1. Evaluations

2. S&S: medial lower shin pain with running and hurdling
Mechanism: learning to hurdle for the first time at track practice. Pain on both lower legs that started a couple of weeks ago at practice.
S&S: medial lower shin pain with running and hurdling
-decreased ankle dorsiflexion
- walks on inside of feet, decreased medial arch
-training shoes over 1 year old
-pin point pain on lower medial border of tibia
Mechanism: Learning to run hurdles on a track practice, both lower legs started a couple of weeks ago
S and S
Medial lower shin pain with running
Decreased ankle flexibility
Walks on side of feet
1 training shoes= 1 year old
Pin point on posterior tibialis

3. Medial tibial stress syndrome (shin splints)

4. Mechanism: softball outfielder steps on edge of grass at warning track going after a fly ball. Felt a pop in their R foot.
S and S
Lateral mid-foot pain
Pin point at the head of the 5th metatarsal
Mid pain and maxity awoth the talar tilt and anterior drawer test
Unable to bear weight on R foot

5. R foot jones fracture

6. Mechanism: Lacrosse player falls and has their R ankle stepped on the lateral side
S and S
Both lateral and medial ankle pain
Medial swelling at medial malleolus
Pain with bump and compression test
Pin point pain at medial malleolus

7. Medial Malleolar Fracture

8. New track athlete just started training 3 weeks ago
S and S
Pain after running with both achilles
Point tender just above calcaneus
Goes away the next day
Comes back after running
New running shoes
No previous problem with achilles

9. Achilles Tendonitis

10. Mechanism: athlete’s R ankle landed on another athlete’s foot
S and S
Felt a crunch
Immediate pain and swelling (lateral)
Unable to bear weight
Pain with compression test
Laxity and no end point with talar tilt and anterior drawer test

11. Inversion ankle sprain

12. Mechanism: Basketball player came down on another player’s foot while attempting to rebound the ball
S and S
Limps into the training room
Felt a crunch in the L ankle
Has injured this ankle 2x before
Immediate lateral pain and swelling
Unable to bear weight
Pain with compression test, Anterior drawer test and talar tilt test, no end point

13. L ankle inversion ankle sprain

14. Mechanism: rounding 2nd base making inside cut on the bag L ankle
S and S
Medial and lateral ankle pain
Able to bear weight but painful
Paint with bump test
Pin point pain on deltoid ligament
All other ankle test negative

15. Eversion ankle sprain

16. Mechanism: x-country runner stepped into a hole on a trail run
Mechanism: x-country runner stepped into a hole on a trail run. Severe R ankle pain, happened about a hour ago
S and S
Athlete is limping noticeably
Immediate severe pain R ankle with swelling
Heard a pop
Point tender on lateral distal fibula
Pain with all ankle special tests
Limited weight bearing but painful

17. R lateral Malleolar Fracture

18. Learning to hurdle for the 1st time at track practice
Learning to hurdle for the 1st time at track practice. Pain on both lower legs that started a couple of weeks ago after practice
S and S
Medial lower shin pain with running and hurdling
Decreased ankle dorsiflexion
Walks on inside of feet, decreased medial arch
Training shoes over 1 year old
Pin point pain on lower medial border of tibia

19. Medial tibial stress syndrome ( shin splints)

20. Soccer player suddenly sprinting to get ball… L achilles pain
S and S
Sharp pain then went away
Felt a “sharp” felt like I got kicked
Hard to push off
Positive Thompson test
Pin point at calcaneal insertion
Previous history of achilles tendonitis

21. Achilles tendon rupture

22. Mechanism: outfielder stepped on edge of grass at warning track going for fly ball- R ankle/foot
S and S
Lateral Mid-foot pain
head of 5th metatarsal
Some pain & laxity with talar tilt & anterior drawer test
Felt a pop, can’t weight bear in R foot/ankle

23. Jones fracture

24. Mechanism: started hurting after basketball practice 3 weeks ago
S and S
Pain with squatting, landing, jumping
Pain with up and down stairs
Anterior drawer test hurts

25. Patella Tendonitis

26. Mechanism: playing lacrosse, lateral blow to L knee
S and S
swelling , medial knee pain
Point tender along MCL
Pain with valgus stress test only
Feels loose and unstable

27. MCL sprain- grade 2

28. Mechanism: throwing discus at track practice
S and S
Obvious deformity L knee, patella is on lateral aspect of distal femur
Prior history of dislocation
Can’t walk or place weight on L leg
L leg muscle guarding and lots of medial and lateral L leg pain

