REPETITIVE STRESS DISORDERS • Compartment Syndrome: Compression of nerves and blood vessels d/t swelling w/i the enclosed space inside the fascia • Rotator cuff injuries – Impingement syndrome: inflamed/swollen tendons are caught in the narrow space between shoulder bones • Sx: discomfort when raising the arm above the head • Ganglion cyst – harmless fluid-filled swelling that occurs most commonly on the outer surface of the wrist CARPAL TUNNEL SYNDROME • Carpal = pertaining to the wrist • The carpal tunnel is a narrow, bony passage located about ¼ of an inch below the inner surface of the wrist • Median nerve and tendons that bend the fingers pass through this tunnel • Tendons that pass though the carpal tunnel are chronically overused and become inflamed and swollen. EPICONDYLITIS • Is an inflammation of the tissues surrounding the elbow • Remember that a condyle is the round prominence at the end of a bone • Lateral epicondylitis = tennis elbow • Medial epicondylitis = golfer’s elbow ANKLE AND FOOT PROBLEMS • Heel spur: calcium deposit in the plantar fascia near its attachment to the calcaneus (heel) bone. • Plantar fasciitis: Inflammation of the plantar fascia on the sole of the foot. • Pain when walking or running • Can be caused by heel spurs • Sprain: Injury to a joint which usually occurs when a ligament is wrenched or torn • Strain: Injury to the body of the muscle or to the attachment of a tendon. Usually are associated with overuse • Shin Splint: tibialis anterior muscle tearing away from the tibia • Hamstring injury – strain or tear of any of the three hamstring muscles that straighten the hip and bend the knee SPORTS INJURIES TERMS ASSOCIATED WITH PARALYSIS • Paralysis: Loss of sensation and voluntary muscle movements in a muscle through disease or injury to its nerve supply. Damage can be either temporary or permanent • *** -paresis = partial or incomplete paralysis • ***-plegia = paralysis • Myoparesis – weakness or slight muscular paralysis • Hemiparesis: Slight paralysis or weakness affecting one side of the body MORE PARALYSIS TERMS • Hemiplegia: total paralysis affecting only one side of the body • Paraplegia: Paralysis of both legs and lower half of the body • Quadriplegia: Paralysis of all four extremities • Cardioplegia :Paralysis of the heart muscle • Can be caused by trauma, often intentional in surgery DIAGNOSTIC PROCEDURES • Range of Motion testing: evaluates joint mobility and muscle strength • Electromyography: Diagnostic test that measures the electrical activity within muscle fibers in response to nerve stimulation • Muscle biopsy: Removal of a plug of tissue for examination • Antispasmotic – AKA anticholinergic – suppresses smooth muscle contractions of the stomach, intestine and bladder. Often given before surgery to relax these muscles • Ergonomics – study of the human factors that affect the design and operation of tools and the work environment. • Myofascial release – specialized softtissue manipulation technique used to ease pain • Therapeutic ultrasound – High frequency sound waves to treat muscle injuries TREATMENTS MORE TREATMENTS • Fasciotomy – surgical incision through the fascia to relieve tension or pressure • Relieves compartment syndrome • Fascioplasty – surgical repair of the fascia • Tenodesis (ten-ODD-eh-sis) – surgical suturing a tendon to a bone • Tenolysis (ten-OL-ih-sis) – release of a tendon from adhesions (-lysis = set free) • Tenorrhaphy (ten-OR-ah-fee) – suturing together the divided ends of a tendon • Myorrhaphy (my-OR-ah-fee) – surgical suturing of a muscle