Sprain

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School

Keiser University *

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Course

3243

Subject

Medicine

Date

Oct 30, 2023

Type

docx

Pages

2

Uploaded by Canglero921

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Sprain, Strains & Fractures • Joint ,Ankle and foot pain, Elbow pain, Hand and wrist pain, Knee pain, shoulder pain • Arthritis o OA o Gout o RA • Back pain Evaluating MS Problems • Is this… o Acute problem o Acute exacerbation of chronic problem o Chronic problem • History is very important- especially for acute injuries o Mechanism of injury (MOI) • PE o Power of observation!!! o Constitutional, MS, Neuro, CV o Exam above and below site of injury/concern o May need to review ortho exam techniques and terms • Knee: Anterior/Posterior Drawer, Pivot, Lachman, McMurray • Shoulder: Drop Arm test • Imaging o Ottawa Knee/Ankle Rules, Pittsburgh Knee Rule • Lifestyle influences risk o Weight o Physical activity o Occupation
• Treatment often involves RICE and other non- pharmacological measures• Pain management is important • Reinjury is always a concern • Team approach o Physical therapy, Occupational therapy o CAM: acupuncture/acupressure o Orthopedic Referral Ankle/foot pain – Ankle Sprain Common problem – 24 % of middle aged and older adults • Risk Factors o Women, older, obese, other LE joint pain or deformity • Ankle o uniaxial joint, most primitive joint; consists of tibia, fibula and talus; 4 ligaments • Ankle sprain – ligamentous injury caused by an abnormal motion, sudden change in direction or misstep • Severity – grade 1,2,3
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