II. Types: Soft Tissue Injury
-
Ligament Sprain
- Injury to ligament or capsule
-
Tendon Strain (Tendinopathy)
- Injury translated at musculotendinous junctions
-
Contusion
- Blunt injury disrupts soft tissue (skin, muscle) capillaries and venules, resulting in Hemorrhage into local interstitial tissue
-
Apophyseal Injury (children)
- Secondary ossification sites for tendon insertions, which may be injured with overuse prior to Growth Plate closure
- Examples
III. Types: Fractures
- See Fracture
- See Stress Fracture
- See Epiphyseal Fracture (children)
IV. Types: Nerve Injuries
- General
- Shoulder and Brachial Plexus
- Elbow and wrist
- Spine
- Buttock and legs
V. Types: Regions
- Spine
- Upper extremity
- Lower extremity
VI. Types: Mechanism
VII. History
- Hand dominance (for upper extremity injuries)
- Profession or sports
VIII. Exam
- See Brief Musculoskeletal Exam
- See Neurologic Exam
- See Trauma Secondary Survey
- Approach: Every extremity injury
- Include examination of joint above and below the involved joint
- Include sensory, motor and vascular exam
- Include skin and compartment exam
- Mallon (2013) Shoulder Disorders, EM Bootcamp, Las Vegas
- Upper extremity
- Lower extremity
IX. Precautions: Assess for Fracture (Especially in children)
- Ligaments and Tendons are stronger than Growth Plate
- Bone Fractures less often after Growth Plate fusion
X. Management
Images: Related links to external sites (from Bing)
Related Studies
Definition (MSH) | Injuries of tissue other than bone. The concept is usually general and does not customarily refer to internal organs or viscera. It is meaningful with reference to regions or organs where soft tissue (muscle, fat, skin) should be differentiated from bones or bone tissue, as "soft tissue injuries of the hand". |
Concepts | Injury or Poisoning (T037) |
MSH | D017695 |
SnomedCT | 282026002 |
English | Injuries, Soft Tissue, Soft Tissue Injuries, Injury, Soft Tissue, Soft Tissue Injury, SOFT TISSUE INJ, INJ SOFT TISSUE, Soft tissue injury NOS, Soft Tissue Injuries [Disease/Finding], injuries soft tissue, soft tissue injury, Injury;soft tissue, injury soft tissue, injuries soft tissues, soft tissue injuries, Soft tissue injuries, STI - Soft tissue injury, Soft tissue injury, Soft tissue injury (disorder) |
Italian | Traumatismo del tessuto molle, Traumatismo del tessuto molle NAS, Lesioni del tessuto molle |
Dutch | wekedelenletsel NAO, wekedelenletsel, Letsel, weke delen, Letsels, weke delen, Weke delenletsel, Weke delenletsels |
French | Lésion des tissus mous SAI, Lésion des tissus mous, Lésions des tissus mous, Traumatismes des tissus mous |
German | Weichteilverletzung NNB, Weichteilverletzung, Weichteilverletzungen |
Portuguese | Lesão traumática dos tecidos moles NE, Traumatismos dos Tecidos Moles, Lesão dos tecidos moles, Lesões dos Tecidos Moles |
Spanish | Lesión traumática de tejidos blandos NEOM, lesión traumática de los tejidos blandos, Lesiones de los Tejidos Blandos, Lesión traumática de tejidos blandos, lesión de tejidos blandos, lesión traumática de los tejidos blandos (trastorno), lesión traumática de partes blandas (trastorno), lesión traumática de partes blandas, Traumatismos de los Tejidos Blandos |
Japanese | 軟部組織損傷NOS, ナンブソシキソンショウNOS, ナンブソシキソンショウ, 軟部組織傷害, 軟部組織損傷 |
Swedish | Mjukdelsskador |
Czech | měkké tkáně - poranění, Poranění měkkých tkání, Poranění měkkých tkání NOS |
Finnish | Pehmytkudosvammat |
Russian | MIAGKIKH TKANEI POVREZHDENIIA, МЯГКИХ ТКАНЕЙ ПОВРЕЖДЕНИЯ |
Croatian | MEKO TKIVO, OZLJEDE, OŠTEĆENJE MEKIH TKIVA |
Polish | Urazy tkanek miękkich |
Hungarian | Lágyrészsérülés, Lágyrészsérülés k.m.n. |
Norwegian | Skader, bløtdel, Skader, bløtvev, Bløtdelsskader, Bløtvevsskader |
Ontology: Injury of musculoskeletal system (C0272448)
Definition (NCI) | Damage to the muscles, bones and their supportive structral attachments. |
Definition (CSP) | damage inflicted on any part of musculoskeletal system as the direct or indirect result of an external force, with or without disruption of structural continuity. |
Concepts | Injury or Poisoning (T037) |
SnomedCT | 105606008 |
English | injury musculoskeletal, Injury;musculoskeletal, musculoskeletal injury, injuries musculoskeletal, injury of musculoskeletal system (diagnosis), Injury of Musculoskeletal System, Musculoskeletal Injury, Musculoskeletal injury, Injury of musculoskeletal system (disorder), Injury of musculoskeletal system, Injury musculoskeletal nos |
Czech | Muskuloskeletální poranění |
Dutch | skeletspierletsel, Ander letsel bewegingsapparaat |
French | Lésion musculo-squelettique |
German | Muskuloskelettale Verletzung |
Hungarian | Mozgásszervi sérülés |
Italian | Lesione muscoloscheletrica |
Japanese | 筋骨格系損傷, キンコッカクケイソンショウ |
Portuguese | Lesão musculosquelética |
Spanish | Lesión traumática musculoesquelética, injuria del sistema musculoesquelético, lesión traumática del sistema musculoesquelético (trastorno), lesión traumática del sistema musculoesquelético |