Sports Injury Flashcards
6 Ps of limb injury
Pain (Earliest sign; Often out of proportion; Hallmark)
Pallor
Pulselessness
Paresthesia (Burning, prickling, itching, or tingling; Most reliable sign)
Perishing cold (Can’t regulate temperature)
Paralysis
Red flag for ankle injury
Seeks help immediately and is non-weight bearing
(+) Sprain hx = Risk for injury
Snaps or pops are not significant
Hallmark of grade II sprain
Bruising
Some loss of motor function
Instability
Definite stopping point when stretched
Hallmark of grade III sprain
> 4 cm swelling
Cannot bear weight
No definite stopping point
Most easily injured ligament injured during inversion ankle sprains?
Anterior talofibular ligament
- Calcaneofibular & Post talofibular are common as well
Anterior drawer test
anterior talofibular
Inversion stress test
Calcaneofibular
Eversion injury
Strong deltoid ligament
Ant. tibiofibular ligament
Bony mortise
Risk factors for pyleo
Instrumentation
Anatomy anomalie
Which limb should be examined first?
The uninjured limb
Crossed-leg test
High ankle sprains (Syndesmotic injury)
- Rest leg at midcalf on opposite knee
Ottawa ankle rules for ankle
Malleolar pain & (Only need 1)
- bony tenderness along post edge of either malleolus
- Inability to bear weight for 4 steps (immediately & ED)
Ottawa ankle rules for foot
Midfoot pain & (Only need 1)
- Bony tenderness at navicular or 5th metatarsal
- Inability to bear weight for 4 steps (immediately & ED)
RICE Rest Ice Compression Elevation
72 hrs
Several times a day for 10 minutes
Semi-rigid ankle support
Continuous
Pain management
NSAIDs
- 2 to 3 IBs up to 3 times per day
