Intro to minor health

What is a meniscus ?

Cartilidge structure reducing friction between joints

What is a bursa?

Fluid filled sac that reduces friction in a joint

What is a subluxation?

Partial dislocation

How many grades of soft tissue injury are there?

3

What is a grade 1 soft tissue injury?

Pain

Visible localised swelling

No disability - can walk has good ROM

What is a grade 2 soft tissue injury?

Bleeding or swelling

Some swelling

Laxity - ^ROM than usual

Some loss of function

What is a grade 3 soft tissue injury ?

Complete loss of function

Visually deformed

Visual / palpable gaps in structure

Where do grade 1/2/3 soft tissue injures get treatment?

1 - self treatment

2 - referral to physio / healthcare

3 - specialist required - surgery / orthopedics

Do tendons issues have clear histories of injury ?

No they're usually repetitive injuries

How painful is cartilage injuries?

Painless

What type of tissue is at risk of locking after injury?

Cartilage

Do ligament injuries have clear history of injury?

Yes usually

What may pts report after a ligament injury?

Joint instability

What conditions may increase likelihood of soft tissue injuries?

Osteoperosis

Menopause

Supplements eg calcium

Drug / alcohol abuse

What are the steps of a MSK injury assessment ?

Look

Palpate

Move

Joint above and below - check for referred pain

What are you inspecting in an MSK assessment?

SWEADES

Swelling

wounds

Exudate - puss

Atrophy

Deformity

Erythema - redness

Scars

What are you palpating in a MSK assessment?

Distal MSC

Underlying structures

Temperature

What are we asking for when we move in an MSK assesment?

Active movement - let them try to move

Passive movement - you move it for them

Resisted - ask the push / pull against you

When moving limbs what are you looking for in MSK assessment?

ROM actively and passively

Crepitis

What does active movement test?

What does pain during this show?

Muscle strength

Joint function

Muscle / tendon / joint injury

What does passive movement test?

What does pain during this show?

Joint integrity

Ligaments

Passive ROM

Joint / ligament / capsule injury

What does resisted movement test?

What does pain during this show?

Muscle / tendon strength

Pain - Muscle / tendon strength

Weakness - tear of muscle or tendon

What worsening care advice can be given for soft tissue injury?

PRICE

Protection, Rest, Ice, Compression, Elevation