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Flashcards in Sports Medicine Deck (81)
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1

Define Sports Medicine

Treatment & prevention of injuries related to sports activities

2

Non-Orthopedic Conditions Seen by Sports Medicine Providers

ID: dermatology
DM
Exercise induced issues
Concussions
Pre-participation assessment
Female triad
Psychology: athlete, parent, coach

3

Female Triad

Eating disorders
Amenorrhea
Osteoporosis

4

Shoulder Injuries

Rotator cuff disease
Degeneration
Instability
Biceps & SLAP tears

5

Elbow Injuries

Medial pain issues
Lateral pain issues

6

Knee Injuries

ACL
PCL
MCL
LCL
Meniscus
Articular cartilage
Anterior knee pain

7

Foot & Ankle Injuries

Sprains

8

Risk Factors for Rotator Cuff Injuries

Trauma
Repetitive overuse

9

What tendons are more difficult to repair due to a degenerative tendon?

Rotator cuff
Achilles

10

Non-Operative Treatment of Sports Injuries

Reduce inflammation
Activity shutdown
NSAIDs
Sub-acromial injection
Modalities
PT: ROM & strength

11

Surgical Options for Rotator Cuff Tears

Open repair
Mini-open repair
Arthroscopic repair

12

Post-Op Course for Rotator Cuff Tears

Sling: 6 weeks
Rehab: 3 months
Golf: 4-5 months
Tennis: 6 months
Swimming: 7-8 months
Full recovery: 1 year

13

What muscle performs the first 30 degrees of abduction of the arm?

Supraspinatus

14

How does a reverse prosthesis work?

Switches abduction force from the supraspinatus to the deltoid

15

Treatment of Early or Moderate Shoulder Arthritis

Activity modification
NSAIDs
Steroid injections
PT??
Arthroscopy??

16

Treatment of Severe Shoulder Arthritis

Shoulder replacement

17

Results of Total Shoulder Replacement if a Good Rotator Cuff

3% failure
Predictable pain relief
Excellent function

18

Treatment of First Shoulder Dislocation

Reduction: x-ray
Immediate: external rotation brace
Surgical

19

Pro's of Open Instability Treatment

Higher success rate
Better in ligamentously laxity
Glenoid reconstruction possible

20

Con's of Op Instability Treatment

Risk of over tightening
Painful post-op

21

Reasons for Outlet Impingement of the Shoulder

Acromion shape/slope
AC joint enlargement
Cuff & biceps problems

22

Important History for Biceps Disease

Age
Occupation
Injury
Activities
Handedness (R/L)
Chief complaint
Pain: location, duration
Weakness

23

Biceps Disease Physical Exam Tests

Speed's
Yergason's
Hawkin's
Neer's
Belly press
Lift-off test
Bear hug

24

Diagnostic Imaging for Biceps Disease

MRI: biceps
US

25

Non-Operative Management of Biceps Disease

Rest
NSAIDs
PT: rotator cuff strengthening
Injections

26

Surgical (Tenotomy or Tenodesis) Indications for Biceps Disease

Subluxation or dislocation of biceps
>25% tear
Significant inflammation, atrophy, hypertrophy
Irreparable rotator cuff tear

27

Tenotomy vs. Tenodesis

Tenotomy: elderly, easier rehab, revision
Tenodesis: less than 50, cosmetic/strength

28

Important History for SLAP Tears

Age
Occupation
Injury
Activities
Handedness (R/L)
Chief complaint: instability, pain (location, duration), weakness, mechanical symptoms

29

SLAP Tear Tests

O'brien's test
Crank test

30

Non-Operative Management of SLAP Lesions

Rest
NSAIDs
PT x 3 months
Throwing program