sports injuries lab day. questions to ask what happened? (this helps to determine if the injury is...
TRANSCRIPT
Questions to ask What happened? (this helps to determine if the
injury is acute or chronic) Where does it hurt? Scale from 1 to 10 of intensity of pain Have you done this before?
Possible Shoulder Injuries - Possible Shoulder Injuries - DislocationDislocation
Acute – fell on shoulder, external force while shoulder was abducted, externally rotated, and hyperextendedHead of humerus is forced out of glenoid fossaSigns/Symptoms: tenderness, athlete felt shoulder “slip out of place”, pain can be felt around the deltoid tuberosity
Immediate Treatment PIER Sling – immobilize in the position the athlete
was found in (most comfortable) Dislocation requires medical attention to get it
put back in place
Long Term Care Rest Physiotherapy Strenghening of
rotator cuff muscles 4-6 months before
they can return to play
Separation Acute: Clavicle has become separated from
the acromion 65% of all shoulder injuries in NHL Signs/Symptoms: tenderness, weakness on
resisted abduction while in a cross-flexed position (palm on opposite shoulder)
Immediate Treatment PIER Support ligament with a sling or tensor Can use stretch tape to pull clavicle down
Long Term Care Strengthen upper trapezius and deltoid May need surgery but there has been little
success Educate – if injured playing a contact sport,
learn how to take a hit
Tendinitis Chronic – overuse
injury Inflammation of
biceps brachii tendon Signs/Symptoms:
pain at the proximal end of the biceps, elbow flexion may be painful
Rotator Cuff Tear Could be chronic or acute Involves one or all four SITS muscles Signs/Symptoms: difficulty with abduction,
lateral, and medial rotation of the shoulder
Long Term Care Strengthen rotator
cuff muscles Surgical intervention:
cut coracoacromial ligament or surgically repair the tear
Knee Injuries – ACL tear
ACL = anterior cruciate ligament Acute: Many different ways to injure Most common: rapid rotation of the lower leg
e.g. Making a cut in football or basketball Signs/Symptoms: a “pop” sound, knee may
feel “dislocated”, tight hamstrings (they protect the ACL)
Patellofemoral Syndrome Chronic – uneven tracking of the patella on the
femur Aggravated by sports like running, volleyball,
and basketball Signs/Symptoms: grinding sensation when
flexing/extending the knee, pain around patella
Immediate Treatment PIER Find mechanical
cause and correct it – weak hip abductors, tight ITB, tight quads
Long Term Care Neoprene sleeve to
assist tracking Stretching Strengthen certain
quad muscles (vastus medialis)
Loosen ITB – massage, physical manipulation
Ankle Injuries – Inversion and Eversion Sprains
Acute: rolling over your ankle (inversion), sole of the foot forcibly turned outward (eversion)
Signs/Symptoms: pain on reproducing inversion/eversion or might have heard a tearing or popping sound
Long Term Care Rest Air-cast Rehabilitation
exercises: wobble board, standing balance (with closed eyes), walking from one uneven surface to another