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211 Cards in this Set
- Front
- Back
an inurty to the brain produced by a violent blow and followed by a temporary or prolonged loss of function
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cuncussion
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a condition in which the brain swells rapidly and catatrophically after a person suffers a second cuncussion before symptoms from an earlier one have subsided
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second impact syndrome
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can be caused by:
-a blow to the head -a fall -sudden severe shaking -seen frequently in sports such as football, hockey and boxing -motor vehicle accidents |
concussion
|
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occurs when athlete recieves a second blow to the head
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SIS
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during SIS, it is thought that the brains arterioles lose their ability to regulate their __ and therefore lose control over cerebral blood flow, cauing massive cerebral edema
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diameter
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name 3 test used to diagnose concussions
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-imPACT test
-the romberg test -sport concussion assessment tool (SCAT) |
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a graded symptom checklist
cognitive assessment drills brief physical examination |
SCAT test
|
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"immediate Post concussion assessment and cogntitive test"
measures symptoms, verbal and visual emory, and reaction time |
imPACT test
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the MCL of the thumb
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Ulnar collateral ligament
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caused by excessive radial deviation of the thumb proximal phalanx
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ulnar collateral ligament sprain
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skiing, automobile accidents (airbags), and falling and utting ones hand out to brace teh fall is a sport where __ sprains are commonly seen
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UCL
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__% of UCL tears have been treated with immobilization
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85
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fibrous cartilage in teh shoulder, helps keep the humeral head centered and stabilized in teh joint, functions as a shock absorbers for teh arm like that of teh meniscus in the knee
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labrum
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the __ of the shoulder labrum has vascular supply
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outer rim
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a type I shoulder labrum tear is a __ tear
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chronic
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a type II-IV shoulder labrum tear are __ tears
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acute
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characterized by:
fraying on teh outer ruim of teh labrum, degenerative, most common in middle aged to elderly patients |
type I labrum tear
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characterized by: fraying like in a type I
-detached biceps anchor -known as a Bankart lesion MOST COMMON TYPE |
type II labrum tear
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characterized by:
-bucket handle tear normal biceps tendon attachement |
type III labrum tear
|
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characterized by:
similar to type II -tear in the biceps tendon |
Type IV labrum tear
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seen in overhead throwers, form overuse, outside force dislodgeing humeral head from socket, and abnormal rotation of humeral head
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shoulder labrum tear
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type __ labrum tear should be treated with NSAIDS and RICE, type __ need arthoscopic surgery
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I, II-IV
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__ is also known as tennis elbow
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lateral epicondylitis
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__ is known as golfers elbow
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medial epicondylitis
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this injury can be obtained by typing on the computer too much
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medial and lateral epicondylitis
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__ toxin was researched to see if it could help cure med/lat epicondylitis
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botulinum
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caused by falling on lateral shoulder while arem is adducted, fallingon outstrechted and or elbow while arm is adducted, overuse, and previous injury
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acromioclavicular joint sprains
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the most frequent kind of AC joint sprain
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type I
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classification system for AC joint sprains
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rockwood
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patient will say they fell or rolled, presents are held in adduction
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AC joint sprain
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2 tests for an AC joint sprain
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-piano key sign
-AC traction test |
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in this injury may see:
a locking, clicking, or catching sensation in your hip joint, pain in you hip or groain, stiffness or limited ROM in hip joint |
hip labrum tear
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there are __ compartments of the quadraceps
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3
|
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the most vulnerable compartment of teh quadracep
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anterior, extensor compartment
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muscles that make up the quadracep
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-vastus femoris
-vastus lateralis -vastus intermedius -vastus medialis |
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result of a direct external blow to relaxed quad muscles
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quadracep contusion
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when an intramuscular hematoma calcifies and progressively ossiffies
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myositis ossificans traumatica
|
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__% of large hematomas are associated with muscle contusions and sprains
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20
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a severe limitation of knee flextion fro quad contusions
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<90 degrees
|
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what is the difference between a pulled and strained hamstring?
