Examination of Musculoskeletal Injuries, Fourth Edition With Web Resource, guides current and future athletic trainers and rehabilitation professionals through the examination and evaluation of musculoskeletal injuries both on and off the field. The text presents injury examination strategies in on-site, acute, and clinical settings and provides the information on mastering the skills needed for the Board of Certification examination for athletic trainers as determined by the sixth edition of Athletic Training Role Delineation Study/Practice Analysis for entry-level athletic trainers.
This updated fourth edition contains foundational information on a wide spectrum of injuries and the appropriate tests for examining and diagnosing them. Readers will learn to obtain an accurate injury history from the patient, inspect the injury and related areas, test motion control, palpate both bone and soft tissues, and examine function in order to gauge the player's readiness to return to play. The fourth edition also includes the following enhancements:
• A new online video library contains more than 51 short video clips that correspond to and demonstrate evaluation techniques for various musculoskeletal disorders found throughout the text.
• Full-color photos and medical artwork have been added throughout the text to clarify testing techniques and enhance knowledge of relevant body structures.
• Substantial updates provide the most recent evidence-based clinical information.
• An expanded selection of special tests and injury-specific examinations are now presented in a more accessible format and include a photo or video, description of the purpose, patient and clinician positions for the test, procedures performed, and possible outcomes.
The content of Examination of Musculoskeletal Injuries, Fourth Edition With Web Resource, has been restructured and focused to provide applicable information in a straightforward manner. Part I is aimed at entry-level students and presents general and introductory skills for each component of injury examination, including basic terminology and a breakdown of the examination procedure. Each component is then explored in depth along with general purposes and techniques. Part I ends by incorporating the various components into a systematic strategy for examination based on severity of injury and environment. Part II then applies the principles learned in the previous chapters to the recognition and examination of injuries organized by specific regions of the body. Each chapter includes strategies for examination immediately after an injury as well as examinations seen later in a clinical setting.
To assist student comprehension and knowledge retention, key terms are in boldface throughout the text and are defined in the glossary. Symbols throughout the text alert students to essential procedures and highlight important information. The web resource houses printable tables of special tests, examination checklists and forms that students can use in laboratory work and review sessions, and a robust video library. To aid instructors, the text includes a suite of ancillary materials featuring a test package, instructor guide, and presentation package plus image bank.
Examination of Musculoskeletal Injuries, Fourth Edition With Web Resource, is an essential resource ffor students of athletic training and therapy as well as current practitioners in the field who wish to use evidence-based procedures in their clinical practice to ensure safe and accurate diagnoses of injuries.
Part I. Principles of Examination
Chapter 1. Anatomical Nomenclature and Injury Classifications
Anatomical Reference Terminology
Physical Maturity Classifications
Injury Classifications
Sign Versus Symptom
Acute Versus Chronic
Closed (Unexposed) Wounds
Closed Soft Tissue Injuries
Bone and Joint Articulations
Nerve Injuries
Open (Exposed) Wounds
Summary
Learning Aids
Chapter 2. Principles of Examination: An Overview
Proper Use of Terminology
Examination Components
Injury Survey
SINS
Subjective and Objective Segments
Testing During the Objective Segment
Determining an Appropriate Course of Action
Documenting the Examination
Standard Abbreviations
SOAP Notes
Summary
Learning Aids
Chapter 3. Taking a History
Information to Seek
Information Categories
