THORACIC intercostal sprain/strain Flashcards
1
Q
INTERCOSTAL sprain/strain classic presentation
A
- athlete comes in complaining of sharp rib pain that is worse when breathing in
2
Q
similar DDX’s
A
- rib subluxation
- rib fracture
- costochondritis
3
Q
supporting factors
A
- pain increase with stretching that side
- sharp pain
- pain and tenderness b/w ribs
- worsens with movement or deep breaths
4
Q
refuting factors
A
- location of pain
- abnormal orthos
5
Q
relevant orthos
A
- schepelman’s test (pain on convex side)
- rib inhalation compression test
- forestier bowstrings
- chest expansion
6
Q
referrals
A
- x-rays if suspecting fracture
7
Q
contraindications
A
- adjust to patient tolerance
- may not want to take deep breaths
- might not be able to do activator
8
Q
technique
A
- avoid side postures
- diversified to patient tolerance
9
Q
care plan
A
2 times a week for 4 weeks
10
Q
recommendations
A
- educate on potential for reaggravation
11
Q
prognosis
A
- 4-8 weeks recovery
- excellent
