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Musculoskeletal Injury
Aka: Musculoskeletal Injury, Soft Tissue Injury- See Also
- 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
- Ligament Sprain
- Types: Fractures
- See Fracture
- See Stress Fracture
- See Epiphyseal Fracture (children)
- Types: Nerve Injuries
- General
- Shoulder and Brachial Plexus
- Elbow and wrist
- Spine
- Buttock and legs
- Types: Regions
- Spine
- Upper extremity
- Lower extremity
- Types: Mechanism
- History
- Hand dominance (for upper extremity injuries)
- Profession or sports
- 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
- Precautions: Assess for Fracture (Especially in children)
- Ligaments and Tendons are stronger than Growth Plate
- Bone Fractures less often after Growth Plate fusion
- Management