transformation of tissue from one type to another that is not normal for that tissue:
metaplasia
abnormal development of tissue:
dysplasia
excessive proliferation of normal cells in normal tissue arragngement:
hyperplasia
a decrease in the size of tissue due to cell death and reabsorption or decreased cell proliferation:
atrophy
an increase in the size of tissue without necessarily changing the number of cells:
hypertorphy
ligamentous tissue may take as long as ________ to become completely remodeled.
12 months
list the 5 stages of acute fractures in bone healing:
hematoma formation
cellular proliferation
callus formation
ossification
remodeling
list and describe the 4 sources of pain:
cataneous: sharp, bright, and buring with fast and slow onset
deep somatic: orginates in tendons, muscles, joints, perisoteum, blood vessels
visceral: begins in organs, diffused at first, may become localized
physchogenic: emotional rather than physical
list and describe the 3 types of referred pain:
myofascial: tigger points
sclerotomic: deep pain, aching, poorly localized
dermatomic: sharp, localized
_______ pain is deep, achy, and poorly localized where as _____ pain is sharp and well localized:
sclerotomic, dermatomic
list and describe the steps of wound care:
all wounds assumed to be contaminated
clean the wound: work inside out, flush, remove debris
apply protective ointement: neosporin, bacitracin
cover for protection:
monintor for infection: red, swollen, pus, heat, pain, loss of function
list the steps for blister care:
let it be for the first day
make a small incision
drain fluid
cleanse area
cover and protective padding
monitor for infection
list the steps to care for a bruise:
provide RICE pricinples
apply protective padding
48-72 hrs post, remove with massage or other modalitites
montior for infection
list the steps for the care of abrasions:
remove debris of any large particles
cleanse with soap, water, ect.
apply ointment
cover
monitor for infection
list the steps to care for laceration/incisions:
clease around the wound
avoid wiping contaminates into area
apply dry sterile compress
sutures done by physician
montior for infection
list the steps to care for a skin avulsion:
clean around the wound
save avulsed tissue
refer for sutures if needed
change sterile dressing daily
monitor for infection
list the steps to manage an ingrown toenail:
soak in warm water 20 mins
place cotton under edge of nail
list the 5 C's of how MRSA can be spread:
crowding
skin to skin contact
compromised skin
contaminated items
lack cleanliness
the application of mechanical forces which may stem from within or outside the body, to living organisms:
biomechanics
mechanical forces that are applied to a living organism and adversely change the body's structure and function; structural body devation, leading to faulty aligment:
pathomechanics
the cause of an injury or disease:
etiology
the mechanical desccription of the cause:`
mechanism
the structural and fucntional changes that result from teh injury process
pathology
a perceptible change in a patients body or its functions that indicate an injury or disease:
symptom
an objective , a definitive and obvious indicator of a spectific condition:
sign
denotes the name of a specific condition:
diagnosis
a prediction about the course of the condition; projected outcome of injury or illness:
prognosis
a condition following and resulting from a diesease or an injury:
sequela
a group of symptoms and signs that, together, indicate a particular injury or disease:
syndrome
HOPS
History, Observation, palpation, special tests
joint motin that occurs because of muscle contraction:
active range of motion
movement that is preformed completely by the examiner:
passive range of motion
an area of skin that is innervated by the sensory fibers of a single spinal nerve or crainal nerve:
dematome
muscle or groups of muscles innervated by a specific motor nerve
in front of:
anterior
in back of:
posterior
above:
superior
below:
inferior
farther away:
distal
closer to:
proximal
toward the middle:
medial
away from the middle:
lateral
what are the 4 distinct evaluations:
pre- participation (prior to start of season)
on the field assessment
off the field assessment
progress evaluation
what is the difference between evaluation and diagnosis:
diagnosis: used to establish the cuase, nature of illness or injury and subsequent fucntional impairment
evaluation: used to make clinical diganosis
what are the 4 abdominopelivic quadrants:
right upper quadrant
left upper quadrant
right lower quadrant
left lower quadrant
what are the 9 regions of the abdomen:
right hypochondriac
epigastric
left hypochondriac
right lateral abdominal
umbilical
left lateral abdominal
right inguinal
hypogastric
left inguinal
grading for injury/condition:
degree
refers to a list of possible causes
prioritiizing of possibilities
hypothese or working diagonsis
systematic method of diagnosing a disorder:
differential diagnosis
obtain subjective info relative to how injury occured, extent of injury, MOI
inaquire about previous injuires/illness that may be involved as well as past treatments
ask:
how and when did it occure
did you hear or feel something
which direction did the joint move
characterize the pain
History (HOPS)
look for asymmetries, postural mal-alignments or deformities
how does the athelete move? is there a limp?
