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Epiphysis
ends of the bone ( where joints are)
Diaphysis
Shaft (long middle part of bone)
Periosteum
Outer covering of bone (healing/blood supply)
what are the common types of fractures?
Transverse, Oblique, Spiral, Greenstone, & Comminuted
Transverse Fracture
Straight across bone
Oblique Fracture
Diagnosis line across bone
Spiral Fracture
Twisting of the bone
Green stick Fracture
Partial break of the bone
Comminuted Fracture
Bone breaks in multiple places
Stress Fractures
Tiny crack or severe bruising of a bone. MOI: repetitive overuse (running/jumping). Common locations are the tibia, metatarsals, & femur.
Dislocation
The bone is completely out of the joint
Subluxation
Partial displacement of a bone
Concerns of dislocation & subluxation
Nerve damage + Blood vessel damage
Sprain
Ligament injury
Strain
Muscle/tendon injury
Grade I of a strain/sprain
(Mild) slight stretching/microscopic tearing of a ligament, muscle, or tendon. S/S = mild pain, minimal swelling, little to no loss of movement, function, or stability
Grade II strain/sprain
Moderate/partial tear of muscle fibers or ligament fibers. S/S = significant pain, swelling, bruising, and instability
Grade III sprain/strain
Severe injury involving a complete tear or rupture of a ligament or muscle/tendon. S/S = significant pain, immediate loss of function, swelling, instability (potentially even the joint)
Contusion
Aka bruising, soft tissue injury caused by blunt force. MOI: direct blow. S/S = pain, swelling, discoloration
Myositis Ossificans
Bone forms inside muscle after repeated traumatic injury or improper treatment of a bruise
nerve Injury
Paresthesia & hypoesthesia
Paresthesia
Burning, prickling, or tingling sensation cause by temporary pressure on nerves or restricted blood flow (pins and needles)
Hypoesthesia
A reduced sensation or numbness in a body part
5 signs of inflammation
Redness, heat, swelling, pain, loss of function
Tendonitis
Inflammtion/irritation of a tendon (acute inflammation). Causes pain, tenderness, and limited motion near joints.
tendinosis
Chronic and non-inflammatory degeneration of collagen fibers within a tendon. Caused by repetitive strain/failed healing.
Bursitis
Painful inflammation of small, fluid-filled sacs (bursae) that cushion joints, usually caused by repetitive motion, overuse, or injury.
Osteoarthritis
Degenerative joint disease caused by the breakdown of protective cartilage, commonly affecting knees, hips, and hands due to age, wear-and-tear, or injury
Superior
Above
Inferior
Below
Medial
Toward midline
Lateral
Away from midline
Anterior
Front
Posterior
Back
proximal
Closer to body
distal
Farther from body
Shoulder Movements
Flexion/extension, supination (palm up), pronation (palm down)
Wrist Movememnts
Flexion/extension, radial deviation (thumb side), ulnar deviation (pinky side)
Finger movements
Flexion/extension, adduction/abduction, thumb opposition (thumb to finger)
Adduction
Movement of a body part toward the midline of the body or toward another body part in the frontal pane.
Abduction
Movement of a body part away from the midline.
Shoulder Injuries
Increased mobility = decreased stability
Bones of the shoulder
Clavicle, scapula, humerus
Labrum
Cartilage rim that deepens the socket and adds stability
Rotator cuff
Group of 4 muscles that stabilize the shoulder joint
Clavicle fracture
MOI: falling on shoulder/outstretched hand. Location: middle third (most common). S/S = pain, deformity, swelling
AC joint sprain
Shoulder separation, MOI: fall onto shoulder. S/S = bump, pain, deformity
Shoulder dislocation
Bones: humerus/glenoid. Direction: anterior. MOI: forced abduction & external rotation. S/S = severe pain, deformity, inability to move
Rotator Cuff injury
MOI: repetitive overhead motion. S/S = weakness, pain, limited ROM
Shoulder Impingement
Tendons get pinched under acromion. S/S = pain w/ overhead movement.
Little league Shoulder
Stress Injury to growth plate in young athletes. Risk factors: overthrowing/poor mechanisms
Bicep Tendonitis
Inflammation or irritation of upper bicep tendon. s/s = front shoulder pain, worsens with lifting.
Prevention of Shoulder Injury
Rest, proper form, strengthening, stretching
Bones of The Elbow
Humerus, radius, ulna
Olecranon Bursitis
Inflammation of the fluid-filled sac (bursae) at the bony tip of elbow. MOI: repeated pressure/blow. S/S = swelling at the elbows tip.
UCL Sprain
Injury to inner elbow ligament, common in overhead throwing athletes caused by repetitive stress. S/S = popping, instability, medial pain in elbow.
Lateral epicondylitis
Tennis elbow ( overuse of wrist extension), micro-tears in forearm tendons. S/S = pain/burning on outer elbow & weakened grip.
Medial epicondylitis
Golfers elbow (overuse of wrist Flexion), forearm muscle, leads to inflammation and tendon damage on the inside of the elbow.
Ulnar nerve injury
Tingling in ring/pinky fingers, weakened grip
Elbow dislocation
Direction: posterior (most common), MOI: fall on outstretched hand, check for pulse and nerve function after.
Colles fracture
MOI: fall on outstretched hand, Bone: distal radius, common break of distal radius bone in the wrist.
Carpal tunnel
Nerve: median, S/S = numbness, tingling, weakness in hand.
Scaphoid Fracture
MOI: fall on outstretched hand, common wrist break, often mistaken for a sprain, occurs at base of thumb. Complications may include poor healing or low blood supply to area.