what is a sprain? what is the common mechanism of injury for a sprain? course hero

by Kimberly Goldner 4 min read

A strain is an injury of muscle and or tendon. It occurs when the muscle and or the tendon are overstretched beyond which as a result causes a partial or total tear of the tendon or the ligament Tendons are fibrous cords of tissue that attach muscles to bone.

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What are sprain sprains?

8 What is a sprain What is the common mechanism of injury for a sprain 2 points. 8 what is a sprain what is the common mechanism of. School Towson University; Course Title KNES 315; Type. Homework Help. Uploaded By AgentPuppy2480. Pages …

What is a Grade 2 sprain?

Basil J. Zitelli MD, in Zitelli and Davis' Atlas of Pediatric Physical Diagnosis, 2018 Sprains. A sprain is a ligamentous injury in which some degree of tearing occurs, often as a result of excessive stretching or twisting. As noted in the Fractures section, sprains are less common in children with open epiphyses than they are in older adolescents whose epiphyses have fused.

What is the most common mechanism of injury in ankle sprains?

A sprain, also known as a torn ligament, is damage to one or more ligaments in a joint. The severity of sprain ranges from a minor injury which resolves in a few days to a major rupture of one or more ligaments requiring surgical fixation and a period of immobilization. Sprains can occur in any joint but are most common in the ankle and wrist.

How is the grade of a sprain determined?

An ankle sprain is an injury to the ligamentous structures that support the ankle joint. Most (85%) involve the lateral ligament complex (Fig. E1 ), most commonly the anterior talofibular ligament (ATFL). The calcaneofibular ligament (CFL) is also often injured. Lateral ankle sprains are classically graded I, II, or III with respect to specific ligament involvement and their integrity.

What is the common mechanism of injury for a sprain?

Mechanism of injury in a high ankle sprain caused by injury to the tibiofibular syndesmosis ligaments. This mechanism involves dorsiflexion and eversion of the ankle with internal rotation of the tibia.Jan 1, 2001

Which mechanism of injury is the most common for causing ankle sprains?

The most common mechanism of injury in ankle sprains is a combination of plantar flexion and inversion. Excessive external rotation of the ankle results in a syndesmotic, or high, ankle sprain.

What is sprain in biology?

A sprain is a stretching or tearing of ligaments which are the tough bands of fibrous tissue that connect two bones together in the joints.

What is sprain how is it caused?

A sprain occurs when you overextend or tear a ligament while severely stressing a joint. Sprains often occur in the following circumstances: Ankle — Walking or exercising on an uneven surface, landing awkwardly from a jump.Sep 25, 2020

What is the mechanism for a high ankle sprain and what structures are injured?

A high ankle sprain occurs from a twisting or rotational injury. They are common in sports, especially impact sports. An external rotation mechanism most commonly causes these tears, when the foot is turned towards the outside with respect to the leg. A high ankle sprain also can occur if the ankle is broken.

What's the most common ankle sprain?

The most common type of sprain is an inversion injury, where the foot is rotated inward. Ankle sprains can range from mild, to moderate, and severe.May 3, 2021

What is mean by sprain in Tamil?

the result of a wrench or twist of the ligaments of a joint. translation of 'sprain' சுளுக்குவி சுளுக்கு

What is strain injury?

A strain is when a muscle is stretched too much and tears. It is also called a pulled muscle. A strain is a painful injury. It can be caused by an accident, overusing a muscle, or using a muscle in the wrong way.May 3, 2021

What is the most common cause of sprains and strains?

The most common causes of sprains are falling, twisting, or experiencing trauma to the joint. These types of injuries may cause the joint to move out of its normal range of movement, tearing or stretching the ligament as this happens.

What do you do about a sprained ankle?

TreatmentRest. Avoid activities that cause pain, swelling or discomfort.Ice. Use an ice pack or ice slush bath immediately for 15 to 20 minutes and repeat every two to three hours while you're awake. ... Compression. To help stop swelling, compress the ankle with an elastic bandage until the swelling stops. ... Elevation.Apr 27, 2021

What do you mean by sprain and strain explain their prevention?

Most sprains and strains heal completely with adequate treatment, though you will be at higher risk of re-injuring the same area again. Prevent sprains and strains by stretching and conditioning, wearing the proper shoes for sports, and maintaining a healthy weight.

What do you do for a sprained back?

