SES 280 Exam 2
High ankle sprains
6 to 8 week rehab, boot or cast is best to treat what type of ankle sprians?
mechanics
A change of ________ can result from a stress fracture
anterior tibiofibular ligament
A high ankle sprain is damage to what ligament
an internal injury
Abdominal pain, dizziness, fainting, purple skin, swelling, tightness, and head ache are all signs of what
MCL and LCl sprains
Acute and direct contact foot fixed are the MOI of
surgical possibilities
Alerting muscle attachments, shaping and smoothing surfaces, drilling, and elevation tibial tubercle are all __________ of chondromalacia
spleen
An injury to the _______ is a result of a direct blow or infectious mono
trunk flexibility
Basic conditioning should emphasize what of the trunk?
infection
Blood blisters have a high risk of what?
spondyloysis and spondylolistesis
Bracing, occasionally bed rest, stabilization are ways to treat How do you treat spondyloysis and spondylolistesis
blisters
Cleaning socks, trimming calluses, and proper fitting of footware are all ways to prevent ________
spleen injury
Conservative 1 week hospitalization, surgery which requires three months of rehab are ways to treat a what
myositis ossficans
Conservatively, compress, ultrasound, possibly surgery are ways to treat
shin splints
Decreased activity, achilles stretching, arch taping, strengthen muscles are ways to treat
Osgood schlatters disease
Decreasing activity, increase flexibility, referring to MD and antinflammitories are all treatments of what?
total loss of function
Dislocation of the patella results in what?
blow to the sloar plexus
Help the athlete overcome apprehension, use short inspirations and long expirations, calm the athlete, and question for internal injuries are ways to treat
plantar fasciitis
High arches, excessive pronation are causes of
makes the joint more stable
Hip flexibility does what by increasing the hips rom
spleen
History of blow, signs of shock, abdominal rigidity, nausea, vomiting are signs of an injury to th e______
a hernia
History of direct blow in the area, pain and prolonged discomfort, superficial protrusion with pain increasing with coughing are signs of
surgery
How do you treat a hernia
Ice and elevation
How do you treat compartment syndrome?
cut straight across
How do you treat ingrown toe nails
4
How many ligaments does the knee have
achilles tendonitis
I.C.E, ultrasound, and night splints are ways to treat this injury on the back of the foot
plantar fasciitis
Ice massage, decreased activity, night splint, correct cause, time are ways to treat?
Plantar fasciitis
Ices, phonophoresis, iontophoresis, ultra sound, heat, exercise, bracing, transverse friction massage are ways to treat this foot injury
stress, and postures
In the lumbar spine one should avoid ________ and _________ that can cause injury
biomechanical
In the lumbar spine one should correct ____________ abnormalities. One should establish a corrective program based on the athlete
Stress fractures
Increasing mileage too fast, improper foot mechanics, improper foot wear, and running on hard surfaces are the MOI of what
knee injuries
Keeping the knee strong and flexible, avoiding stress, wearing supportive shoes, do not wear high heeled shoes are ways to avoid
costochondral separation
Localized pain, pain with movement, difficulty with breathing, point tenderness and possible deformity are the signs of
Abdominal injuries
Mechanism and onset of symptoms, medical history, tenderness, breathing pattern, grading of abdomen, referred pain, rebound tenderness, shock, nausea, vomiting, increased pulse, decreased BP are all symptoms of what?
appendicitis
Mild to server pain in lower abdomen, nausea, vomiting, low grade fever are sings of
Anterior talofibular ligament
Most inversion injuries result in a sprain of what ligament
spinal injuries
Muscle strengthening and range of motion are two ways to prevent
hyperflexion, hyperextension, and rotational forces
Muscles of the neck resist ________, _______, and ________
full
Must have a ________ ROM to prevent injury which can be improved through stretching
lifting
One should always use correct __________ techniques to avoid injury
Osgood schlatter disease
Overuse, and running/jumping activities are the MOI of what
quad contusions
PRICE, NSAID'S , analgesiscs, crutches, continuous use of ice are treatments of
Trochanteric bursitis
PRICE, NSAID'S, analgesics, ROM and PRE, biomechanics, and injections are ways to treat what
Hamstring strains
PRICE, NSAID'S, analgesics, compression wrap with crutches are treatments for?
stress fracture
Pain localized to one area, and persisting pain are signs of
Herniated disc
Pain reducing modalities, reducing protrusion of disk, surgery may be required are treatments of?
