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27 Cards in this Set
- Front
- Back
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tharacic spine
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has very few injuries, is muscular, and most common injured are throwers, VB players and swimmers
prevent by addressing posture |
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Cervicle-spine injuries . . .
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are fairly uncommon, but make up more than 90% of fatal injuries in athletics
MOIs, are spearing and falling head first |
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Emergency plan for C-spine injuries
MOI for them |
people should know roles and equiptment
always suspect head/neck injury with unconciousness always expect the worst Axial loading and flexion force is a common combonation. A third is hyper extension force |
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What is common name, S/S, Tx, and return plan for cervicle spine strain
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whiplash
S/S= decreased ROM, diffuse tenderness, no peripheral pain and normal neurological functions, biggest is that pain stays in the area tx=immobilze possibly, ice, rest to return person must have full pain free ROM and strength |
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S/S, location, who gets, and when return for c-spine fracture/dislocation
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S/S= C-spine tenderness, peripheral pain, and/or parasthesia, and abnormal neurological functions
locations is C4-C6 Divers and wrestlers highest chance Not recomended to ever return to play |
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What to do if you suspect C-spine injury?
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stabalize head and neck, leave helmet and shoulder pads
If not breathing, remove barriers put in supine position, monitor vital signs |
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What is the Miami project
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a group to look at how to treat C-spine injuries by inducing hypothermia so blood and oxygen move to spinal cord and brain
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What is, what are S/S, special tests, and tx and most common affected of thoracic outlet syndrom
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it is a c-spine injury, a compression of nerves and or vessels between scalenes and first rib
S/S= nerve pain, circ problems ST= allen, adson's, roos tx=finding cause (usually inflames scalenes), may need sx, also rest, ROM, anti inflam mostly overhead athletes (swimmers) |
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who gets, what is MOI, S/S, and Tx of burner/stinger
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most common in football
MOI=stretched or compression in brachial plexus (C5-T1) S/S=burning, stinging in neck arm or hand, muscle weakness, neck pain tx is to rest until full strength |
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What could a burner/stinger [rogress into
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If chronis burners and stingers may have spinal stenosis, which is narrowing of spinal canal.
SS includes all four limbs affected |
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What are some preventions of spinal injuries
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strong neck muscles, and not excessive ROM
flexibility bilaterally education for collisions proper protective equiptment posture and core strngthening |
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Core strngthening levels
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rectus abdominis does not help
two levels are local and global local involves transverse abdominis global includese ex oblique, erector spinea, rec ab, local is usually weak, as well as gluteus medius |
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What does MTBI stand for?
what percentage? why does it not show on a CT scan |
mild traumatic brain injury
which is a usually shorter term sports concussion in any sport about 10% loss of conciousness 9% all HS injuries they are metabolic and not structural and headache is probably from increased glucose demand, and the older you are the faster you recover |
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What is MOI for concussion?
what is a countercoup injury? |
direct or indirect
brain damage to opposit side of head from trauma and MOI is usualy hitting a stationary object |
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key signs of a concussion
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disorientation, nausia, tinitis, balance, post traumatic amnesia (short term) and retrograde (things from before injury)
must be given a field SCAT remember base line impact |
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what is a gross neurological exam?
what is second impact syndrom |
gross= questions like can you feel my hand, can you flex your feet?
-when an athlete plays with some symptoms of a past concussion, then gets another causing serious injury and possibly death |
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what would be the difference between a subdural hematoma and arterial bleeding?
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a subdural hematoma takes a long time for symptoms to appear/progress (hours to days)
Arterial bleeding is high pressure between brain and skull and has rapid deterioration (min to hours) with similar S/S but including sleepiness and convulsions |
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What runs through the coracoacromial joint
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coracoacromial ligament
supraspinatus, long head of biceps, superior/anterior labrum and subacromial bursa |
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list the phases of throwing
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early cocking-supraspinatus active
late cocking=anterior structures stretched, stable scap acceleration, internal rotation max speed and stable scap deceleration=posterior muscles slow *teras minor follow through=scapula protracts (serratus anterior) |
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what position is arm forced into for a subluxation or dislocation (MOI)
common in? |
abduction and external rotation
gymnasts, wrestlers |
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describe the three lesions
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SLAP= superior labrum ant to post, accompanied by biceps pathology
Bankart=anterior labrum pulling away from glenoid HILL SACHS=humeral head pulled away |
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What is the overuse shoulder continuum
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overuse into microtrauma into instability into subluxation into RC tear
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What phase of the throwing motion would be painful with rotator cuff strain and tendonitis
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follow through
special test is Jobe's, apprehension, and drop arm |
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what are the special test for impingement syndreome
big s/s |
modified Hawkins-kennedy, speeds horizantal adduction?
snapping clicking |
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special test for bicipital tendonitis
frozen shoulder |
yergason's (speeds)
impingment test |
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special test for acromial clavicular sprain
what should you role out? |
tap test (S/S holding arm close to body)
clavicle fx |
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what do the four C's stand for (concussion analysis)
special tests for concussion? |
cognitive, cranial nerves, coordination, concussion
babinski for reflexes and dermatomes for sensory |
