KIN 10B-Introduction to Athletic Training Medical Terminology Skeletal System Bones: Specialized type of dense connective tissue consisting of bone cells (osteocytes) fixed in a matrix. Outer surface compact tissue, inner aspect is porous (cancellous bone). Blood and lymphatic vessels throughout bone. Outside of bone is periosteum which supplies blood to bone. Function: body support, organ protection, movement through joints and levers, calcium storage, formation of blood cells. Types: flat, irregular, short and long Cartilage: connective tissue provides form and flexible support. No direct blood or nerve supply. Can deform without damage and return to normal shape Types: Hyaline (articular): cushions end of bones acts like a sponge. Provides static and dynamic stability, motion control, stability and load transmission. Absorbs and squeezes out fluid Fibrous: menisci, intervertebral disks, pubic symphysis Elastic: external ear Ligaments: sheets or bundles of collagen fibers that connect bone to bone. Strongest in middle and weakest at their ends. Provide protection and stabilization of joints Types: intrinsic: articular capsule Extrinsic: separate from joint capsules Muscular System Muscle-tendon unit or musculotendinous junction (MTJ): muscle and tendon work together to absorb and generate tension to produce movement/ Muscles: contractile cells or fibers that produce movement Tendon: connective tissue that connects muscle to bone MTJ: area where muscle meets the tendon: weak part in the muscle and where injury often occurs Tendon Origins and insertions: Origin: attachment closer to middle of body or more proximal. Insertion: attachment further away from midline or more distal Injury Vocabulary Sprain /Strain Sprain: injury to ligament or joint capsule. Grade 1: stretch of tissue with no instability Grade 2: partial tear of tissue with light to moderate instability Grade 3: rupture of tissue with severe instability Strain: injury, stretch, tear or rip to muscle, fascia or tendon Caused by abnormal muscle contraction Grade 1: some muscle fibers stretched Grade 2 : a number of muscle fibers are torn Grade 3: A complete rupture of the muscle or tendon Acute / chronic Acute: An injury with sudden onset and short duration Chronic: injury with long onset and long duration AROM/PROM/RROM AROM: joint motion that occurs because of muscle contraction PROM: Movement that is performed completely by examiner RROM: Motion that occurs against resistance from practitioner or isometric test at midrange for strength test of specific area Stress Test: Test performed during injury evaluation to determine extent of damage (grade) to joint capsule and ligamentous structures. Test for stability or instability of joint. Endpoint: abrupt stop, solid feel, within anatomical limits. May be loose & soft endpoint beyond anatomical limit or empty, mushy feel beyond anatomical limit Signs and Symptoms Sign: objective evidence of abnormal situation within body, something the examiner can test or see Symptom: subjective evidence of an abnormal situation within the body, something the athlete reports or feels Ecchymosis: black and blue skin discoloration caused by hemorrhage Edema: swelling as a result of the collection of fluid in connective tissue Spasm: reflex reaction caused by trauma of the musculoskeletal system. Clonic: alternating involuntary muscular contrax and relaxation in quick succession. Tonic: rigid muscle contraction that last period of time. Cramps: involuntary painful contraction of muscle or muscle group attributed to dehydration and electrolyte depletion Tendinitis: inflammation of tendon. Gradual onset, diffuse tenderness, degenerative changes. “itis” inflammation Anatomical Vocabulary Superior: toward the head or upper part of a structure or the body; above Inferior: away from the head end or toward lower part of a structure or the body; below Anterior: toward or at the front of the body; in front of Posterior: toward or at the back of the body; behind Medial: toward the midline of the body; on the inner side of Lateral: away from the midline of the body; on the outer side of Proximal: closer to the origin of the body part or the point of attachment of a limb to the body or trunk Distal: farther from the origin of a body part or the point of attachment of a limb to the body or trunk Superficial: toward or at the body surface Deep: away from the body surface; more internal Movement Patterns Abduction/Adduction: A-B-duction: movement away from the midline of the body or segment. A-D-duction: movement of segment back toward the midline Flexion/Extension: Flexion: bending movement where angle between 2 adjacent segments decreases. Extension: straightening movement where angle between 2 segments increases Pronation/Supination: pronation: forearm palm faces down or backward, supination: palm faces up or forward. Foot: pronation is DF of ankle, eversion of tarsals and abduction of forefoot, supination is PF of ankle, inversion of tarsals and forefoot adduction Inversion/Eversion: Inversion: movement of ankle/foot toward midline (sole of foot faces inward toward other foot), Eversion movement of foot/ankle away from midline(sole of foot turns out away from other foot Internal (medial) rotation/external (lateral) rotation: IR: mvmt of segment around a vertical axis through the segment so that anterior surface of segment moves toward midline while posterior segment moves away from midline. ER: opposite movement Legal Terms Torts: legal wrongs committed against a person or property of another Negligence: failure to use ordinary or reasonable care Liability: being legally responsible for the harm one causes another person Duty of care: negligence is alleged when an individual does something that a reasonably prudent person would not do or fails to do something a reasonably prudent person would do. Must first prove ATC had a duty to exercise reasonable care, ATC breached that duty by failing to provide care and prove a connection between failure to provide care and injury sustained Nonfeasance (Omission): individual fails to perform a legal duty Malfeasance (Commission): individual commits an act that is not legally his or hers to perform Misfeasance: Performing care incorrectly or in a manner that may harm another Statute of limitation: sets a specific length of time that an individual may sue for damages of negligence. Usually between 1 and 3 years Assumption of risk: an individual , through express or implied agreement, assumes that some risk or danger will be involved in a particular undertaking : a person takes his or her chances