Chondromalacia Patella
Pain with walking, running stairs, possible recurrent swelling, and pain at the inferior border of the patella are all signs of what
subluxation of the patella
Pain, swelling, restricted ROM, and palpable differences occur during what injury to the patella
a rib
Painful breathing and point tenderness are signs of a fracture to what?
turf toe
Point tenderness first MTP and decreased ROM are signs of
bulling
Prior to the impact the athlete should brace themselves by doing what to the neck
Acl sprains
RICE and Surgery reconstruction are the two treatments of
rib fractures
RICE, NSAID'S, rest and decrease in activity are treatments of this injury in the thoracic cage
chondromalacia
RICE, NSAID's, isometrics, and orthotics to correct dysfunction are conservative treatments for this softening injury
MCL and LCL sprains
Referring to MD, Rice, MRI for third degree and rehab are treatments for what.
PCL sprains
Rehab, no surgery, bracing are treatments of
Stress to medial restraints
Repetitive sublaxtion of the patella will lead to what?
costochondral separation
Rest and immoblization are treatments for what thoracic injury
predisposed
Some athletes my be ________ to patella subluxation and dislocation
Blow to the solar plexus
Stops in respiration, anoxia, generally transitory are signs of
Chondromalacia
Swelling and softening of cartilage, fissure of softened cartilage, and deformation of cartilage surface are the three stages of?
false
T/F lateral ankle sprains occur due to eversion
True
T/F medial ankle sprains occur due to inversion
quads
The _______ pull the patella out of alignment in a subluxation or dislocation
knee
The adductors, quads, hamstrings, pes anserine group, gastronemiu, and the IT band are muscles of the
dorsiflexion
The anterior compartment muscles perform what motion
Lower Right
The appendix is in what abdominal quadrant
Lower left
The intestines are in what abdominal quadrant
Upper right
The liver is in what abdominal quadrant
Quads
The most important muscle group following a pcl injury are
Lateral
The patella usually dislocates in what direction
3
There are how many phases to the pain indication patellar tendinitis
Hamstring strains
There are several theories of this injury's MOI . They include the hamstring and the quad contracting together, a change in role from hip extender to knee flexor, and fatigue, posture, leg length difference, lack of flexibility and strength imbalances
Posterior compartments
These compartments are responsible for for plantar flexion and foot inversion
Hamstrings
These hip muscles cross the knee joint posteriorly. All except for the head of the biceps crosses the hip
Cruciate ligaments
These ligaments are pair of ligaments in the knee that cross each other and connect the femur to the tibia.
Quads
These muscles insert in a common tendon of the proximal patella
Axial loading
This a sudden, excessive compression which drives the weight of the body against the head.
PCL
This cruciate ligament works to keep the tibia from sliding backwards
ACL
This cruciate ligament works to keep the tibia from sliding forward
osgood schlatter disease
This disease is characterized by repetitive traction on the tibial tuberosity mostly in younger athletes
avulsion fracture
This fracture occurs where a tendon of ligament attaches to bone. Its when a tendon or ligament pulls off a piece of the bone
Grade 2
This grade of hamstring strain is characterized by a partial tear identified by a sharp snap
Grade 1
This grade of hamstring strain is characterized by soreness during movement
Pes Anserine
This includes the sartorius, gracilis, and semitendinosus
Costochondral separation
This injury is a result of a direct blow to the anterolateral aspect of the rib cage
quad strain
This injury is caused by a sudden stretch when the athlete falls on bent knee or experiences sudden contraction. It is associated with weakened or over constricted muscle
Trochanteric Bursitis
This injury is the inflammation at the site where the gluteus medius inserts or the IT-band passes over the trochanter
Herniated disk
This injury of the spinal column is caused by abnormal stresses and degeneration due to use
Quad contusions
This injury to the leg is caused by being constantly exposed to traumatic blunt blows, it results from sever impact and the extent of force plays a role
Stress Fracture
This injury usually occurs to the Tibia and 2nd, 3rd and 3th Metatarsals.