are movement abnormal?
what is the body position?
facial expressions
abnormal sounds
swelling, heat, redness, inflammation, discoloration:
observation (HOPS)
the use of touch to determine abnormalities in bony and soft tissue:
palpation (HOPS)
used to detect specific pathologies; compare inert and contractile tissues and their integrity
assessment should be made bilaterally
special tests (HOPS)
Active
Passive:
normal vs. normal
manual muscles tests
goniometric measurement vs. digital inclinomenters
range of motion assesment
cerebral , crainal never fucntion, cerebellar funcion
sensory and motor function: dermatome and myotome
neurological and circulation assesments of the brain
involuntary response to a stimulus
deep tendon: caused by stimulation of strectch reflex
superficial: stimulation of skin which casues relfexive muscle contraction
pathological: superficial relfex indicative of upper motor neuron lesion (babinski's, caddocks, oppenheims)
neuorolgoical and circulation assesments - reflex testing - special tests (HOPS)
SOAP
subjective: statements made by patients, history
objective: AT evaluation
assessment: AT opinion of injury
Plan: first aid, treatment, referral, goals
used to determine presence fo fracture bone abnormaliites and dislocations
plain film radiographs (x rays)
a visual study of join via x ray after injection of die or air or a combination of bother
shows disruption of soft tissues and loose bodies
arthrography
invasive technique, using fiber optics to assess joint integrity and damage:
arthroscopy
opaque dye injected into epidural space of spinal canal
used to detect tumors, nerve root compression, disk disease
myelography
penetrates the body with thin, fan-shaped x ray beam
produces cross sectional view of tissues
computed tomography (CT scan)
allows clinincal to view location, measurement, and delineation of organ or tissue by measuring reflection or transmission of high freqence ultrasound waves:
sonography
graphic recording of muscle elecricla activity using surface or needle electrodes:
electromyography
special tests are commonly used to determine what in an evaulation?
used to substantiate what has been learned from the history, observation and palpation portations of the evaulation process
how would an evaluator palpate a painful joint:
starts with light pressure followed by gradually deeper pressure
beings away from the site of complaint and gradually moves towards it
list 4 concerns that can be noted while observing an injury:
deformity
facila expression
asymmetries
postural mal alignment
in obtaining a history, the examiner should do the following 3 things:
be calm and reassuring
ask open-ended questions
listen carefully to athlete
maintain eye contact
record exactly what athlete says
what term denotes drawing a body part away from theh midline of the body:
abduction
what term denotes drawing a body part toward the midline of the body:
adduction
is the knee proximal or distal to the ankle?
proximal
is the shoulder medial or lateral to the sternum?
lateral
if a manual muscle test is graded GOOD, what does this tell us about the muscle strength?
complete ROM against gravity with some resistance
if an athlete feels pain in the left shoulder and donnw into the upper arm, what might this referred pain indicate:
heart
spleen
what must be accomplished in a functional test before the athlete is cleared for participation:
regained full strength
full range of motion
speed
endurance
neuromuscular control
pain free
what are some of the advantages of using arthroscopy:
surgeon can preform surgical prodcedures, removing loose bodies, suturing torn tissues
why would a physician want to do a bone scan rather than an x ray:
it can dectect inflammation and stress fractures
what are the movements of the spine:
flextion and extension
right and left lateral flextion
right and left rotation
*minimal movement in thoraic region
what are some prevention of injury to the cervial spine:
prior to impact brace by "bulling" the nect (isometeric contraction of neck and shoulders)
have full ROM thru stretching
what is the difference between a cervical fracture and a cervical dislocation:
cervial fracture: an axial load with some degree of cervical flexion
neck point tenderness, restricted motion, cervial muslce spasm, pain in chest and extremities, weakness in trunk or limbs
cervical dislocation: the result of a violent flexion and rotation of the head
considerable pain, numbess, weakness, or paralysis
more violent turn of the head, forced flexion, extension or rotation (than a strain)
a snapping of the head and neck, compromising the anterior/psoterior longitudinal legament
tenderness over the ransvers and spinous processes
cervical sprain (whiplash)
pain on the side of the neck upon wakening
result fo synoval capsule impingement within a facet
acute torticollis (wryneck)