29. L Patellar Dislocation

30. Mechanism: Basketball player gets hit on the outside of the L knee while going after a loose ball
S and S
Felt a pop
Medial knee pain
Unable to extend knee fully
Point tenderness along medial aspect of L knee
Feels unstable
Positive valgus stress test only with end point

31. MCL Sprain

32. Mechanism: playing catcher, blocking the plate making a play the day before
S and S
R knee hurts everywhere
Can’t bend or straighten knee
Pain with apley's compression
No previous knee issues
Noticeable limp, can only walk on toes

33. Meniscus Tear

34. Mechanism: jumping and landing hard
S and S
Started over a week ago
No one particular day, just started
Pain with resisted knee extension
Pain with up and down stairs
Pain under Patella

35. Patellofemoral Syndrome Chondromalacia Patella

36. Mechanism:Soccer player suddenly sprinting to get a ball , L rear lower leg/ankle pain.
S&S felt a sharp pain then a dull ache
Heard a “snap”, “felt like I got kicked in the back of my lower leg”
Hard to push off the L foot
+ Positive Thompson test
Increased pain at the Achilles insertion at the calcaneus
Previous history of Achilles tendonitis

37. Diagnosis Achilles Tendon Rupture

38. Mechanism: Catcher blocking plate at practice the day before
Mechanism: Catcher blocking plate at practice the day before. R foot got pinned under base runner while trying to tag him out.
S&S
Noticeable limp walking in
Felt a pop in R knee during play
R knee hurts everywhere, swollen
Can’t bend or straighten R knee
No previous knee injury
Appley’s compression test, specifically medially

39. Diagnosis: R knee medial meniscus tear

40. Mechanism: throwing discuss at track practice
Obvious deformity of L knee - Patella is on lateral aspect of femur
Prior history of dislocation
Can’t bear weight
Muscle guarding, lots of medial & lateral knee pain

41. Patella dislocation

42. Mechanism: Basketball player making a move to the basket planted on the R foot while going left, then felt immediate severe pain in the R knee, then fell to the floor.
S&S
Immediate swelling R knee
Medial joint line pain
Unable to bear weight
Feels unstable
Pain with knee flexion and extension
Lachman’s Drawer with no end point and pain

43. Diagnosis: R ACL sprain, grade III

44. Mechanism: Basketball player doing an increased amounts of jumping and hard landings.
S&S
Started over a week ago
Can’t remember a particular time, just noticed it started hurting Pain with resisted knee extension under the patella
Pain going up and down stairs
Pain with squatting

45. Diagnosis: Patella Femoral Syndrome

46. Mechanism: Playing Basketball R knee R foot planted while pivoting making move to the basket.
S&S
Immediate pain and swelling
Medial joint line pain
Unable to bear weight, unstable
Pain with knee flexion & extension
Positive anterior drawer test, No end point & pain

47. Diagnosis: ACL Sprain Grade III

48. Mechanism: Anterior L knee pain, started hurting after basketball practice over 3 weeks ago.
S&S
Pain with squatting, landing, jumping
Pain with going up and down stairs
Pain along the patella tendon
Pain with Lachman’s Anterior Drawer test on anterior knee but solid end point

49. Diagnosis: L Knee patellar tendonitis

50. Mechanism: R Foot Planted While Pivoting Making A Move To Basket
Immediate Pain And Swelling
Medial Joint Line Pain
Unable To Bear Weight, Unstable
Pain With Knee Flexion And Extension
Positive Anterior Drawer Test, No End Point And Pain

51. Diagnosis: ACL Sprain - Grade 3

52. Mechanism: Basketball player doing increased amounts of jumping and hard landings
Started over a week ago
Can’t remember a particular time, just noticed it started hurting
Pain with resisted knee extension under the patella
Pain going up and down stairs
Pain with squatting

53. Diagnosis: Patella Femoral Syndrome

54. Mechanism: Basketball player making a move to the basket planted on R foot while going left, then felt immediate severe pain in the R knee, then fell to the floor. (just happened)
Immediate swelling R knee
Medial joint line pain
Unable to bear weight
Feels unstable
Pain with knee flexion and extension
+Lachman’s Drawer with no end point and pain

55. Diagnosis: R ACL Sprain, Grade 3

56. Mechanism: Throwing Discuss At Track Practice
Obvious deformity of L knee
Patella is on lateral aspect of femur
Prior history of dislocation
Can’t bear weight
Muscle guarding, lots of medial and lateral knee pain

