Download Sports Medicine Two

Sports Medicine Two
Curriculum
(Revised on August 20, 2008)
Unit A
Composed by: Amy Foster, ATC, LAT
Courtney Paschal, ATC, LAT
Margaret Lynch, ATC, LAT
James Olgesby, ATC, LAT
Review the major bones of the lower extremity
SM02 01.1 Recognize the major bones of the lower extremities
A. 1 to 5 Phalanges
B. 1 to 5 Metatarsals
C. Cuboid
D. 1 to 3 Cunieforms
E. Navicular
F. Talus
G. Calcaneus
H. Tibia
I. Fibula
J. Fibular Head
K. Lateral Malleolus
L. Medial Malleolus
M. Tibial Tuberosity
N. Tibial Plateau
O. Femur
P. Epicondyles
Q. Condyles
R. Greater Trochanter
S. Lesser Trochanter
T. Head of Femur
U. Neck of Femur
V. Patella
W. Acetabulum
X. Posterior Superior Illiac Spine
Y. Posterior Inferior Illiac Spine
Z. Anterior Superior Illiac Spine
AA.
Anterior Inferior Illiac Spine
BB.
Ischial Spine
CC.
Ischial Tuberosity
DD.
Greater Sciatic Notch
EE.
Lesser Sciatic Notch
FF.
Obturator Foramen
GG.
Pubis
HH.
Pubis Symphasis
II.
Illiac Crest
Unit B
Review of the major muscles of the lower extremity
SM02 02.1 Recognize the major muscles of the lower extremities
A. Gastrocneumius
B. Soleus
C. Tibialis posterior
D. Tibialis anterior
E.
F.
G.
H.
I.
J.
K.
L.
M.
N.
O.
P.
Unit C
Peroneus Tertius
Peroneus longus
Peroneus brevis
Plantaris
Flexor hallucis brevis
Flexor hallucis longus
Extensor hallucis longus
Interossei dorsales
Flexor digitorum longus
Extensor digitorum longus
Abductor Hallucis
Abductor digiti minimi
The Elbow, Forearm, Wrist and Hand (Ch. 20 415-417 and 431-433)
SM02 03. 1 Recognize the basic boney anatomy and joints of the elbow, forearm,
wrist and hand
A. Radius
B. Ulna
C. Humerus
D. Metacarpals
E. Hamate
F. Pisiform
G. Triquetral
H. Lunate
I. Trapezium
J. Trapezoid
K. Capitate
L. Scaphoid
M. Distal Interphalangel Joint
N. Proximal Interphalangel Joint
O. Metacarpophalangeal joint
SM02 03.2 Recognize the basic muscle groups of the elbow, wrist and hand
A. Wrist Flexors
B. Wrist Extensors
C. Supinators
D. Pronators
E. Wrist Adductors
F. Wrist Abductors
G. Finger Flexors
H. Finger Adductors
I. Finger Abductors
J. Finger Extensors
K. Elbow Flexors
L. Elbow Extensors
SM02 03.3 Recognition and management of basic injuries of the wrist and hand
A. Boxers Fracture
B. Mallet Finger
C.
D.
E.
F.
G.
H.
Scaphoid Fracture
Colle’s Fracture
Gamekeepers Thumb
Sprains
Finger dislocations
Contusions
SM02 03.4 Recognition and management of basic injuries of the Elbow
A. Contusions
B. Bursitis
C. Ulnar Nerve Injuries
D. Strains
E. Sprain of the MCL
F. Volkmann’s Contracture
G. Dislocations
H. Fractures
Unit D
The Shoulder (Ch. 21 pgs 449-457)
SM02 04.1 Recognize the basic boney anatomy of the shoulder
A. Scapula
B. Clavicle
C. Humerus
D. Acromioclavicular joint
E. Bursa
F. Sternoclavicular joint
G. Glenohumeral joint
SM02 04.2 Recognize the basic muscles of the shoulder
A. Trapezius
B. Pectoralis Group
C. Rotator Cuff Group
D. Deltoid Group
E. Biceps
F. Triceps
SM02 04.3 List and recognize the motions possible at the shoulder joint
A. Abduction
B. Adduction
C. Flexion
D. Extension
E. External Rotation
F. Internal Rotation
SM02 04. 4 Recognition and management of common shoulder injuries
A. Dislocations
B. Subluxations
C. Acromioclavicular Sprains and Separations
D. Fractures
E. Bursitis
F. Tendonitis
Unit E
The Spine
SM02 05.1 Recognize the basic structures of the spine
A. The curves
B. The number of lumbar, thoracic and cervical spine
C. Anatomy of a cervical, lumbar and thoracic spine
SM02 05.2 Recognition and management of common injuries of the spine
A. Strains
B. Pars Defect
C. SI Dysfunction
D. Herniations
SM02 05.3 Recognition of the major parts of the spinal cord
Unit F
The foot, ankle and lower leg (Special Tests for Orthopedic Examination and Ch.