mechanisms inclue lacerations, hemorrhage, contusion, neuropraxia and shock
various degrees of paralyiss impacting motor and sensory function
cord lesion at or above C3 will result in death, below C4 will allow for some nerve root function
cervical cord and nerve root injuries
syndrome cahracterized by a narrowing of the spinal canal in the cervical region that impinges on the spinal cord
cervical spine stenosis
results fromm stretching or compression of the brachial plexus; distrupts peripheral nerve function without degenerative changes
brachial plexus neruapraxia
result of wedge fractures of 5 degress or greater in 3 or more consectutive vertebrae with disk space abnormalities and irregular epiphyseal endplates:
scheuermann's disease
fractures of the spinous or transverse processes
result of trunk hyperflexion or fallin from a height:
lumbar vertebra fracture or dislocation
sudden extension contraction overloadd generally in conjuncion with some type of rotation:
low back muscle strain
inflammatory condition of the sciatic nerve
nerve root compression from intervertebral disk protrusion,structural irregularities with the intervertebral foramina:
sciatica
degeneration of the vertebrae due to congential weakenss (stress fracture results); breaking down of vertebra:
spondylolysis
slipping of one vertebrae above or below another
spondylolisthesis
pelvic asymmetries, measureable leg length deormitites, blocked normal movement during trunk flexion:
sacroiliac sprain
how many indivuidual bones are there in the spine:
32
how many bones of the spine are considered true or false bones:
true: 24
false: 9
what is the main function of the intervertebral disk:
important shock absorbers for the spine
list 3 things of major importance that an AT should be testing for in the examination and evaluation of a low back condition:
pelvis and shoulders should be level
soft tissues, and bony structures on both sides of the midline should be symmetrical
unusual curves
kernigs test:
passively extending the knee eliciting pain in the hamstrings... back pain may be sign of nerve root irritation
what are the mechanisms for serious neck injuries:
axial load
flexion
hyperextension
rotaion and flexion
rotation and hyperextension
lateral flexion
neuropraxia:
the patient is unable to move body parts, complains of numbness and tingling in the arms, after a short while signs leave
portion of vertebrae protecting the spinal cord:
neural arch
birth defect involving imcomplete formation of the neural arch:
spina bifida occulta
ellastic connective tissue connecting the laminae of adjacent vertebrae:
legamentum flava
pain in the coccyx and surrounding region:
coccygodynia
straight leg raises caused by pain by stretching the sciatic nerve:
lesegue's sign
ankle is a _________ hinge joint
medial and lateral displacement is prevented by the ________
square shape of the _____ adds to stablility of the ankle
most stable during _______, and least stable during ___________
stable
malleoli
talus
dorsiflexion
plantar flexion
a test is a blow to the tibia, fibula or heel to crete vibratory force that resonates within a fracture:
percussion test
test involves compression of tibia and fibula either above or below site of concern
compression test
squeeze calf muscle, while foot is exteneded off table to test the integrity of the achilles tendon; postivie test results in no movement
thompson test
used to determin damage to anterior talofibular ligament primarily and other lateral ligament secondarily; positive test results in foot slides foward, make clunking sound at end point:
anterior drawer test
contain muscles that dorsiflex the ankel and extend the toes: tibialis anterior, extensor hallcuis longus, and extensor digitorum longus
anterior compartment
contains the peroneus longus and brevis, which evert the ankle; peroneus tertius mucle which assists in dorsiflexion
lateral compartment
contains the gatrocnemius msucle and the soleus muscle:
superfical posterior compartment
contains the tibilais posterior, flexor digitorum longus and flexor hallucis longus muscles, which invert the ankle:
deep posterior compartment
how would you manage an acute achilles tendon strain:
apply pressure with an elastic wrap with the application of cold
RICE for an extended peroid of time
What serious complication can occur in a lower leg fracture when hemorrhage and swelling are present?
volkmann's contracture
an articulation in which the bones are united by a ligament:
syndersmotic joint
talocrural joint formed by the tibia, fibia, and talus:
ankle mortise
both the medial malleolus of the distal tibia and the lateral malleolus of the distal
fibula are fractured.
bimalleolar fracture
an inflammatory condition that involves the tendon sheath
tenosynovitis
a serious condition that results in the destruction and deterioration of bone
osteomyelitis
What is the mechanism of injury in peroneal tendon subluxation?