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Athletic Injuries ATC 222. The Spine Chapter 20. Anatomy. Vertebral Column 7 cervical vertebra 12 thoracic vertebra 5 lumbar vertebra 5 sacral vertebra Intervertebral disks annulus pulposus nucleus pulposus Ligaments anterior longitudinal posterior longitudinal supraspinous
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Athletic Injuries ATC 222 The Spine Chapter 20
Anatomy • Vertebral Column • 7 cervical vertebra • 12 thoracic vertebra • 5 lumbar vertebra • 5 sacral vertebra • Intervertebral disks • annulus pulposus • nucleus pulposus • Ligaments • anterior longitudinal • posterior longitudinal • supraspinous • interspinous • Spinal Cord and Spinal Nerves
Motion • Vertebral Column • flexion/extension • right/left lateral flexion • left/right rotation • Cervical • rotation C1-C2 • flex/ext = atlanto-occipital joint • Thoracic • flex/ext 20-30 degrees max • Lumbar • 90% flex/ext occurs at L4-L5-S1
Mechanisms of Injury Mechanisms: • axial loading • spearing • straight column • hyperflexion • hyperextension • lateral hyperflexion • rotation • combinations • whip lash
Catastrophic Injury • Catastrophic Injury • definition • Warning Signs: • unconsciousness • deformity • loss of strength/movement in extremities • anesthesia/paresthesia in extremities • Assessment • stabilize and calm athlete • call EMS • ABC’s
Specific Injuries • Fractures • Dislocations • Strain • pain in muscle primarily • pain with AROM of muscle • pain with passive stretch of muscle • pain/weakness w/ strength testing • Brachial Plexus Syndrome • C5-T1 • paresthesia, weakness • return to play criteria • treatment • Prevention of Neck Injuries
Torticollis (Wry Neck) • Definition • Causes • Signs and symptoms • Treatment
Pinched Nerve • Causes • Signs and symptoms • Treatment
Thoracic and LumbarInjuries • Postural deviations • kyphosis • scoliosis • lordosis • causes • Normal posture • ear-shoulder-hip-knee-ankle • level knees, hips, and shoulders • normal vertebral curves • Congenital abnormalities • may also be mechanical • spondylolysis Vs spondylolisthesis • causes and treatment
Herniated Disc • Etiology • Signs and Symptoms • Treatment