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Medical Terminology Anterior (ventral) – nearer to or at the front of the body Posterior (dorsal) – nearer to or at the back of the body Superior (cephalic or cranial) – towards the head or the upper part of a structure Inferior (caudal) – away from the head or towards the lower part of the structure Medial - nearer to the midline of the body or a structure Lateral – away from the midline of the body Ipsilateral – on the same side of the body Contralateral – on the opposite side of the body Proximal – nearer to the attachment of an extremity to the trunk or structure Distal – farther from the attachment of an extremity to the trunk of a structure Superficial – toward the surface of the body Deep – away from the surface of the body ABDuction - To move away from the midline of the body or from an adjacent part or limb ADDuction – To move inward toward the median axis of the body or toward an adjacent part or limb Inversion – Turning the foot medially resulting in the sole moving inward Eversion – Turning the foot latererally resulting in the sole moving outward Pronation – rotation of the forearm resulting in the palm moving posteriorly, or down. Supination – rotation of the forearm resulting in the palm moving anteriorly, or up. Dorsiflexion – movement which decreases the angle between the foot and the leg. Moving the toes towards the shin Plantar flexion – Extension of the ankle resulting in the forefoot moving away from the body. Pointing the toes Sign – objective indicators that are observable by others - swelling, bleeding Symptom – experienced only by the patient; subjective - nausea, dizziness, sore throat Etiology – the causes of a disease or injury Diagnosis – establishing the cause and nature of a disease or injury and the opinion derived from the evaluation Prognosis – a prediction of the outcome of a disease or injury ABDOMINAL QUADRANTS Clinical Subdivisions Right Upper Quadrant RUQ Left Upper Quadrant LUQ Right Lower Quadrant RLQ Left Lower Quadrant LLQ Injury Classifications When dealing with sports injuries, it is vital that correct medical terminology is used to avoid confusion. 1. Sprains - injuries to ligaments - ligaments are connective tissue that connect bones to bones - 3 categories: a. 1st degree sprain mild, minimal swelling, and only minor ligament damage b. 2nd degree sprain - damage to ligament (partial tear) - increased pain, swelling, and abnormal motion c. 3rd degree sprain - complete ligament tear - extensive damage, pain, and swelling - significant hemorrhage – discharge of blood 2. Strains - injuries to muscles, tendons, or the junction between the 2 – the musculotendinous junction (MTJ) - MTJ is most common location of a strain - Grading system follows same system as sprains 3. Contusions - a bruise - probably the most common sports injury signs and symptoms: a. pain, stiffness, and swelling b. ecchymosis – discoloration - if improperly treated, can lead to a condition known as myositis ossificans – the growth of bonelike structures in the muscle tissue 4. Fractures - a break or crack in a bone - 2 classifications a. open fracture bone pierces through the skin; must control bleeding b. closed fracture bone does not pierce through the skin - types of fractures a. Greenstick incomplete break in the bone b. Impacted broken ends of the bone are wedged into each other c. Comminuted bone breaks into several fragments d. Spiral occurs due to twisting, the break is ragged - Signs and Symptoms of Fractures Pain at fracture site Sound or sensation of something breaking Crepitation – grating or grinding sound Deformity – swelling, protrusion, limb shortening LOSS OF FUNCTION DOES NOT ALWAYS ACCOMPANY A FRACTURE - First Aid for Fractures Protect injured area Splint: only if no increase in pain In the position that you find it Immobilize the joint above and below the fracture Check for proper circulation distally – no circulation is a medical emergency Control bleeding 5. Stress Fractures - develop over a long period of time - stress to bone exceeds recovery rate - may not be visible with x-rays - may be diet related, especially in females 6. Dislocations - “the displacement of contiguous surfaces of bones comprising a joint” (Booher and Thibodeau, 1989) a. Subluxation partial displacement b. Luxation total displacement - involves extensive damage to ligaments 7. Bursitis - an inflammation of a bursa sac - a bursa is a fluid- containing sac that reduces friction between 2 surfaces 8. Tendinitis - inflammation of a tendon - Tendons are connective tissue that connect muscle to bone COMMON TREATMENT FOR SPORTS INJURIES: R = rest I = ice C = compression E = elevation