17 pgs 345-350; pgs 352-364)
SM02 06.1 Describe and perform assessment techniques for the foot and midfoot
A. Foot and Midfoot
1. Fractures, Stress Fractures, Jones Fractures and LisFranc Fractures
a. Long Bone Compression Test
b. Percussion
c. Palpation
2. Midfoot Sprain
a. Rock Test
b. Shear Test
3. Metatarsalgia
a. Palpation of the2nd metatarsal
4. Plantar Fasciitis
a. Palpation
b. Good History (Pain most severe in the mornings)
5. Turf Toe
a. Palpation
b. Good History for mechanism
c. Hyperextension Test
6. Neuroma
a. Palpation
b. Good History
c. Interdigital Neuroma Test
7. Arch Sprain
a. Palpation
b. Gait
c. Feiss Line
SM2 06.2 Describe and perform assessment techniques for the ankle
A. Ankle
1. Sprain
a. Inversion
1. Talar Tilt
2. Klieger’s Test
3. Palpation
Eversion
1. Palpation
2. Eversion Stress Test
1. Fracture
a. Squeeze Test
b. Bump Test
c. Palpation for point tenderness
2. Tarsal Tunnel
a. Tinel’s Sign
3. Peroneal’s Strain and Subluxation
a. Resisted Dorsiflexion with Eversion
b. Palpation of the lateral malleolus
SM02 06.3 Describe and perform assessment techniques for the lower leg
A. Lower Leg
1. Fractures and Stress Fractures
a. Bump Test
b. Squeeze Test
c. Percussion or Tap Test
d. Palpation
2. Compartment Syndrome
a. History
b. Pulse
3. Tendonitis
a. Anterior Tibialis
b. Posterior Tibialis
c. Peroneal’s
d. Achilles
4. Achilles Rupture
a. Palpation
b. Thompson’s Test
5. Medial Tibial Stress Syndrome
a. Palpation
b. History
b.
Unit G
Knee (Special Tests for Orthopedic Examination and Ch. 18 pgs. 372-392)
SM02 07.1 Describe and perform assessment techniques for the Knee
A. Anterior Cruciate Ligament (ACL)
1. Anterior / Posterior Drawer
2. Lachman’s
3. Pivot Shift
4. Slocum’s
B. Posterior Cruciate Ligament (PCL)
1. Anterior / Posterior Drawer
2. Sag Test
3. Slocum’s
4. Sundial Test
C. Medial Collateral Ligament (MCL)
1. Palpation
2. Valgus Stress Test
D. Lateral Collateral Ligament (LCL)
1. Palpation
2. Varus Stress Test
E. Meniscus
1. McMurray’s
2. Appley’s Compression
3. Bounce Home Test
4. 90 Degree Squat Test
5. Palpation
F. Condromalacia
1. Clarke Sign
G. Patellar Tendonitis
1. Extension Break Test
2. Palpation
H. Plica
1. Stutter Test
2. Hughston’s Plica Test
3. Palpation
I. Osgood-Schlatter’s
1. History
2. Palpation
3. Observation
J. Illiotibial Band Syndrome
1. Noble’s
2. Renne’
Unit H
Hip and Thigh (Special Tests for Orthopedic Examination and Ch. 19 pgs. 399413)
SM02 08.1 Describe and perform assessment techniques for the thigh
A. Thigh
1. Contusion
a. Rectus Femoris Contracture Test
b. Palpation
2. Strains
a. Resisted Range of Motion
b. Palpation
SM02 08.2 Describe and perform assessment techniques for the hip
A. Hip Pointer
1. Range of Motion
2. Palpation
B. Bursitis
1. Range of Motion
2. Palpation
C. Piriformis Strain
1. Piriformis Test
D. Hip Flexor and Adductor Strains
1. Resisted Range of Motion
2. Palpation
3. Careful for Avulsion Fractures
E. Dislocations
1. Palpation
2. Observation
F. Fractures
1. Compression Test
2. Distraction Test
3. Avulsion fractures of the hip flexors
G. Sacroilliac Joint
1. Faber Test
2. Fader Test
3. Compression Test
4. Distraction Test
Unit I
The Elbow, Wrist and Hand (Special Tests for Orthopedic Examination and Ch.
