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Common Athletic Injuries Contusions, Strains & Sprains Today’s Topics Introduction to soft tissue injuries Anatomical properties of soft tissues Mechanism of bruises & contusions Muscle strains Ligament sprains 5/24/2017 2 Introduction to Soft Tissue Injuries 5/24/2017 Soft tissues in the body Injuries common in athletics Evaluate ASAP Open vs. closed soft tissue injuries 3 Anatomical Properties of Soft Tissue Collagenous tissues Collagen: protein strong in resisting tension 1. Configuration 2. Effect on fibers 3. Strength & flexibility to tissues 4. Relatively inelastic Elastin: protein which supplies elasticity to connective tissue 5/24/2017 4 Anatomical Properties of Soft Tissue 5/24/2017 Skin: composed of 2 major layers 1. Epidermis 2. Dermis 5 Anatomical Properties of Soft Tissue Tendons & ligaments composition 1. Tendons: fiber arrangement & functional application 2. Ligaments: fiber arrangement & functional application 5/24/2017 6 Aponeuroses 1. Structure 2. Definition/function 5/24/2017 7 Anatomical Properties of Soft Tissue Muscle 1. Organization/structure 5/24/2017 8 Anatomical Properties of Soft Tissue Muscle 2. Characteristic properties a. extensibility b. elasticity c. irritability d. contractility- concentric & eccentric e. viscoelastic 5/24/2017 9 Tissue Stress Tension Compression Shear Bending Torsion 5/24/2017 10 Skin Injury Classifications Abrasions: caused by SHEAR when skin scraped by sufficient force 5/24/2017 11 Skin Injury Classifications Blisters: repeated application of SHEAR 5/24/2017 12 Skin Injury Classifications Contusions Caused by which type of force? Mechanism: blunt object strikes body & crushes tissue beneath the skin 1. Blood vessels tear 2. Blood & plasma leak into wound area 3. Results in localized pain 4. Forms hematoma Most common location: 5/24/2017 13 5/24/2017 14 Broken Skin Injury Classifications 5/24/2017 Incision Laceration Avulsion Puncture 15 Strains Definition Tissues involved Mechanisms 1. Overstretch 2. Dynamic overload 3. Fatigue? 5/24/2017 16 5/24/2017 17 Strains Degrees of severity 1. 1st degree (mild): stretching of some fibers 2. 2nd degree (moderate): stretching & tearing of some fibers 3. 3rd degree (severe): complete tear or rupture Most common locations 5/24/2017 18 Sprains 5/24/2017 Definitions Tissues involved Mechanism 1. Joint is forced beyond normal anatomical limits 2. Involves external force 19 Sprains 5/24/2017 20 5/24/2017 21 Sprains Degrees of severity 1. 1st degree (mild): stretching only no loss of continuity 2. 2nd degree (moderate): partial tear 3. 3rd degree (severe): complete rupture of ligament 5/24/2017 22 Summary Knowledge of tissue properties & forces Recognize mechanism of injury (MOI) Familiarize with normal joint movements & limits Recognize possible tissue involved by knowledge of anatomy 5/24/2017 23