Popular in Athletic and Sport Injuries
Popular in Kinesiology
This 8 page Class Notes was uploaded by Jeanne Arnson-Serotta on Tuesday October 13, 2015. The Class Notes belongs to KIN 184 at a university taught by Magda Aldousany in Fall 2015. Since its upload, it has received 28 views.
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Date Created: 10/13/15
The Ankle 3 important ones on the ankle o Anterior talo means on the ankle o Anterior talo fibular is the front of the ankle posterior talo fibular is behind and CF is going down from the ankle Muscles and Soft Tissue Peroneals run on the lateral side If you roll it laterally you will strain it o Anterior tibialis is a muscle that comes down your calf crosses your shin bone and attaches at your big toe Main action is dorsi exion pulling on that lifts the toes upwards 0 Gastroc are your main calf muscles and your soleus run right underneath it o Plantar fascia is a fascia running from your heel to the ball of your foot is not muscle cannot strain it o Plantar fasciitis 39 Common in runners I Factors predisposing include improper footwear training errors yielding surface running high or little to no arch 39 Signs and Symptoms pain bottom foot near heel pain with WB severe pain first steps of morning lasting 510 minutes at the heel fascia at night gets tense because it s not weight bearing Acute Compartment Syndrome 0 Rapid increase in tissue pressure within nonyielding space 0 The muscles in the compartment usually anterior swell and don t have enough room 0 Acute sense is usually caused by a direct blow to anterolateral aspect of tibia The blood swells and has nowhere to go 0 Severe pain and swelling out of proportion to clinical situation safe to assume this when there is no reason they should be in that much pain and have that much swelling tight skin loss sensation between 1St and 2nd toes and diminished dorsal pedal pulse not enough blood getting to foot Turf Toe 0 Sprain of the capsular ligament of the 1St MTP joint of the great toe o Forced hyperextension or flexion of hyper exion of big toe jamming toe into end of shoe can also be due to repetitive overload 0 SS pain tender swell on bottom of big toe with extreme pain Lateral Ankle Sprain 0 Most common injury in sports 0 Inversion vs eversion lateral ankle sprain is inversion o Medial ankle sprain is aversion 0 Know difference grade 123 0 1 ATP is the first one you ll hurt o 2 CF component adds in too 0 3 most severe because in order to sprain the PTF you have to sprain all three ATF CF and PTF will not be able to walk 0 3 ligaments o Anterior talofibular ligament ATF is most commonly sprained don t be fooled by sTrained o Calcaneofibular ligament o Posterior talofibular Medial Ankle Sprain Usually involves some collision or contact that pushes you that way More rare than A Plantar of foot is turned out laterally injury occurs Happens when you39re changing directions and going from weight bearing to not weight bearing Common when another player lands on foot May happen when come down from jump incorrectly Syndesmotic High ankle Sprain Injury to distal furthest from body section of tibiofibular syndesmosis Often undiagnosed so longer recovery usually due to severity once diagnosed Less 11 all ankle injuries Mechanism of injury DF and ERDorsi exion with external rotation is what gives you a high ankle sprain Same as inversion but much slower healing time usually return to play in 3 months Achilles Tendon Rupture Happens when you39re on the ball of your foot and the knee is bending More common men 3050 yrs old Occurs push off forefoot while knee extended propulsion Will feel like you ve been shot in the calf hearing a pop sometimes deformity will present 0 Rupture usually 12 inches above where tendon attaches to calcaneus heel bone 0 Refer to physician bandage from ankle to knee with elastic bandage Medial Tibial Stress Syndrome 0 Periostitis along medial border of tibia especially distal 13 0 Becomes in amed with a lot of microtears pulling away from your shin bone 0 Signs and symptoms dull ache occasionally sharp deep pain worse start activity fades as activity continues but returns a few hours after activity has stopped Stress Fracture of the Tibia 0 See it in a bone scan 0 Often in runners and jumpers 0 M01 repetitive stress 0 Pain worse with activity better rest localized sharp pain 0 Caused increased distance training surface shoe type 0 Repetitive stress 0 Rest boot for 3 weeks return to activity 68 weeks 0 More common in women with amenorrhea Freebie Test Question 1 He s diagnosed with a grade 2 calfgastroc strain what type of force is this a Compression axial shear or tension Tension 2 TF 9pain with active range of motion AROM but no pain with passive PROM is usually related to muscle strains TRUE 3 TF9 a sublixation is the same as dislocation The bones of a joint are displaced from their normal position due to a great force FALSE 4 Which one is correct a Ana has an ACL tear with significant swelling 3 days post injury She is in the proliferation phase b Ana is one year post opp ACL Scar tissue has formed c Ana is 2 days post ACL tear with significant swelling She is in the in ammatory phase 1 Ana is one year post opp Scar tissue has formed She is in the in ammatory phase The Knee o Is a hinge joint 0 Some rotational movement allowed secondary to ligaments 0 Extension is when you straighten your knee flexion is when you39re bending it 0 Bones of the knee joint 0 Femur thigh bone 0 Tibia big shin bone 0 Fibula little shin bone 0 Patella