Hip pointer
This is a contusion of the iliac creast or abdominal musculature resulting from a direct blow
Chondromalacia
This is a degeneration of a joint;s articualr surface, leading to softening
Meniscus
This is a fibrocartilagenous disk that functions to stabilize the knee joint by making the condyles fit together better
Long arch strain
This is a flattened or depressed longitudinal arch
Jones fracture
This is a fracture of the 5th metatarsal. It usually occurs due to jumping and sever inversion, or avulsion of peroneus brevis
Commotio Cordis
This is a heart contusion and is caused by blunt trauma to chest resulting in cardiac arrest
Scoliosis
This is a lateral curve in the back
Kyphosis
This is a posterior curve in the thoracic spine and is commonly known as hunch back
Hyperventilation
This is a rapid rate of ventilation due to anxiety induced stress or asthma. There is decreased amount of carbon dioxide relative to oxygen
turf toe
This is a sprain to the 1st metatarsal phalangeal joint. It is caused by great force on the big toe causing it to be forced in hyperextension
spondyloysis
This is a stress fracture to one pars interartiularis due to repetitive extension
Lordosis
This is an anterior cure and occurs in the cervical and lumbar spines
Tensor fascia latea
This is another name for the iliotibial band
hematuria
This is blood or pain during urination
Syndesmotic sprain
This is caused by dorsiflexion with rotation motion and is another name for high ankle sprains
blow to solar plexus
This is characterized by a transitory paralysis of the diaphragm due to a direct blow to the stomach
Shin splints
This is inflammation of muscle or periostitis in the low leg. It is due to overuse, activity on hard surface, improper shoes, anatomic abnormalities, and improper techniques
Achilles Tendonitis
This is inflammation of the achilles tendon due to overuse. This can be affected by foot biomechanics, shoes, training surfaces
Appendicitis
This is inflammation of the appendix. It is a result of blockage, or lymph swelling.
periostitis
This is inflammation of the periosteum
plantar fasciitis
This is inflammation of the plantar fascia due to traumatic or repeated stress
posterior talofibular ligament
This is one of the three ligaments that make up the lateral collateral ligament complex of the ankle. It is the one on the back of the ankle
calcaneofibular ligament
This is one of the three ligaments that make up the lateral collateral ligament complex of the ankle. It is the one on the side of ankle and runs to the calcaneous
anterior talofibular ligament
This is one of the three ligaments that make up the lateral collateral ligament complex of the ankle. It is the one on the top front of ankle
referred pain
This is pain other than at the site of trauma
Kher's sign
This is referred pain to the left shouldered and is an indication of a splenic injury
Iliotibial band friction syndrome
This is runners knee it is an overuse injury that is due to malalignment and structral asymmetries of the foot and lower leg. Its due to the friction that is created as the knee flexes ad extends
ACL sprain
This is sprain occurs due to acute force causing anterior displacement of tibia, hyperextension, cuts and pivots.
Myositis Ossificans
This is the formation of ectopic bone due to the gradual deposit of calcium. It may result from improper thigh contusion treatment
patellar bursitis
This is the inflammation of the patellar bursa at the front of the knee
Plantar Fasciitis
This is the inflammation of the plantar fascia
Nucleus puplosus
This is the inner portion of the a vertebral disk
Patella
This is the largest sesamoid bone and it increases the leverage of the quads
Deltoid ligament
This is the ligament on the medial side of the ankle
Femur
This is the longest and strongest bone in the body
Fibula
This is the non weigh bearing bone of the lower leg
Pronation
This is the normal side to side motion of the foot as you walk. You foot slightly rolls inward
annulus fibrosus
This is the outer portion of a vertebral disk
McBurnys point
This is the point over the right side of the abdomen where one looks for pain as a sign of appedicitis
Hernia
This is the protrusion of abdominal viscera through portion of abdominal wall
Kidney Contusion
This is the result of an external force, and can be seen by signs of shock, nausea, vomiting ect. There is referred pain from the costovertebral angle posteriorly radiating forward around the trunk
spondylolisthesis
This is the slipping of one vertebrae above or below another and is often associated with a spondylolysis
Chondromalacia Patella
This is the softening and deterioration of the articular cartilage of the patella and is often associated with abnormal tracking
Pes planus
This is the term for flat foot
Pes cavus
This is the term for high arches
well straight leg raise test
This is the test for sciatica
plantar fascia
This is the thick white band of fibrous tissue and support the foot against downward forces