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there is none
|
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the hamstring is made up of __ muscles
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3
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muscles of the hamstring
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-biceps femoris
-semitendinosus -semimembranosous |
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when muscles fibers are stratched to far, resulting in minor bleeding
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grade 1 strain
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when microtears in teh muscle fibers
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grade 2 strain
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when rupture of the muscle occurs
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grade 3 strain
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the patella is a __ bone
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sesamoid
|
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casued by simultaneous roational force with teh contraction of the quadricep
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patella subluxation/dislocation
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patella subluxation/dislocation is more common in __ because of greater __ in the hips
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females, Q angle
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4 goals to meet for patella subluxation/dislocation
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-knee can straiten fully w/o pain
-knee and leg regained normal strength -no swelling -patient able to bend, squat and walk w/o pain |
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starts at the gastrocnemius and soleus and ends at teh calcaneus
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achilles tendon
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the __ takes the largest forces in teh body
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achilles tendon
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special test to diagnose an achilles tendon tear
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thompson test
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there are tibia and fibula fractures especially in the __
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military
|
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a __ brace will lessen the force of impact while walking for a tibia and fibula fracture
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pneumatic leg
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more commonly known as shin splints
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medial tibial stress syndrome
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a condition that leads to pain in teh posteromedial aspect of teh distal two thirds of the tibia
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medial tibial stress syndrome
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runners, jumpers, volleyball players, basketball players, dancers are all susecptable to __
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medial tibial stress syndrome
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medial tibial stress syndrome are __ of all lower leg injuries
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50%
|
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most common lower leg injury
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medial tibial stress syndrome
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a condition of pain or discomfort in the leg from repetitive running on hard surfaces or forcible excessive use of the foot flexors
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medial tibial stress syndrome
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most common cause of medial tibial stress syndrome:
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foot pronation
|
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__ is teh best treatment for medial tibial stress syndrome
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RICE
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characterized by an injury to the metatarsophalangeal (MTP) joint of the big toe
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turf toe
|
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defined as a sprain to the soft tissue support stuctures of teh MTP joint
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turf toe
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MTP joint stand for :
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metatarsophalangeal joint
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teh most common casue of turftoe:
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hyperextension of the metatarsophalangeal joint
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3 arches of teh foot
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-medial
-latitudinal -transverse |
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the __ is highly vulnerable to a variety of inures
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the foot
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__ should elicit a response when gently tapped
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tendon reflexes
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occurs from jump or fall from height and often results in avulsion fractures anterioly and posteriorly, may present as posterior tibialis tendonitis
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calcaneal fracture
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2 places to get pulse form the foot
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-dorsalis pedis and posteror tibial arteries
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occurs due to repetitive trauma and is characterized by sudden onset in plantar calcaneal area
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calcaneal stress fracture
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traction injury at apophysis of calcaneus where achiles attaches
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apophysitis of teh calcaneus (severs disease)
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occurs when foot hyperplantarflexed with foot alrady plataflexed and rearfoot locked resulting in dorsal displacement of metatarsal bases
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trasometatarsal fracture dislocation (lisfranc injury)
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caused by sudden starts, stops, or changes of direction, irritation of fat pad, pain oftern on the lateral aspect due to heel strike pattern
