PEDS240 Lecture Notes - Shin Splints, Stress Fracture, Weight-Bearing
Document Summary
Grade 1: mild pain and disability; weight bearing is minimally impaired; point tenderness over ligaments and no laxity. Feel or hear pop or snap; moderate pain with difficulty bearing weight; tenderness and edema: positive talar tilt and anterior drawer tests, possible tearing of the anterior talofibular and calcaneofibular ligaments. Grade 3: severe pain, swelling, hemarthrosis, discoloration, unable to bear weight, positive talar tilt and anterior drawer. Instability due to compete ligamentous rupture: we want to decrease pain and swelling by rice. If you suspect a fracture, send the athlete in for an x-ray. Cause of injury: number of mechanisms often similar to those seen in ankle sprains. This is why its hard to tell the difference between a sprain and fracture. Signs of injury: swelling and pain may be extreme with possible deformity. Cause of injury: singular cause or collection of mechanisms. Signs of injury: pain and inflammation, crepitus, pain with arom and prom.