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Sports-Related
Common Sports Related Injuries
| Question | Answer |
|---|---|
| What is the entrapment of soft tissue under coracoacromial arch of the shoulder called? | Impingement syndrome |
| How is impingement syndrome treated? | NSAIDs and rest until symptoms decrease then gradual ROM and strengthening exercises |
| What is a tear within the muscle or tendoligamentous structures about the shoulder? | Rotator cuff tear |
| How is a tear of the rotator cuff treated? | If its a minor tear - NSAIDs and rest then gradual mobilization with ROM and strengthening exercises. If major - surgery |
| What is the name for inflammation of the anterior aspect of the calf from periostitis caused by improper shoes, overuse, or running on hard pavement? | Shin splints |
| How are shin splints cared for? | Rest, ice, NSAIDs, proper shoes; gradual increase in activity. If pain persist x-ray should be done to rule out stress fracture of the Tibia |
| What is inflammation of a tendon as a result of overuse or incorrect use? | Tendinitis |
| How is tendonitis treated? | Rest, ice, NSAIDs; gradual retrun to sport activity;protective brace may be needed if symptoms recur |
| What is a ligament injury? | tearing or stretching of a ligament usually due to eversion, inversion, shearing , or by torque applied to a joint; characterized by sudden pain, swelling, and instability |
| What is the treatment for a ligament injury? | rest, ice, NSAIDs; protection of affected extremity by a brace; surgical repair if symptoms persist |
| What is an injury to fobrocartilage of the knee characterized by popping, clicking, or tearing sensation, effusion, and swelling? | meniscal injury |
| How is a meniscal injury treated? | rest, ice, NSAIDs; gradual return to regular activities; surgical arthroscopy to diagnose and repair meniscal injury may be required if symptoms persist. |
| What is an injury to tendoligamentous structures surrounding a joint? | Sprain |
| What is excessive stretching of a muscle and its fascial sheath that often involves a tendon? | Strain |
| What is an avulsion fracture? | Ligament pulls loose a fragment of bone |
| What is hemarthrosis? | Bleeding into a joint space or cavity |
| What advice can we give to help people avoid sprains and strains? | Warm up and stretch before exercise; utilize strengthening, balance, and endurance exercises; where support bandages |
| What is the acute intervention for a sprain or strain? | RICE = Rest, Ice, Compression, Elevation |
| When and how long should ice be applied? | Cold is most useful immediately after injury. Applications should not exceed 20 to 30 minutes allowing 10 to 15 minutes of warm up time between. |
| How does ice help? | vasoconstriction and reduction in transmission and perception of nerve pain impulses resulting in analgesia and anesthesia, reduction of muscle spasm, reduction of edema and inflammation and local metabolic requirements |
| How should compression be applied? | compression bandage |
| How do we know if the compression bandage is too tight? | numbness, pain or swelling below the bandage |
| How long are compression bandages used (with the exception of training ect.)? | Left in place for 30 minutes, then released for 15 minutes |
| What does the compression bandage do? | Decreases swelling (swelling can increase healing time) |
| What's the point of elevation? | to help mobilize excess fluid from the area and prevent further edema |
| How does treatment change after the acute phase (24 to 48 hours later)? | Warm moist heat may be applied in 20 to 30 minute increments to reduce swelling and ease pain; use the limb while protecting, supporting joint |