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heel contusion
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associated with excessive pronation, forefoot varus, wearing tight shoes, being overweight, excessive exercise placing undo stress on arch
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pes plantus foot (flatfoot)
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pes cavus is known as __
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high arch foot
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having a higher arch than normal; associated with excessive supination, accentuated high medial longitudinal arch
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pes cavus
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attributed to heel spurs, plantar fascia irritation and bursitis, catch all term used for pain in proximal arch and heel
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plantar fascitis
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fracture of metatarsal caused by inversion and plantar flexion, direct force (stepped on ) or repetitive trauma
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jones fracture
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a joans fracture is most commonly on the __
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base of the 5th metatarsal
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generally caused by kicking non-yielding object, pushes joint beyond normal ROM or imparting a twisting motion on teh toe-disrupting ligaments and joint capsule
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sprained toes
|
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exostosis of 1rst metatarsal head, associated with forefoot varus; shoes that are too narrow, pointed, or short, bursa becomes inflamed and thickens, enlarging joint, and causing lateral malaignment of the great toe
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bunion (hallux valgus deformity)
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__ impacts the 5th metatarsophalangeal joint, causes medial displacement of 5th toe
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bunionette (tailors bunion)
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caused by having an abnormally short 1rst metatarsal, making 2nd toe ook longer, more weight bearing occurs on 2nd toe as a result and can impact gait, stress fracture could develop
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mortons toe
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a flexible deformity that become fixed due to a flexion contracture in the PIP joint
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hammertoe
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cuased by direct pressure dropping an object on toe, kicking another object, repetitive shear forces on tonail, blood accumulates underneath toenail, produces exreme pain and ultimatly loss of nail
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subungual hematoma
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a flexion contracture of the DIP which also can become fixed
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mallet toe
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a flexion contracture of teh DIP joint but there is hyperextension at the MP joint
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claw toe
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the lower leg has __ compartments
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4
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the compartments of the L leg are __
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-anterior
-lateral -superficial posterior -deep posterior |
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used when a fracture is suspected in lower leg
a blow to the tibia, fibula, or heel to create vibratory force that resonates w/in fracture causing pain |
percussion test
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used when a fracture is suspected in lower leg:
compression of tibia and fibula either above or below site of concern |
compression test
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squeezing the calf muscle while the foot is extended off tabel to test the integrity of teh achilles tendon
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thompson
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a positive thompson test results in __ of the foot
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no movment
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test for deep vein thrombophlebitits, with knee extended and foot off table, ankle is moved into dorsiflexion, pain in calf is +
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homans test
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2 kinds of ankle stability tests
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anterior drawer test
talar tilt test |
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used to determine damag to anterior talofibular ligament primarily and other lateral ligament secondarily, a + test occurs when the foot slides forward and or makes a clunking sould as it reaches the end point
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anterior drawer test
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performed to determine extent of inversion or eversion injuries, with foot at 90 derees calcaneus is inverted and excessive motion indicates injury to calcaneofibular ligament and possibly the anterior and posteior ligaments
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talar tilt test
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funcional tests for Lower leg injuries:
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walk on toes, walk on heels, etc
|
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single most common injury in athletics, caused by sudden inversion or eversion movements
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ankle sprains
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most common kind of ankle sprain, result in injury to the lateral ligaments
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inversion ankle sprain
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occurs with inversion plantar flexion and adduction, cusing stretching of teh anterior taofibular ligament
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grade I inversion sprian
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ankel sprain with moderate inversion force cauing a great deal of disability with many days of lost time
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grade 2 inversion sprain
