Kinesiology 2236A/B Lecture 10: Head and Face Injuries
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Should i send them for stitches: usually sutured if: Hematomas: subdural on the inside of the dura, cause of injury, result of acceleration/ deceleration forces that tear vessels that bridge. If they go u(cid:374)(cid:272)o(cid:374)s(cid:272)ious, they pro(cid:271)a(cid:271)ly (cid:449)o(cid:374)"t regai(cid:374) (cid:272)o(cid:374)s(cid:272)ious(cid:374)ess: care, ct or mri is necessary to determine extent of injury. Severe head injury: following any head trauma, the athlete should be monitored for at least 4-6 hours, do(cid:374)"t se(cid:374)d the(cid:373) ho(cid:373)e alo(cid:374)e. Identify active bleeding: early recognition of facial asymmetry before swelling increases. Inspect nasal septum, ear for hematomas: look for signs of fracture (orbital, zygomatic, jaw, midface, etc. , assess mouth opening/ closing. If difficulty opening or severe pain along lateral aspects of cheek consider mandible, zygomatic fracture. If asymmetry with closing consider mandible, maxilla or palate fracture: assess oral cavity. Infraorbital nerve entrapment: numbness in check, side of nose, upper lip and ipsilateral teeth due to injury to the infraorbital nerve, care .