20 pgs. 418-429; pgs 434-444)
SM02 09.1 Describe and perform assessment techniques for the Elbow
A. Medial Collateral Ligament
1. Valgus Stress Test
2. Palpation
B. Ulnar Nerve Contusion
1. Tinel’s Sign
2. Palpation
C. Medial and Lateral Epicondylitis
1. Golfer’s Test
2. Passive Tennis Elbow Test
3. Active Tennis Elbow Test
D. Fractures
1. Palpation
2. Compression Test
E. Dislocation
1. Palpation
2. Observation
F. Olecranon Bursitis
1. Palpation
2. Observation
G. Volkmann’s Contracture
1. Type 1 Mild
a. Flexion Contractures of two or three fingers
2. Type 2 Moderate
a. Flexion Contracture of all fingers
b. History of loss of senstion
3. Type 3 Severe
a. All forearm muscles of flexion and extension involved
b. Disability
SM02 09.2 Describe and perform assessment techniques for the wrist and
A. Fractures
1. Finger
a. Percussion
b. Long Bone Compression
c. Palpation
hand
B.
C.
D.
E.
F.
G.
Unit J
2. Carpel Bones
a. Scaphoid
1. Snuff Box Test
b. Bennett
1. History
2. Palpation
c. Boxer’s
1. Closed fist knuckle test
2. Open hand test
3. Palpation
4. History
Dislocation
1. Finger
a. Palpation
b. Observation
2. Carpels
a. Murphy’s Sign
b. Palpation
Sprains of the Thumb (Game Keeper’s)
1. Varus Stress Test
2. Valgus Stress Test
Strains
1. Boutonniere Deformity
Tendonitis
1. deQuervanies Test
2. Finkelstein’s Test
Carpel Tunnel
1. Phalen’s Test
2. Tinel’s Sign
3. Good History
Ganglion Cyst
1. Palpation
2. Observation
The Shoulder (Special Tests for Orthopedic Examination and Ch. 21 pgs. 458478)
SM02 10.1 Describe and perform assessment techniques for overuse injuries which
occur in the shoulder
A. Overuse
1. Impingement and Bursitis
a. Hawkin-Kennedy
b. Neer’s
c. Cross-over impingement
2. Rotator Cuff
a. Drop Arm Test for Supraspinatus
b. Scratch Test
1. Internal Rotation
2. External Rotation
3. Strains
a. Resisted Range of Motion
4. Biceps Tendonitis
a. External Rotation with Palpation Test
b. Speed’s Test
5. Biceps Tendon Rupture
a. Palpation
b. Observation
c. Ober’s Test
6. Bicep Tendon Dislocation
a. Yergason’s Test
b. Gilchrist Test
SM02 10.2 Describe and perform assessment techniques for traumatic injuries which
occur in the shoulder
A. Traumatic
1. Dislocations
a. Anterior
1. Anterior Apprehension Test
b. Posterior
1. Posterior Apprehension Test
2. Axial Load Test
2. Labrum
a. O’Brien’s Test
b. Clunk Test
c. Grind Test
d. Dr. D’s Test
3. Acromioclavicular Sprain
a. AC Compression Test
b. Traction Test
c. Active Adduction Test
4. Brachial Plexus
a. Resisted Neck Range of Motion
b. Neck and Shoulder Distraction Test
c. Resisted Shoulder Range of Motion
d. Sensory Nerve Test
e. Roo’s Test
5. Fracture
a. Clavicle
1. Palpation
2. Observation
3. Adduction Test (*** Not if obvious deformity)
b. Scapular
1. Range of Motion Tests
2. Palpation
3. Good History
c. Humerus
1. Palpation
2. Observation