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relatively uncommon but is extrememly disabling, caused by signiicant force resulting in spontaneous sublexation and reduction, causes damage to teh anterior/posterior talofibular and calcaneofibular ligaments as well as teh capsule
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grade III inversion sprain
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represent 5-10% of all ankle sprain
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eversion ankle sprain
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in an eversion ankle sprain the __ ligament is usually damaged
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deltoid
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injury to the distal tibriofemoral joint (anterior/posterior tibulofibular ligament), torn w/ increased external rotation or dorsiflexion, injured in conjuction w/ medial and lateral ligaments
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syndesmotic sprain
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common in sports and often occurs with sprains or excessive dorsiflexion,
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acute achilles strain
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occurs with suden stop and go; forceful plantar flexion with knee moving into full extension, comonly seen in athletes over 30 years old, history with chronic inflammation
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achilles tendon rupture
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when the __ ruptures the athlete will swear they've been kicked in the back of the leg
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achilles tendon
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occurs in sports with dynamic forces being applied to the ankle, may also be caused by dramatic blow to posterior lateral mallelus, or moderate/severe inversion ankle sprain resulting in tearing of peroneal retinaculum, athletes complain fo snapping in and out of groove with activity
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peroneal tendon subluxation/dislocation
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caused by direct blow to lower leg (impacting periosteum anteriorly)
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shin contusion
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contusion of the leg, particularly in the region of the gastrocnemius
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muscle contusions
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sudden, violent, involuntary, contraction, either clonic (intermittent) or tonic (sustained) in nature
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leg cramps and spasms
|
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suseptible to strain near musculotendinous attachment, caused by quick start or stop, jumping
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gastrocnemius strain
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__ has the highest incidence of fracture, occuring primarily in the middle third
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fibula
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__ fractures occur predminatly in the lower third
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tibial
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4 grades of pain for shin splints:
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-pain after activity
-pain before and after, not affecting performance -pain before, during, and after activity, affecting performance -pain so severe, performance is impossible |
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rare acute traumatic syndrome where abnormal swelling occurs due to direct blow or excessive exercise of legs
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compartment syndrome
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common overuse condition, particulary in those with structural and chiochemical insufficienceies, runners tend to develop in the lower third of lower leg, component of femal athlete traid
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stress fracture of tibia or fibula
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intracapsular may be referred to as __
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joint effusion
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swelling within the joint that is caused by synovial fluid and blood is a __
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hemarthrosis
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knee joint laxity includes both __
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straight and rotary instability
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the glide of tibial plateau relative to the femoral condyles
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translation
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as damage to stabilization structures increases, laxity and translation __
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increases
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used to assess the integrity of the MCL and LCL respectibely, testing at 0 degrees incorporates capsular testing while testing at 30 degrees flexion isolates the ligaments
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valgus and varus stress tests
|
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ACL tests 2:
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-drawer test at 90 degrees of flexion
-lachman drawer test |
|
(tibia sliding forward from under the femur is considered a + sign (ACL))
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drawer test
|
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ACL test that will not force knee into painul flexion immediatley after injury, reduces hamstring involvment
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lachman drawer test
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2 tests for PCL sprains
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-posterior drawer test
-external rotation recurvatum test |
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when the knee is flexed at 90 degrees and a posterior force is applied to determine translation posteriorly, + indicates a PCL deficient knee
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Posterior drawer test
|
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PCL test done with the athlete is supine, the leg is lifted by the great toe, if the tibia externally rotates and slides posteriorly ther may be a PCL injury and damage to the posterolateral corner of the capsule
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external rotation recurvatum test
