy, fracture or hand intensive activities