Treating a Pulled Back Muscle in 8 StepsApply cold. Cold helps reduce inflammation, which is the primary source of pain in the first few days. ... Use compression. ... Rest. ... Stretch. ... Pain medication. ... Perform strength exercises. ... Get a massage. ... Apply heat.

How to heal a sprain?

Rest. Rest is important both immediately after injury as well as whilst the injury is healing. Continuing to walk or play on while it is painful will increase swelling and slow the healing process. If it is a severe sprain or a fracture is suspected then seek immediate medical assistance.

What is an eversion sprain?

What is an ankle eversion sprain? An eversion sprain is a tear of the deltoid ligaments, on the inside of the ankle. It is often called a medial ankle sprain or a deltoid ligament sprain. These ligaments provide support to prevent the ankle from turning inwards or everting.

How to know if you sprained your ankle?

Eversion ankle sprain symptoms 1 You will usually know you have sprained their ankle. With an eversion ankle sprain, your ankle will roll inwards. 2 There will be immediate pain on the inside of your ankle after twisting it. 3 Swelling will develop rapidly and bruising may appear later. 4 In moderate to severe eversion ankle sprains it is always recommended that an x-ray is requested to rule out fractures. 5 You will likely have difficulty weight-bearing and limited ankle mobility.

What is the bone on the outside of the ankle called?

Specifically at the lateral malleolus (bony part on the outside of the ankle). This is known as a Pott’s fracture. Other bones in the ankle such as the talus can also be fractured during an eversion ankle sprain depending on the severity of the injury.

What is the ligament that holds the ankle joint together?

Anatomy. The ankle joint is held together by supporting ligaments that join bone to bone. The lateral ligaments are on the outside of the ankle and include the talofibular ligament (joins the talus to the fibula) and the calcaneofibular ligament (joins the calcaneus to the fibula). The medial ligaments are on the inside of the ankle.

How to treat a swollen ear?

Apply ice or cold therapy immediately after the injury. Ice should not be applied directly to the skin. Wrap it in a wet tea towel, or use a commercially available hot and cold pack which are often more convenient.

How to reduce swelling in ankle?

Compression with an ankle taping or compression bandage will protect the joint from further injury and help reduce swelling. Elevating the limb encourages the swelling and tissue fluids to flow away from the site of injury.

What is a grade 1 sprain?

Mild or grade I sprains usually involve partial tearing of ligament fibers and minimal swelling, with no joint instability. Moderate or grade II sprains are characterized by some pain, edema, ecchymosis, and point tenderness over the involved structures, resulting in partial loss of joint motion.

What is lateral ankle sprain?

Lateral ankle sprains are one of the most prevalent injuries sustained by athletes participating in field and court sports. As such, it is vital that clinicians working with athletes participating in these sports are ‘experts’ in the assessment, diagnosis and rehabilitation of ankle joint injuries and in particular lateral ankle sprain injuries. Of particular concern following lateral ankle sprain injury is the propensity to develop a range of sensorimotor impairments, which can result in the persistence of long term injury–related symptoms. A structured clinical assessment following acute lateral ankle sprain injury that assesses sensorimotor impairments is an imperative first step towards the development of an appropriate management pathway. Such an assessment will allow clinicians to focus the design and progression of treatment and rehabilitation programmes around objectively identified impairments.

What are the three ligaments in the ankle?

The ankle ligaments can be divided into three groups: lateral ligaments, medial ligaments, and the ligaments of the syndesmosis. The most common injuries involve the lateral ligaments. These three groups of ligaments function as the static stabilizers of the ankle joint.

How long does it take for a fibroblast to heal?

During the following 1 to 3 weeks, called the healing or proliferation phase, fibroblasts invade the injured area and proliferate to form collagen fibers.

What is the cause of morbidity in the general population?

Ankle sprains are a common cause of morbidity in the general and athletic population. The majority of sprains involve the lateral aspect of the ankle, affecting the anterior talofibular ligament. However, the extent of injury will depend upon the mechanism of injury.

Can ankle sprains cause fractures?

Ankle sprains are common injuries in young athletes. Traditionally it has been thought that, because of both the pliability of pediatric bone and the cartilagi nous physis , inversion injuries cause fractures more often in children than they do in adults. Then, as children mature, fractures become less likely, as the bone becomes less pliable and the physis closes. While this concept is true, it is important to remember that most inversion ankle injuries in children, as well as most suspected distal fibular physeal fractures, are in fact ankle sprains. The pathology, evaluation, and treatment of a pediatric ankle sprain are similar to that of an adult sprain.

