wk 2- diagnosis Flashcards
biopsychosocial model
social- demands/training regimes
biological- body systems/ pathology
psychological- behaviours and beliefs
red flags
> 50
systemic symptoms
medical risk factors (osteoporosis, diabetes, immune defiency)
symptoms worse at night, significant morning stiffness
family history of inflammatory joint disease
no response to conservative treatment
flag system
Red - signs of serious pathology
Orange - Psychiatric symptoms
Yellow - Beliefs, emotional responses, pain behaviour
Blue - Perceptions about the relationship between work and health
Black - System or contextual obstacles (e.g. legislative)
acute injury of bone
- fracture
- periosteum contusion
chronic injury of bone
- stress fracture / reaction
- periositis
- apophysitis
- enthesopathy
- bone spur
different areas of stress fractures and if theyre high or low risk
femoral neck- high
femoral shaft- low
anterior tibia- high
posterior tibia- low
fibula - low
medial mall- high
lateral mall- low
calc- low
talus (lateral proces)- high
navicular- high
sesamoids- high
base of 2nd met - high
proximal diaphysis of 5th met- high
patho of stress fracture
imbalance between osteoclastic activity and osteoblastic
not enough recovery
difference between palpation of stress fracture and stress reaction
fracture- localised tenderness and swelling
reaction- diffuse
imaging for stress injuries
MRI- can grade
low risk recovery times
mets 4-6 weeks
tibia/calc- 6-8 weeks
femur- 10-12 weeks
reactions take about 1/3 of that time
rehab for stress injures
- rest/immobilise- Dependent on bone
- cross train (maintain conditioning, avoid atrophy, accelerate return to sport)
- exercise rehab program for RTS
femoral neck recovery time
1 week bed rest
anterior tibia recovery time
6-8 weeks
medial mall recovery time
6 weeks
talus recovery time
6 weeks
navicular recovery time
6-8 weeks
2nd met recovery time
2 weeks, 2 weeks partial WB
sesamoid recovery time
4 weeks
hyaline cartilage
articular cartilage
fibrocartilage
cartilage that lines articular cartilage for further shock abosprtion, load distribution
meniscus/labrum
grading a muscle tear injury
site
myofascial
musculotendinous
intratendinous
grade
0-4
types of muscle injuries
- contusion
- tear/strain
- compartment syndrome
- myositis ossificans (bone in muscle formation, can happen after contusion)
types of tendon/fascia injuries
- tear/strain
- tendinopathy/fasciopathy
stages of tendinopathy/fasciopathy
- increased thickness/swelling with little collagen dysfunction
- tendon matrix disorganised
- degenerative