57. Diagnosis: Patella Dislocation

58. Mechanism: Catcher blocking plate at practice the day before
Mechanism: Catcher blocking plate at practice the day before. R foot got pinned under base runner while trying to tag him out
Noticeable limp walking in
Felt a pop in R knee during the play
R knee hurts everywhere, swollen
Can’t bend or straighten R knee
No previous knee injury
+Apley's Compression test, specifically medially

59. Diagnosis: R knee medial meniscus tear

60. Mechanism: Soccer player suddenly sprinting to get a ball, L rear lower leg/ankle pain
Felt a sharp pain then a dull ache
Heard a “snap”, “felt like I got kicked in the back of my lower leg”
Hard to walk and push off the L foot
Positive Thompson Test
Increased pain at the Achilles insertion at the calcaneus
Previous history of Achilles tendonitis

61. Diagnosis: Achilles Tendon Rupture

62. Mechanism: Running Sprint workout for football off season conditioning yesterday.
S&S:
Athlete limps into training room
Felt a pop in the back of my R thigh
Difficulty squatting, getting in and out of chair
Pain with knee flexion and extension

63. R hamstring strain

64. Mechanism: doing step back lunges after doing heavy squats
S&S:
mid front thigh
Difficulty getting in and out of chair or car
Pain with running
Limited R knee flexion
Pain with terminal knee extension

65. R Quadriceps Strain

66. Mechanism: Running Sprint workout @ Track Practice
S&S:
middle portion of Left Hamstring
Difficulty with squatting
Noticeable limp, can’t run
Painful knee flexion and extension

67. Hamstring Strain

68. Mechanism: Doing step back lunges in weights, after doing heavy squats
S&S:
mid right thigh
Difficulty sitting down and getting up
Pain with running
Limited R knee flexion
Pain with terminal knee extension

69. Quadriceps Strain

70. Mechanism: stunting while cheerleading doing a backhandspring, felt a pop in my left shoulder when my hands hit the ground. I hit the ground and had immediate severe pain (8/10) and could not move my arm.
S&S:
Obvious flattening deltoid
Protecting arm, head to left side
Weakness, numbing, tingling in left arm
Humeral head in armpit

71. Glenohumeral dislocation

72. Mechanism: Basketball player is knocked to the ground while driving to the basket. As they put their right arm out to break the fall, another player lands on their upper arm. The athlete hears a snap.
S&S:
Obvious upper arm deformity
Swelling
Cannot flex or extend elbow
Weakness with right upper extremity
Can’t do any special tests = painful

73. Fracture of the humerus

74. Mechanism: Lacrosse player gets a hard cross check on his L anterior shoulder that knocks him to the ground., felt a crunch.
Obvious deformity along lateral ⅓ of clavicle
Pain (8/10) / Can’t lift arm
Pain with impingement test with movements
Weakness with IR/ER MMT

75. Diagnosis: Clavicle Fracture

76. Baseball pitcher threw 120 pitches 2 days ago and the last pitch really hurt in my R shoulder, stopped right away and iced my shoulder
Difficulty raising or lifting arm
Pain (7/10) with shoulder flex/ext
Pain (8/10) with ER
Positive empty can test
Positive impingement tests with movements

77. Diagnosis: Rotator Cuff Strain

78. Mechanism: Baseball catcher notices R shoulder pain that started about 3 weeks ago.
S&S:
Only hurts when I throw
Hurts more when I throw from my catchers stance
Pain with IR/ER (4/10)
Pain with shoulder flex (6/10)
Pain with impingement tests

79. Diagnosis: Biceps Tenosynovitis

80. Mechanism: Lacrosse player diving to make a shot and got pushed to the ground, landing on the tip of his right shoulder and he felt a pop
S&S:
Deformity at AC joint
Point tenderness at AC joint and distal end of the clavicle
Pain with C1 C2 C3 movements
Impingement with movements

81. Diagnosis: Acromioclavicular Sprain

82. Mechanism: Softball catcher notices left shoulder pain about 3 weeks ago and slowly getting worse, hurts especially when throwing back to pitcher from catcher's stance and throwing back to second base, hurts with hitting too
S&S:
Pain 4/10 incocking to throw position
MMT ER/IR = ER is weaker than IR
Pain 7/10 with both impingement tests
Left shoulder weakens with empty can test

