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Musculoskeletal Injury
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Musculoskeletal Injury
, Soft Tissue Injury
See Also
Musculoskeletal Trauma
Musculoskeletal Injury Management
Fracture
Ligament Sprain
Tendon Strain
Contusion
Apophyseal Injury
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
Little Leaguer's Elbow
Osgood-Schlatter Disease
(knee)
Sever's Disease
(heel)
Types
Fracture
s
See
Fracture
See
Stress Fracture
See
Epiphyseal Fracture
(children)
Types
Nerve Injuries
Gene
ral
Peripheral Nerve Injury
Compartment Syndrome
Shoulder
and
Brachial Plexus
Brachial Plexus Injury
Axillary Nerve Injury
Long Thoracic Nerve Injury
Suprascapular Nerve Injury
Spinal Accessory Nerve Injury
Elbow
and wrist
Median Nerve Injury at the Elbow
Median Nerve
Injury at the
Wrist
(
Carpal Tunnel
)
Radial Nerve Injury at the Elbow
Radial Nerve Injury at the Wrist
Ulnar Neuropathy at the Elbow
(
Cubital Tunnel
)
Ulnar Nerve Injury at the Wrist
(
Ulnar Tunnel
)
Spine
Cervical Radiculopathy
Lumbar Radiculopathy
Buttock and legs
Sciatica
Piriformis Syndrome
Meralgia Paresthetica
Tarsal Tunnel
Types
Regions
Spine
Cervical Spine Injury
Lumbar Spine Injury
Upper extremity
Shoulder Pain
Rotator Cuff Injury
Hand Injury
Wrist Injury
Lower extremity
Hip Pain
Knee Injury
Leg Pain
Foot Pain
Types
Mechanism
Falls
Fall on Outstretched Hand
Fall on Shoulder
Work and chores
Occupational Injury
Lawn Mower Injury
Sports
Bicycling
Cross Country Skiing
Golf Injuries
Running Injury
In-line Skating
Scuba Diving
Surfing
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
Shoulder Exam
Elbow Exam
Hand Exam
Wrist Exam
Lower extremity
Hip Exam
Knee Exam
Low Back Exam
Precautions
Assess for
Fracture
(Especially in children)
Ligaments and Tendons are stronger than
Growth Plate
Bone
Fracture
s less often after
Growth Plate
fusion
Management
See
Musculoskeletal Injury Management
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