Sports Medicine (Miller Pathophys) Flashcards
Spear-tackler’s spine
loss of lordosis, stenosis in cspine
Stinger symptoms & cause
burning in arm - C5
Common level of C-spine fx
C5-6, then C4-5 and C6-7 last
pain down leg, neuro sx
ruptured lumbar disc
empty can test
supraspinatus
shoulder instability
dislocation
shoulder instability direction most common
anterior
OCD capitellum
unclear etiology, excessive axial loading 10-15 yrs
10-15 yo male gymnist with dull, poorly localized elbow pain aggravated with use, relieved with rest, catching/locking elbow
OCD capitellum
OCD capitellum tx
limit activity, RICE
PT
Arthroscopic excision of loose body
abrasion chondroplasty
biceps tendon rupture
popeye sign
Ulanr collateral ligament
tenderness inner side of elbow when throwing. Repairable Tommy John procedure
scaphoid fx
most common in wrist - vascular osteonecrosis
boxer’s fracture
4th MC
PIP dislocation
popped back & taped
jersey finger
flexor tendon injury
mallet finger
sudden force on fingertip - bent at DIP
Most common sites for pelvic avulsion fx
ASIS, AIIS, IT
pelvic avulsion fx tx
nonop - rest, activity limitation, rehab
Op - reattach tendon
groin pain, clicking/snapping of hip, limited motion
hip labral tear
cam lesion
on femoral head
pincer lesion
acetabular
ACL injury - % & relation
80% sports
ACL 70% caused by
noncontact deceleration, jumping, cutting
ACL pathomnemonic
heard a pop (70%) hemarthrosis
ACL injury risk factors
Female
2-4x basketball, soccer, rugby, volleyboll
Lachman test
95% positive for ACL
increased excursion relative to opposite knee
MCL/LCL ratio
more MCL
MCL/LCL injury tx
usually nonoperative
knee dislocation - big deal?
yes, 86% amputation >8hrs if popliteal artery injury
3 types of 5th met fx
pseudo jones avulsion at proximal 5th met
jones fx across diaphysis
stress
axial load on mets of foot (blow from behind)
lisfranc injury
achilles tendon tear age
30-40 yo
thompson test
squeeze gastroc & look for foot motion