83. Diagnosis: Impingement Syndrome

84. Mechanism: softball player sliding head first into 2nd base, landing hard while getting tagged on the top of the L shoulder.
Felt it slip out of the joint
Sts:
-limited shoulder range of motion
- mild pain (3/10) in shoulder joint
- some pain (2/10) with flex & exit
- weakness with IR/ER
- positive apprehension sign (feels like it’s going to slip out)
- no visual deformity

85. Glenohumeral sublaxation

86. Mechanism
Softball catcher noticed L shoulder pain about 3 weeks ago and slowly getting worse. Hurts especially throwing back to pitcher from catcher's stance and throwing to 2nd base. Hurts with hitting too.
S&S
pain (4/10) in cocking to throw position
MMT ER/IR ER is weaker than IR
Pain 7/10 with both impingement test
L shoulder weakness with empty can test

87. IMPINGEMENT SYNDROME

88. MECHANISM: LACROSSE PLAYER DIVING TO MAKE A SHOT AND GOT PUSHED TO THE GROUND, LANDING ON THE TIP OF HIS R SHOULDER FELT A “POP”
S&S: DEFORMITY AT AC JOINT
POINT TENDERNESS AT AC JOINT & DISTAL END OF CLAVICLE
PAIN WITH C1,C2,C3 MOVEMENTS
POSITIVE IMPINGEMENTS WITH MOVEMENTS

89. ACROMIOCLAVICULAR SPRAIN

90. MECHANISM: BASEBALL CATCHER NOTICES R SHOULDER PAIN THAT STARTED ABOUT 3 WEEKS AGO
S&S: ONLY HURTS WHEN THROWING
HURTS MORE WHEN THROWING FROM CATCHER'S STANCE
PAIN WITH IR/ER (4/10)
PAIN WITH SHOULDER FLEX (6/10)
PAIN WITH IMPINGEMENT TEST

91. BICEPS TENOSYNOVITIS

92. MECHANISM: BASEBALL PITCHER THREW 120 PITCHES 2 DAYS AND THE LAST PITCH REALLY HURT IN R SHOULDER STOPPED RIGHT AWAY & ICED SHOULDER
S&S DIFFICULTY RAISING OR LIFTING ARM
PAIN (7/10) WITH SHOULDER FLEX/EXT
PAIN (8/10) WITH ER
POSITIVE EMPTY CAN TEST
POSITIVE IMPINGEMENT TEST WITH MOVEMENTS

93. ROTATOR CUFF STRAIN

94. Mechanism: softball player sliding head first into second base, landing hard while getting tagged on the top of the L shoulder felt is slip out of the joint
S&S: limited shoulder range of motion
-mild pain (3/10) in shoulder joint
-some pain(2/10) with flexion and extension
-weakness with IR/ER
-positive apprehension sign (feels like it is going to slip out
-no visual disformation

95. Glenohumeral Subluxation

96. Mechanism: Football Running Back hit several times in R biceps while carrying the ball
S&S:- pain in R lateral bicep with palpation(6/10 pain) (8/10 with bicep contraction)
Difficulty with elbow extension
Painful with elbow flexion & shoulder forward flexion
X-ray shows calcium deposit in bicep

97. Myositis Ossificans of the bicep

98. Mechanism:2nd baseman hit by a baseball 3 times during a game in the L upper arm
S&S: - Pain (6/10) with elbow flexion & extension
Pain (8/10) with resisted elbow flexion
Pain (7/10) with palpation of mid- biceps
Doctor visit: X-ray is clear , no fracture or Bone formation

99. Upper Arm/ Biceps Contusion

100. Mechanism: Lacrosse player gets a hard cross check on the L anterior shoulder that knocks him to the ground. Felt a crunch.
S&S:
-obvious deformity along lateral ⅓ of clavicle
-pain (8/10) cant lift arm
-pain with impingement test with movements
-weakness with IR/ER MMT

101. Clavicle Fracture

102. Mechanism: Basketball player is knocked to the ground while driving to the basket as they put their R arm out to break their fall, another player lands on their upper arm. The athlete heard a snap
S&S: - Swelling
Cannot flex or extend elbow
Weakness R arm upper extremity
Can’t do any special test (painful)

103. Fracture of the humerus

104. Mechanism: stunting while cheerleading doing a backhandspring, felt a pop in my L shoulder when my hands hit the ground. I hit the ground and had an immediate severe pain (8/10) and could not move my arm:
S&S:
-obvious flattened deltoid
-protecting arm, head to L side
-weakness, numbing, tingling L arm
-humeral head in arm pit

105. Glenohumeral Dislocation