Anatomic Mechanism of Injury Assessment Findings Sports Activity Acute Management
Area Clavicle >Fall on shoulder or >Crepitus Football >Sling or shoulder Fracture outstretched aram >Holds arms closely to Rugby immobilizer >Direct blow to the the body Hockey >Ice clavicle >Unable to raise affected Wrestling >NSAIDs arm above head Gymnastics >Can feel movement both ends of clavicle
Shoulder >external rotation >Lack of motion Rugby >Immobilizer >abduction >May Feel empty Hockey >Pendulum >blow to shoulder shoulder socket Wrestling exercises >Fall on flexed and >Uneven Posture in adducted arm comparison to other >Direct Axial load to shoulder humerus >affected arm appears longer
Dislocated >Falling on a hand >Intense Pain Football Immobilization
Elbow with a flexed elbow >Edema Squash Ice >Elbow >Limited motion Cycling ROM exercises overextended >Deformity Wrestling >Ecchymosis Gymnastics skiing
Wrist >Falling on an >Pain Football >Ice
Sprain outstretched arm >Limited motion Rugby >Elevation Or >edema Hockey >Immobilization Fracture >ecchymosis Wrestlin >Gentle ROM for 4-6 >Tendernes over joint Gymnasticskiing weeks (for sprain >Joint appears stable only)
Knee >Twisting injury that >Pain Football Ice
Sprain produces >Limited motion Rugby Elevation incomplete tear of >edema Hockey Compression wrap ligaments and >ecchymosis Wrestling Active ROM capsule around the >Tendernes over joint Gymnasticskiing exercises joint >Joint appears stable Isometric Exercises May immobilize
Knee >Sudden forced >Pain Soccer Ice
Strain motion causing >Limited motion Swimming Elevation Rest muscle to be >Pain aggravated by Skiing Gradual Return to stretched beyond activity activities normal capacity
Meniscal >Sharp sudden pivot >Edema Hockey >Conservative:
tears of >Direct Blow to knee >Medial tear: Basketball RICE knee >Forced internal -Pain occurs with Football -Exercising of rotation hyperflexion, quadriceps and >Wear from hyperextention and hamstrings repetitive squatting turning in of knee flexed -resistive exercising or climbing >Lateral tear: -NSAIDs -pain occurs with -Physical Therapy hyperflexion and Surgical: hyperextension,and -Arthroscopy internal rotation of foot knee flexed >Displaced fragment: -Inability to extend knee; -Positive McMurrays sign
Ankle >Inward turning on >Pain Contact Sports >Ice
Fracture sole of foot >Edema Tennis >Elevation >Supination with >Deformity Basketball >Cast(4-6 weeks) internal rotation >Inability to bear weight >Pronation with external rotation