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PCL test where the athlete is supine with both knees flexed to 90 degrees, lateral observation is required to determine extent of posterior sag while comparing birlaterally
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posterior sag test
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used to determine displaceable miniscal tear, leg is moved into flexion and extension while knee is internally and externally rotated in conjunction with valgus and varus stressing, a + is found when clicking and popping are felt
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McMurray's Meniscal Test
|
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meniscal test:
hard downward pressure is applied with rotation, pain indicated meniscal inury |
apley's compresion test
|
|
meniscal test:
-traction is applied with rotation, pain will occur if there is damage to the capsule or ligaments, no pain will occur if it is meniscal |
apleys distraction test
|
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changes in girth can occur due to __, __, and __
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atrophy, swelling, and conditioning
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used to determine patients perception of pain, stabilitiy and functional performance
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subjective rating
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must assess walking, running, and turning, and cuttying, co-contraction test, vertical jum[, single leg hop tests, and the duck walk, resistive strength testing
|
functional examination
|
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-lines which bisect the patella relative to the ASIS and the tibial tuvercle
-normal angle is 10 degrees for males and 15 degrees for females, elevated angles often lead to pathlological conditions assocated with improper patellla tracting |
Q-angle
|
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a series of glides and compressions are perfomed with the patella to determine integrity of patella cartilage
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patella grinding, compression and apprehension tests
|
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result of severe blow or outward twist
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medial collateral ligament sprain (MCL)
|
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result of varus force, generally with the tibia internally rotated, a direct blow is rare, if severe enough damage can also occur to the crucitate ligments, ITC, and meniscus, producing bony fragments as well
|
lateral collateral ligament sprain
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tibia externally rotated and valgus force at the knee, may be linked to inabilityto decelerate valgus and rotational stresses
|
Anterior cruciate ligament sprain (ACL sprain)
|
|
-most at risk during 90 degrees of flexion
-fall on bent knee is most common mechanism -can also be damaged as a result of a rotational force |
posterior cruciate ligamanet (PCL)
|
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if an athlete feels a pop in the back of the knee it may be an __
|
PCL sprain
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the __ meniscus is more commonly injured due to ligamentous attachments and decreased mobility, also more prone to disruption through torsional and valgus forces
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medial
|
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caused by direct or indirect trauma (severe pull of tendon)
semi-flexed position with forcible contraction (falling, jumping, or running) |
patellar fracture
|
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an apophysitis occuring at the tibial tubercle
begins cartilagenous and develops a bony callus enlarging the turbercle resolves with aging |
osgood schlatter's disease
|
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repeated avulsion of the patellar tendon is a common cause of __
|
osgood schlatter's disease
|
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the result of excessive pulling on the inferior pole of the patella
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larsen johansson disease
|
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caused by jumping or kicking, placing tremendous stress and strain on patellar or quadriceps tendon, sudden or repetitive extension
|
patellar tendinitis (jumpers or kickers knee)
|
|
3 phases for patellar tendinitis:
|
-pain after activity
-pain during and after -pain during and after that may become constant |
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caused by a fall on outstreched arm, fall on the tip of teh shoulder, or direct impact
occurs primarily in teh middle third |
clavicular fractures
|
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result of direct impact or force transmitted up through the humerous
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scapular fractures
|
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caused by an indirect force, blunt trauma (may cuase displacment) to the clavicle
|
sternoclavicular sprain
|
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result of direct blow (from any direction), upward force from humerus, can be graded 1-6 depending on severity
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acromioclavivular sprain
|
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caused by a forced abduction and or external rotation or a direct blow
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glenohumeral joint sprain
|
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caused by a subluxation involves excessive translation of humeral head w/out complete seperation form the joint
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acute subluxations and dislocations of the shoulder
|
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__ shoulder dislocation is the result of an anterior force on the shoulder, forced abduction and external rotation
|
anterior dislocaiton
|
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__ shoulder dislocation occurs due to forced adduction and internal rotation or falling on a extended and internally rotated shoulder
|
posterior
|
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signs and sympotms are a:
flattened deltoid, prominent humeral head in axilla; arm carried in slight abduction and external rotation |
anterior shoulder dislocation
|
|
signs and sympotms are a:
severe pain and dislability, arm carried in adduction and internal rotation; prominent acromion and coracoid process; limited external rotation and elevation |
posterior dislocation
|
|
permanent anterior defect of labrum
|
bankart lesion
|
|