the knee cap which is a floating bone not connected to the others 0 Bowleggedness Varus 0 Internal tibia rotation is when your toes are facing inwards and towards each other ER is the opposite o Menisci 0 Very common knee injury that happens 0 Semi lunar cartilage that attach to the tibial plateau o Aid in resisting your tibia from sliding forward 0 Surgeons used to remove the entire meniscus but then they realized a prevalence of osteoarthritis because they removed the only cushion had when taking a step Now theyjust repair it or take out sections tears overtime lead to fraying of the meniscus o Medial meniscus attached to MCL and semimembranosus medial hamstring muscle I More easily injured due to its anatomical attachments o MOI when your foot is planted but your body is twisted or turned 0 Severe tear complain of catch pop or lock 0 Signs and symptoms Giving way atrophy of quad chronic untreated clicking locking inability to go into a deep squatduck walk 0 Ligaments of the Knee o Posteriorcrutiateligaments I Primary stabilizer of the knee I Resists the tibia from going too far posterior on femur I Shorter and stronger compared to ACL I Harder to get a singular injury ofjust the PCL but it does happen 0 Anteriorcrutiate ligament ACLcrutiate means to cross I Coming from the back of your knee and inserting in the front Creates an X in the front it prevents tibia shin from coming forward anterior on femur thigh knee hyperextension IRER of tibia I An ACL is injured by your foot being planted and a turning motion happening Your thigh is turning while your tibia and foot are going the other direction or are planted O O o Bursitis O O O O 0000 O O 0 More common in women not yet really sure why SS pop or snap swelling when attempting to weight bear it feels like their knee is giving way LCL lateral collateral ligament collateral means to run along the side I On the outside of your knee provides lateral stability Does not connect to lateral meniscus fat pad in the way this is why the other gets injured more often because it is actually attached Force needs to come from the inside in order stretch out the outside VARUS force 55 sharp lateral pain usually nominimal swelling LCL sprain MCL medial collateral ligament I Connected to joint capsule and medial meniscus which is damaged more than the lateral Valgus force punch on the outside stretch the inside medial ligament of the knee Grade 2 and 3 may have an inability to weight bear Swelling in the joint can t fully extend your knee and you stand Going to stand on your toes because you cant extend your knee Bursas are there to reduce friction between the ligament and the bone If a ligament attaches bone to bone its protecting it from bone protrubences or tubercles that might stick out Is a bursa on top of the patella in between the bone and the skin This one is most commonly injured Caused by direct trauma overuse infection and other medical conditions Chondromalacia The surface under your patella is rubbing away at the bone behind it when the cartiliage has worn away and the bone is rubbing against bone This causes inflammation Degeneration of articular cartilage underneath your kneecap Due to compression forces altered biomechanics with shear forces No nerve ending in cartilage it is surrounding structures leading to pain Generalized anterior pain with walking especially going own stairs paintenderness worse with stairs Patellar Tendonitis Repetitive extension knee eccentrically quotjumpers knee running basketball Most pain in between the space between the bottom of your patella and a small bone protrusion on your tibia Factors change surface training leg length discrepancy muscle strength 0 55 chronic anterior knee pain usually inferior patella to tibial tuberosity Pain intermittent at first eventually if progress prevents athletic participation ROM present 0 IT Band Friction Syndrome 0 00000 The tendon of a muscle that start in your hip goes along your femur and inserts Condyle are the two big bally bones at the bottom of your femur Fraying is caused by hitting the condyle back and forth Distal fiber near knee become thicker Mal alignment LLD pronation excessive lateral condyle predispose Usually pain late in running over lateral knee worse running updown hill climbing stairs eventual total restriction of activity 0 Patellar Fracture O O MOI is falling directly on your knee direct blow to knee or an eccentric contraction of the quadriceps that overloads SS diffuse swelling on and above knee a portion is retraced lowered visible and palpable defects between fragments SLR impossible o ChondralOsteochondral Fracture O O O O Involves articular cartilage and bone in joint In order for the undersurface to get hit your knee has to be bent because other ways the bottoms are protected by your shin MOI compression force from direct blow to knee SS painful snap lots of swelling crepitus crunching during ROM 0 Avulsion Fracture O O MOI direct trauma excessive tensile force or explosive contraction 55 local pain and tender palpable fragment sometimes is muscle involved deficit in ROM when ACL involved bony fragment may get stuck in knee joint causing it to LOCK Stretch so much that the ligament pulls the bone with it Can be caused by a ligament or a tendon But is going to be tensile force From watching movies test questions Bowman in football tore his ACL Rebecca Bross Gymnastics Patella dislocation The astronaut broke his coccyx and the football player dislocated his hip
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