Signs and Symptoms
Situation-Specific History and Depth of Inquiry
Essential History (Emergent Examination)
Focused History (On-Site Examination)
Detailed History
Summary
Learning Aids
Chapter 4. Observation
System of Observational Examination
Global Observation
Specific Observation
Details of Specific Observation
Examination of Posture
Examination of Gait
Specific Observation of the Injury
Summary
Learning Aids
Chapter 5. Palpation
General Principles
Foundational Skills
Palpation Technique
Structures to Palpate
Skin
Fascia
Myotendinous Unit
Bone
Joint Structures
Neurovascular Tissue
Lymph Nodes
Palpation Strategies
Summary
Learning Aids
Chapter 6. Examination of Joint Motion
Goals and Purposes
Normal Range of Motion
Prerequisites for Successful ROM Examination
Physiological Motion
Accessory Motion
Examination of Physiological Range of Motion
Positioning
Patient Stabilization and Substitution
Measurement Technique
Examination of Accessory Motion
Joint Accessory Movement Rules
Joint Accessory Examination Technique
Recording Results
Examination of Ligament and Capsular Integrity
Indications for Ligament Stress Tests
Grading of Ligament Laxity
Stress Test Technique
Summary
Learning Aids
Chapter 7. Examination of Strength
Muscle Contraction
Functional Neuromuscular Anatomy
Review of Excitation-Contraction Coupling
Goals and Purposes
Manual Strength Examination
Break Tests
Manual Muscle Testing
Instrumented Strength Examination
Isometric Strength Examination
Isotonic Strength Examination
Isokinetic Strength Examination
Summary
Learning Aids
Chapter 8. Examination of Neurological Status
Functional Neuroanatomy
General Principles of the Neurological Exam
Goal and Purpose
Sensory Function Testing
Motor Function Testing
Reflex Testing
Region-Specific Neurological Examination
Cervical Plexus
Brachial Plexus
Lumbar and Sacral Plexuses
Summary
Learning Aids
Chapter 9. Examination of Cardiorespiratory Status
Functional Anatomy and Physiology
Lungs
Heart
Peripheral Circulation
Examination of Cardiorespiratory Status
Systemic Perfusion (Vital Signs)
Peripheral Circulation
Cardiovascular Compromise
Causes and Types of Cardiovascular Collapse (Shock)
Recognition of Shock
External Bleeding
Summary
Learning Aids
Chapter 10. Putting It All Together: General Examination Strategies
On-Site Examination
Goals and Purposes
On-Site Examination of the Unconscious Athlete
On-Site Examination of the Conscious Athlete
Communicating On-Site Examination Results
Acute Examination
Subjective Segment
Objective Segment
Clinical Examination
General Principles of the Clinical Examination
Subjective Segment
Objective Segment
Summary
Learning Aids
Part II. Region-Specific Examination Strategies
Chapter 11. Cervical and Upper Thoracic Spine
Functional Anatomy
Regional Examination
Injury Recognition and Special Tests
Injury Examination Strategies
Summary
Learning Aids
Chapter 12. Shoulder and Arm
Functional Anatomy
Regional Examination
Injury Recognition and Special Tests
Injury Examination Strategies
Summary
Learning Aids
Chapter 13. Elbow and Forearm
Functional Anatomy
Regional Examination
Injury Recognition and Special Tests
Injury Examination Strategies
Summary
Learning Aids
Chapter 14. Wrist and Hand
Functional Anatomy
Regional Examination
Injury Recognition and Special Tests
Injury Examination Strategies
Summary
Learning Aids
Chapter 15. Lower Thoracic and Lumbar Spine
Functional Anatomy
Regional Examination
Injury Recognition and Special Tests
Injury Examination Strategies
Summary
Learning Aids
Chapter 16. Leg, Ankle, and Foot
Functional Anatomy
Regional Examination
Injury Recognition and Special Tests
Injury Examination Strategies
Summary
Learning Aids
Chapter 17. Knee and Thigh
Functional Anatomy
Regional Examination
Injury Recognition and Special Tests
Injury Examination Strategies
Summary
Learning Aids
Chapter 18. Hip, Pelvis, and Groin
Functional Anatomy
Regional Examination
Injury Recognition and Special Tests
Injury Examination Strategies
Summary
Learning Aids
Chapter 19. Head and Face
Functional Anatomy
Regional Examination
Injury Recognition and Special Tests
Injury Examination Strategies
Summary
Learning Aids
Chapter 20. Thorax and Abdomen
Functional Anatomy
Thoracic Cavity
Abdominal Cavity
Regional Examination
Injury Examination Strategies
Summary
Learning Aids