What is ankle sprain?

An ankle sprain occurs when the strong ligaments that support the ankle stretch beyond their limits and tear. Ankle sprains are common injuries that occur among people of all ages. They range from mild to severe, depending upon how much damage there is to the ligaments. Most sprains are minor injuries that heal with home treatments like rest ...

How to tell if you have a sprained ankle?

Bruising and swelling are common signs of a sprained ankle. If there is severe tearing of the ligaments, you might also hear or feel a "pop" when the sprain occurs. Symptoms of a severe sprain are similar to those of a broken bone and require prompt medical evaluation.

What happens if you pull your ankle?

Significant tenderness and swelling around the ankle. If the doctor pulls or pushes on the ankle joint in certain movements, substantial instability occurs. In a Grade 2 sprain, some but not all of the ligament fibers are torn. Moderate swelling and bruising above and below the ankle joint are common. To Top.

Why do doctors order x-rays?

X-rays provide images of dense structures, such as bone. Your doctor may order x-rays to rule out a broken bone in your ankle or foot. A broken bone can cause similar symptoms of pain and swelling. Stress x-rays. In addition to plain x-rays, your doctor may also order stress x-rays.

What is the ligament in the ankle?

Ligaments are strong, fibrous tissues that connect bones to other bones. The ligaments in the ankle help to keep the bones in proper position and stabilize the joint. Most sprained ankles occur in the lateral ligaments on the outside of the ankle.

When should I get an MRI?

Your doctor may order an MRI if he or she suspects a very severe injury to the ligaments, damage to the cartilage or bone of the joint surface , a small bone chip, or another problem. The MRI may not be ordered until after the period of swelling and bruising resolves. Ultrasound.

Can you heal a sprained ankle without surgery?

Almost all ankle sprains can be treated without surgery. Even a complete ligament tear can heal without surgical repair if it is immobilized appropriately. A three-phase program guides treatment for all ankle sprains—from mild to severe: Phase 1 includes resting, protecting the ankle and reducing the swelling.

Clinical significance

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An eversion ankle sprain is a tear of the ligaments on the inside of the ankle. It is not as common as an inversion ankle sprain and occurs when the ankle rolls too far inwards. An eversion ankle sprain is often accompanied by a fracture of the fibula bone. For this reason, an eversion sprain is often associated with a fracture of th…
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Symptoms

  • The athlete will usually know they have sprained their ankle as it collapses under then with significant pain. With an eversion ankle sprain, the ankle usually rolls inwards stretching or tearing the ligaments on the inside of the foot. There will be immediate pain on the inside of the ankle after twisting it along with rapid swelling and bruising. The patient will have difficulty weight bea…
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Pathophysiology

  • The ankle joint is held together by supporting ligaments which join bone to bone. The lateral ligaments are on the outside of the ankle and include the talofibular ligament (joins the talus to the fibula) and the calcaneofibula ligament (joins the calcaneus to the fibula). The medial ligaments are on the inside of the ankle and consist of the tibiotalar ligament (joins tibia to talus …
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Definitions

  • What is an ankle eversion sprain? An eversion sprain is a tear of the deltoid ligaments, on the inside of the ankle. It is often called a medial ankle sprain or a deltoid ligament sprain. These ligaments provide support to prevent the ankle from turning inwards or everting.
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Causes

  • It is rare for the deltoid ligaments to be sprained for two reasons. The fibula bone tends to prevent the ankle from moving far enough to sprain or overstretch the ligaments on the inside of the ankle. It simply does not allow the foot to move far enough to cause damage. Another reason is that the medial ligaments on the inside of the ankle are much stronger than the lateral ligament…
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Treatment

  • Initial treatment should involve applying the PRICE principles of rest, ice, compression and elevation. Rest is important both immediately after injury as well as whilst the injury is healing. Continuing to walk or play on while it is painful will increase swelling and slow the healing process. If it is a severe sprain or a fracture is suspected then seek immediate medical assistan…
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Prognosis

  • Following an ankle eversion sprain, the joint often becomes very stiff and the range of motion at the joint is reduced considerably. Mobility exercises for the ankle can start very early in the rehabilitation process from day 2 in mild to moderate sprains.
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Effects

  • This exercise will mobilize the ankle sideways and so starts to stress the damaged ligaments. It should only be started when pain allows and healing is established. Simply turn the feet so the soles point outwards and then inwards. The movement should be gradual and within the limits of pain. Circling the ankle will also move the joint into these positions.
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