Use LEFT and RIGHT arrow keys to navigate between flashcards;
Use UP and DOWN arrow keys to flip the card;
H to show hint;
A reads text to speech;
28 Cards in this Set
- Front
- Back
what is the grading system for ligament injuries?
|
I-intrasubstance tear that is stable
II- partila thickness tear with slight laxity III is complete tear that is unstable and weak |
|
what are the criteria for on field head injury exam?
|
orientation to time and place, post traumatic amnesia, follow compound comands, dazed, abnormal speech, gait or balance difficulties, and parasthesias or weakness
|
|
describe grade 1 closed head injury.
|
minor, no loss of conscoiusness, no amnesia, confusion less than 5-10 minutes. observe for 20 minutes, then they may return to play.
|
|
describe grade 2 closed head injuries.
|
mild concussion, no loss of consciousness, amnesia for less than 20 minutes, other symptoms may persist, remove the pt. from competition and they can return after 1 week of being asymptomatic (unless this is their 2nd one this season, then wait two weeks). If this is their third CHI then they are out for the season
|
|
describe grade 3 closed head injuries
|
moderate concusion, loss of consciousness ofr less than 5 minutes, amnesia less than 12 hours, post concussive syndrome, remove from play, CT or MRI, neurosurgical eval, returen to play for 2 weeks after normal MRI, if 2nd one, theu are out for season
|
|
describe grade four closed head injuries
|
severe concussion or brain injury, loss of consciousness for over 5 minutes, amnesia for over 12 hours, treat this as presumed spinal injury until proven otherwise, CT or MRI, neurosurgical eval and close observation.
|
|
what are "burners" and how are they treated? differentials?
|
upper cervical root neurapraxia usually of c5, c6. "arm goes dead" return to play when asymptomatic. Must rule out cervical disc/stenosis if recurrent. Can have neck roll in football to prevent them.
|
|
what is another name for an AC joint sprain and how should it be treated?
|
seperated shoulder. Ice and compression. X ray to evaluate surgery need. Maintain ROM in joint
|
|
How should shoulder instability be treated, acutely and chronic?
|
acutely it will need a reduction and neurovascular check. If older than 40 there is r/o rotator cuff tear. can do rotator cuff strengthening. maybe arthroscopy...
|
|
treatments for impingements or tendinitis?>
|
injection, cuff strengthening or role of arthroscopy...
|
|
when do most muscle and ligament tears occur?
|
during an eccentric contraction (contracted muscle is stretched)
|
|
what is a SLAP lesion?
|
superior labrum, anterior or posterior
|
|
how do you treat a biceps rupture?
|
if it is distal (tuberosity) repair it early. Proximal repair of the long head is controversial
|
|
what are common names for lateral and medial epicondylitis in the elbow?
|
lateral is tennis elbow and medial is golfers elbow
|
|
describe tennis elbow.
|
tendinosis not itis, ECRB, use nsaids, forearm strap, ice, injections, surgical debridgement
|
|
describe little league elbow
|
medial epicondylitis with or without avulsion, capitellr OCD, valgus overload, limit throwing
|
|
what must you look for in a wrist sprain?
|
a scaphoid fracture, if dx unclear put in spica splint and re-image in ten days
|
|
describe an anterior superior iliac spine contusion.
|
"hip pointer," compress the area with ace wrap, ice em, stretching, walking, and biking ASAP, can retun to sport as tolerated
|
|
how do you treat a quadriceps contusion AKA thigh bruise?
|
immobilize in hyperflexion overnight, RICE, running at 1 to 2 days then strengthen then return to sport
|
|
Tibial colateral ligament sprain treatments.
|
ice, compression, immediate ROM, brace, water exercises, could be 1 week to 6 weeks til return to sport depending upon injury severity
|
|
patellar tendinitis is AKA what?
|
jumper's knee
|
|
what is the movement that usually causes ACL tears?
|
valgus, rotation
|
|
if the knee is swollen, what is possible?
|
ACL tear, meniscus injury, chondral fracture, NOT a sprain
|
|
why is a knee dislocation an emergency?
|
there is a risk of vascular injury
|
|
what are differentials for an ankle sprain?
|
fracture of malleoli, talus, calcaneous, syndesmotic injury, OCD, fibular dislocation.
|
|
should achilles tendonitis be treated with injections?
|
NO
|
|
describe conditions of an achilles rupture?
|
feels like shot in the heal, feel a pop, thomas test, cast , surgery
|
|
what is the common name for 1st MTP sprain?
|
turf toe
|