core stabilization
This is used to maintain neutral position and can be used to increase lumbopelvic-hip stability. This helps the athlete maintain the spine and pelvis in an acceptable mechanical position
infrapatellar bursitis
This is when the bursa under the patella become inflamed. Symptoms are similar to jumpers knee and exhibit tenderness on front of patella
compartment syndrome
This is when the circulation and function within a compartment becomes compromised due to increased pressure. This is typically due to a deep contusion, overuse or hypertrophy`
Pneumothorax
This is when the pleural cavity becomes filled with air which negatively pressurizes the cavity causing a lung to collapse
Hemothorax
This is when there is blood in the pleural cavity it causes tearing or puncturing of the lungs or pleural tissue. The athlete will be coughing up blood, breathing will be painful, dypsnea, and signs of shock
Medial Collateral ligament
This ligament is on the inside and connects the femur to the tibia
Lateral Collateral Ligament
This ligament is on the outside and connects the femur to the fibula composed of three ligaments
Anterior cruciate ligament
This ligament prevents anterior translation of the tibia
Posterior cruciate ligament
This ligament prevents posterior translation of the tibia
Lateral collateral ligament
This ligament prevents varus stress you would use the varus stress test on this collateral ligament
Medial collateral Ligament
This ligament protects from valgus stress
Meniscal Lesions
This meniscal injury is due to a compression and twist. It is when the knee is moving in a flexed or extended position and then twists
Medial Meniscus
This menisci is more commonly injured because of its ligamentous attachments and its decreased mobility
Patellar Tendonitis
This occurs in jumping or kicking. It places tremendous strain and stress on the patellar or quad tendons. It comes from sudden or repetitive extension.
Rib Fracture
This occurs to a rib when a blow occurs to the rib cage
Subluxation or dislocation
This occurs to the patella when there is deceleration with simultaneous cutting in the opposite direction
Spleen
This organ is in the upper left abdominal quadrant
Spondylolysis
This refers to the degeneration of the vertebrae due to congenital weakness on one of the pars
PCL sprain
This sprain occurs due to acute posterior displacement of the the tibial by landing of flexed knee
MCL sprain
This sprain occurs from valgus stress and opens up the medial aspect of the knee
LCL sprain
This sprain occurs from varus stress and opens up on lateral aspect of the knee
Avulsion fracture
This type of fracture is sometimes caused by inversion injuries
Parrot beak and bucket handle
What are the two types of meniscal tears
Improper healing leading to early closing of growth plates
What are two complications that can occur with osgood schlatters disease
bandage for a blister
What is a friction bandage
turf toe
What is a sprain to the first MTP joint
shin splints
What is medial tibial stress syndrome
Tibialis anterior, Extensor digitorum longus, extensor hallcucis longus
What muscles are in the anterior compartment
Tbialis posterior, flexor digitorum longus, flexor hallucis longus
What muscles are in the deep posterior compartment
Peroneus longus, peroneus brevis
What muscles are in the lateral compartment
Soleus, gastrocnemius
What muscles are in the superficial posterior compartment
foot evertors
What type of muscles are found in the lateral compartment
The deltoid ligament is stronger on the medial side
Why are there more a lateral than medial ankle sprains?
Due to its position in the fibular notch
Why is the ACL more vulnerable than that the PCL?
stress fractures
X-ray, bone scan, and resting 6 weeks are treatments of ?
food or water
You should never give someone __________ or ____________ if you suspect an abdominal injury
ankle sprains
achilles stretches, toe raises, towel curls, proprioception work,, strengthening, functional progession, and protecting when returning to activity are all rehab options for
hyperventilation
decrease rate of co2 loss, slow respiration rate and alter respiration techniques, and breath into a bag are ways to treat?
hyperventilation
difficulty getting air, panic state, gasping, and wheezing are signs of
blisters
friction bandage, donut pad, drain fluid are ways to treat
Turf toe
ice, rest, stell insole, and x-ray are treatments of?
Osgood schlatter disease
pain and tenderness at the insertion, inflammation, and enlargement of the tibial tubercleare all signs of what?
Plantar fasciitis
pain in the morning, point is tender from calcaneous to metatarsal heads, and increased pain after activity are signs of?
Paralysis
the loss of the ability to move (and sometimes to feel anything) in part or most of the body, typically as a result of illness, poison, or injury.
Grade 3
this grade of hamstring strain is characterized by rupturing of tendinous or muscular tissue