cuased by compression of cancellous bonde angainst anterior glenoid rim creating a divot in the humeral head
|
hill sachs lesion
|
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defect in superior labrum that begins posteriorly and extends anteriorly impacting attachment of long head of biceps on labrum
|
SLAP lesion
|
|
cuased by a powerful contraction of teh biceps, generally occurs near origin of muscule at bicipital groove
|
biceps brachii rupture
|
|
a biceps brachi rupture generally occurs near origin of muscle at __
|
bicipital groove
|
|
5 phases of throwing motion:
|
-windup phase
-cocking phase -acceleration -deceleration phase -follow through phase |
|
phase of throwing:
-first movement until ball leaves gloved hand -lead leg strides forward while both shoulders abduct, externally rotate and horizontally abduct |
windup phase
|
|
phase of throwing:
-hands seperate (achieve max. external rotation) while lead foot come in contact with ground |
cocking phase
|
|
phase of throwing:
-max external rotation until ball release -scapula elevates, abducts and rotates upward |
acceleration
|
|
phase of throwing:
-point from ball release until max shoulder internal rotation -eccentric contraction of ext. rotators to decelerate humerus while rhomboids decelerate scapula |
deceleration phase
|
|
phase of throwing:
-end of motion when athlete is in a balanced position |
follow-through phase
|
|
injured as a result of a valgus force from repetitive trauma, can also result in ulnar nerve inflammation or wrist flexor tendinitis, overuse flexor/pronator strain, ligamentous sprains; elbow flexion contractures or increasedinstability
|
ulnar collateral ligament
|
|
called tennis elbow:
|
lateral epicondylitis
|
|
caused by repetative microtrauma to insertion of extensor muscles of lateral epicondyle, tendiosis with degeneration of tendon without inflammation
|
lateral epicondylitis (tennis elbow)
|
|
caused by:
-repeated forceful flexion of wrist and extreme valgus torque of elbow -may involve pronator teres, flexor carpi radialis and ulnaris, and palmaris longus tendons, can be associated with ulnar nerve neuropathy |
medial epicondylitis
|
|
caused by:
-high incidence in sports caused by fall on outstreached hand w/ elbow extended or severe twist while flexed -bones can be displaced backward, forward, or laterally -distinguishable from fracture because lateral and medial epicondyles are normally aligned with shaft of humerus |
dislocation of elbow
|
|
caused by:
-fall on flexed elbow or form a direct blow -can occur in any one or more of the bones -fall on outstreched hand often fractures humerus above condyles or between condyles |
elbow fractures
|
|
the __ side of the arm recieves the most blow due to arm blocks
|
ulnar side
|
|
common in youth due to falls and direct blows
|
forearm fractures
|
|
occurs in the lower end of radius or ulna, caused by fall on outstreched hand, forcing radius and ulna into hyperextension
|
colles fracture
|
|
3 major nerves in teh hand
|
ulnar, median, and radial
|
|
__ and __ arteries supply the hand
|
ulnar and radial
|
|
the two arterial arches of the hand __
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superficial and deep palmar arches
|
|
test for de Quervains's syndrome, athlete makes a fist with thumb tucked inside, wrist is ulnarly deviated, + is pain indicating stenosingin tenosynovitis
|
finklesteins test
|
|
produced by tapping over transverse carpal ligament, tingling, paresthesia over sensory distribution of the median nerve indicates presence of carpal tunnel syndrome
|
tinel's sign
|
|
test for carpal tunnel syndrome, position is held for about 1 min
|
phalens test
|
|
test used to assess ligamentous integrity of joints in hands and fingers, valgus and varus tests are used to test collateral ligaments
|
valgus/varus and glide stress tests
|
|
the most common kind of wrist injury, arises form any abnormal forced movement, falling on hyperextended wrist, violent flexion or torsion, multiple incidents may disrupt blood supply
|
wrist sprains
|
|
occurs through forced hyperextension, falling on outstretched hand
-violent twist or torque of the wrist -often associated with sprain of UCL |
triangular fibrocartilage complex (TFCC) injury
|
|
cuased by force on outstretched hand, compressing scaphoid between radius and second row of carpal bones, often fails to heal due to poor blood supply
|
scaphoid fracture
|
|
synovial cyst (herniation of joint capsule or synovial sheath of tendon), generally appears following wrist strain, occasional pain with lump at site, may feel soft, rubbery or very hard
|
wrist ganglion
|
|
managment of this disease includes aspiration, chemical cauterization with susequent pressure from pad, surgical removal is most effective treatment method
|
wrist ganglion
|
|
the result of blow or compression of bones within hand and fingers
|
contusion and pressure injureis of hand and fingers
|
|
caused by a blow that contacts tip of finer avulsing extensor tendon from insertion, person unable to extend distal end of finger
|
mallet finger (baseball or basketball finger)
|
|
the jones fracture heals __
|
poorly
|
|
HARM stand for:
|
things you should not do with an injruy
Heat, Alcohol, Running, Massage |
|
injury to the tibiofibular syndesmosis ligament, caused by ankle dorsoflexion with external rotation
|
syndesmotic/high ankle sprain
|
|
peroneal=
|
fibular
|
|
caused by twisting motion/direct blow to the knee at 45 degrees, complains knee is coming apart
|
ACL tear
|
|
osgood schlaters disease is diagnosed by a __ below the knee
|
hard bump
|
|
if bone follicles in tendon break off into joint
|
joint mice
|
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used to cushion and disperse weight
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menisci
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deterioration of the cartilage behind the patella, most in females because of Q angle
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chondromalacia
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shoulder dislocations are __% of all dislocations
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50
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what makes up the rotator cuff?
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-supraspinatus
-subscapularis -teres minor -infraspinatus |
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causes little league elobw in children and requires tommy johns surgery in adults
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UCL sprain of the elbow
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__ is a cushion for the ulna, use silly putty for treatment
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triangular fibro cartilage complex injury
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