Thorax and Abdomen Chapter 24 Athletic Injuries ATC 222 Thorax and Abdomen Chapter 24

Abdominal Cavity Muscles Viscera rectus abdominus external oblique internal oblique transverse abdominus Viscera kidneys liver spleen GI tract appendix urinary system

Abdominal Injuries Muscle contusions Strains Hernia not common internal trauma? Strains very disabling Hernia protrusion of abdominal viscera congenital Vs. acquired types inguinal (males) femoral (female) Signs and Symptoms pain, protrusion pain with coughing history of a “strain”

Abdominal Injuries “Stitch in the Side” Possible Causes Treatment ischemia constipation/gas overeating weak abdominal muscles spasm of diaphragm (poor conditioning level) Treatment stretch arm overhead flexion of trunk study possible causes

Abdominal Injuries Appendicitis “Blow to Solar Plexus” ages 15-24 bacterial infection S/S cramping/pain at McBurney’s Point nausea/vomiting low grade fever “Blow to Solar Plexus” “wind knocked out” temporary paralysis of diaphragm respiratory distress and paranoia Treatment calm athlete, loosen belt, flex knees prevent hyperventilation, Consider int. trauma

Abdominal Injuries Spleen Laceration most commonly injured organ from blunt trauma High risk with which illness? S/S direct blow shock abdominal rigidity nausea/vomiting positive ________ sign Spleen splinting and delayed hemorrhage

Abdominal Injuries Liver Contusion/Laceration High risk due to what disease? S/S shock pain URQ referred pain posterior right shoulder Kidney Contusion/Laceration nausea/vomiting back rigidity hematuria

Abdominal Injuries Hollow Organs Scrotal Contusion low risk meals 3-4 hrs. before activity use restroom before activity Scrotal Contusion S/S self-explanatory Treatment flex knees, drop 3-4”, jump decrease cremasteric spasm

Thoracic Cavity Ribs Costal Cartilage attach to thoracic vert. and sternum protection, respiration types 7 sternal (true) 3 false 2 floating Costal Cartilage joins ribs to sternum joins false ribs to true ribs

Rib Injuries Contusion Vs. Fracture Vs. Costochondral Separation S/S location of pain pain with respiration crepitus? deformity? positive compression test Possible internal trauma Treatment contusion fracture costochondral separation

Goodbye