Sport-related DDx

Question 1

Keys to diagnosis onsite

Answer 1

Remain calm!
Use and maintain a dx’c triage method
- what is the msot likely thing that could happen if i return the athlete to play? Risk analysis

Question 2

Diagnostic triage

Answer 2

1. Musculotendinous origin
2. Skeletal origin
3. Nervous origin
4. Vascular origin
5. Serious pathology
   - systemic disease: dehydration, organs, tumor, infection, arthritides

Question 3

First safety, then aid

Answer 3

Is it safe to approach athlete? Be dogmatic
Medical emergency? CPR, vitals, mentalstatus?
Fracture screen…

Question 4

PE flow

Answer 4

PROM/joint play
Palpation
M test
Ortho
Neuro
Duh

Question 5

Treatment approach

Answer 5

Triage through treatment
Tape/splint
Adjust/mobilize
STM
Electrical modality
Rest
Finish with functiona, sport specific eval

Question 6

RTP criterial

Answer 6

Age/maturation of patient
Genral health/fitness of patient
Severity of injury or illness
Anticipated time of healing based on diagnosis
Previous responses to treatment and adequacy of rehab
Demands of the sport and level of comp
Availability of alternative sports, effective bracing or exercise outlets
Ability of patient to understand and accept risks

Question 7

RTP CONTRAINDICATION

Answer 7

ATHLETE APPREHENSION

DOCTOR APPREHENSION!!! IF IN DOUBT, KEEP THEM OUT!