1. Evaluation & Assessment
Ligament, Joint &
Nerve Injuries

2. Introduction Watch the following video:
If you were the athletic trainer, what questions are you going to ask your QB?
If you were a news reporter, what questions are you going to ask?

3. Bell Work Grab your binders & worksheet off the front table
In your groups, discuss the names of these muscles
Be ready to share in 2 minutes!

4. Upper Extremity Latissimus Dorsi Origin Spinous process T6-S5
Iliac crest
Insertion
Medial humerus

5. Upper Extremity Pectoralis Major Origin Medial clavicle Sternum
Costal cartilage (1-6)
Insertion
Proximal Humerus

6. Upper Extremity Deltoid - Anterior Origin Lateral clavicle Insertion
Deltoid tuberosity of humerus

7. Upper Extremity Deltoid - Middle Origin Acromion process Insertion
Deltoid tuberosity of humerus

8. Upper Extremity Deltoid - Posterior Origin Scapular spine Insertion
Deltoid tuberosity of humerus

9. Evaluation & Assessment Ligament, Joint & Nerve Injuries
Objective:
Students will be able to:
Define and differentiate between Ligament, Joint and Nerve Injuries

10. Ligament Injuries Sprain
A stretching or tearing of the joint capsule or ligament.
Results in a 1st, 2nd or 3rd degree injury.

11. First Degree Ligament Sprain
One or more ligaments are stretched.
Results in
minor discomfort
point tenderness
little or no swelling
No abnormal joint movement
Looking at the picture, what is the MOI? Use your terms!

12. Second Degree Ligament Sprain
One or more ligaments are partially torn.
Results in
Swelling
Point tenderness/Pain
Loss of function
Slightly abnormal joint movement

13. Third Degree Ligament Sprain
One or more ligaments are completely torn.
Results in
Pain/Point tenderness
Rapid swelling
Loss of function
Abnormal joint movement

14. Joint Injuries Dislocation
A complete disruption of the bones that form a joint
Results in
Pain
Deformity
Lack of ROM

15. Joint Injuries Subluxation
A partial disruption of the bones that form a joint.
Athletes complain that their joint is “out of socket, but went back in”
“Almost out of place”
Results in
Pain
Decreased ROM
Possible Deformity

16. Joint Injuries Osteoarthritis
A wearing down of the joint articular cartilage due to repeated trauma.
Results in
Pain
Inflammation
Decreased ROM

17. Joint Injuries Bursa Bursitis
A sac which contains synovial fluid located between tendons & bone to make joint’s movement easier.
Bursitis
Irritation & inflammation of a bursa.

18. Nerve Injuries Hypoesthesia A decreased sense of feeling. Results in
Decreased Strength

19. Nerve Injuries Hyperesthesia An increased sense of feeling. Results in
Excruciating Pain
Complains of a “lightning sensation”
Decreased motion to keep pain low

20. Nerve Injuries Paresthesia An abnormal sensation.
Includes numbness, tingling, prickling, burning & stinging.
Results in
Decreased/increased sensation
Possible pain/no pain
Decreased strength

21. Closure What is the difference between a sprain & a strain?
Describe the difference between a dislocation & a subluxation.
What is the fluid filled sac between bones & tendons?
Decrease in feeling is called?
Increase in feeling is called?