Symptoms
Injury Definition
MOI
Treatment Plan
Mystery
100

Holds injured arm with opposite arm and tilts head towards injured side; injured side is lower than affected side; palpation- point tenderness, swelling, deformity

Clavicle Fracture

100

One of the most common injuries in sports, fracture

Clavicle fracture

100

FOOSH with elbow hyperextension or by a severe twist while elbow is flexed

Elbow Dislocation

100
Rest, immobilization with wrist brace, PT/OT with ASTYM/Graston

Possible: steroid injection, PRP, surgery PRN

Medial and/or Lateral Epicondylitis/tendonopathy

100

5 Phases of Throwing

Wind-up, cocking, acceleration, deceleration, and follow-through

200

Pain around acromion with stiffness; palpation increases pain; repetitive overhead activities increase pain

Impingement Syndrome

200

SITS muscle tear, almost all occur near their insertion (MOI: dynamic rotation of the are at high velocity)

Rotator Cuff Tears

200

Decreased space under arch- repetitive compression leads to inflammation; overhead throwing, failure to hold the humeral head where it should be; forward head; round shoulder; kyphosis

Impingement Syndrome

200

This finger injury needs surgery 90% of the time, if it is not sx repaired the athlete will not be able to flex the DIP joint

Jersey Finger

200
MOI: Direct blow or repeatitive rub/friction on tip of elbow

Olecranon Bursitis

300

Unable to touch the opposite shoulder with the hand of the affected arm, flattened deltoid contour, pain, instability

Glenohumeral Dislocation

300

Separation from the acromion and clavicle

AC Joint Separation

300

Acute and/or chronic trauma and/or impingement; commonly the supraspinatus

Rotator Cuff Tears

300

If no fracture or avulsion then finger splint in extension 3-8weeks

Mallet Finger and Gameskeeper Thumb 

300

S+S: occasional pain, lump at the site, pain increases with wrist extension, soft/rubbery cyst

Wrist Ganglion

400

Aching pain at the lateral epicondyle of elbow, weakness in hand and wrist, pain with resisted wrist extension and full extension of elbow

Lateral Epicondylitis (Tennis elbow)

400

Direct blow at tip of finger causes jam and possible avulsion of the extensor tendon from its insertion along with a piece of bone

Mallet Finger

400

Inflammation of the tendons and synovial sheaths within this space, ultimately leads to compression of the median nerve

Carpal Tunnel Syndrome

400

PRICE initially, then PT for strengthening, decrease over head/ throwing frequency

Possibly: PRP, stem cell therapy, sx

Rotator Cuff Tear

400

Tx: PRICE, release pressure at finger tip within 24-48hrs by drilling small hole at nail bed

Subungual Hematoma

500

Pain at the medial epicondyle of humerus, pain during forceful wrist flexion, pain with resisted flexion

Medial Epicondylitis (Golfer's or Little Leaguer's elbow)

500

The repeated stretching of the biceps in highly ballistic activities can cause an inflammation of BOTH the tendon and its synovial sheath.

Biceps Tenosynovitis/Tendonitis

500

Fall to hand/ FOOSH 

Scaphoid Fracture

500

Initial and immediate immobilization with sling, immediade reduction by a physician, ice

Sling 1wk post reduction, PT for strengthening program, protective brace PRN

Possibly: Surgery 

Glenohumeral Dislocation

500
Red Flags: chronic instability at shoulder, hypermobility, kyphotic posture, weak posterior muscles vs tight anterior muscles

Laberal Tear, Glenohumeral Dislocations