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What We Call an Injury

What We Call an Injury. Nomenclature. Terms. fascia hematoma osteoblasts etiology extracapsular atrophy axial load contracture ischemia antalgic diaphysis neurapraxia capsular pattern synovial membrane shear force hyperhydrosis Raynaud’s phenomenon musculotendonous unit.

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What We Call an Injury

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  1. What We Call an Injury Nomenclature

  2. Terms fascia hematoma osteoblasts etiology extracapsular atrophy axial load contracture ischemia antalgic diaphysis neurapraxia capsular pattern synovial membrane shear force hyperhydrosis Raynaud’s phenomenon musculotendonous unit

  3. Types of Injuries • Soft Tissue • 1st, 2nd,3rd degree • Muscle • Ligamentous • Skin

  4. Musculotendous junction Dynamic Overload (eccentric contractions) Inflamed Muscle Tendon 3 degrees Microtrauma Chronic Strains/Tendonitis

  5. Hamstring Strain • What does this picture tell us? • Musculature • Degree • Colors

  6. Myositis Ossificans • Formation of bone within the muscle fascia • Repeated trauma to a specific site (can be caused by a single blow as well

  7. Bursitis • What is Their Function? • What is the etiology? • Macrotrauma • Microtrauma • Local or systemic infection

  8. Ligamentous Injuries • Sprains • Joint disruption • Subluxation: partial or complete disassociation of joint surfaces • Dislocation: complete disassociation

  9. Subluxations Joint capsule Ligaments ROM: limited by pain and instability Dislocations Deformity Capsule Ligaments Neurologic concerns Vascular concerns Joint Disruption

  10. Osteochondritis Dissecans Bony fragments Common in ankle, knee, shoulder Can lead to ischemia S/S Joint locks, grinding Arthritis Generally affects articular surface of weight bearing bones Degenerative Flaking Other Conditions

  11. Bony Issues • Exostosis – Wolff’s Law (remodeling) • Apophysitis – “Growing Pains” • Fractures • Avulsion • Stress • Epiphyseal

  12. Nerve Injuries • Peripheral Nerve Injuries • Upper extremities & C-spine • Distal aspect • Good rate of recovery • Neurapraxia – “stretch” injury • Neurotmesis – complete disruption of nerve • RSD – what a nightmare!

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