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A contusion is the discoloration of the skin, which results from underlying muscle fibers and connective tissue being crushed. This can happen in a variety of ways such as a direct blow to the skin, or a fall taken against a hard surface. The discoloration in the skin is present when blood begins to pool around the injury.
In a displaced fracture the skin is sometimes tented over a sharp edge of broken bone. The sharp fragments of broken bone sometimes tear the skin and form a laceration that communicates with the broken bone or joint space. This is known as an open fracture and has a high incidence of infection if not promptly treated. [9] Ankle anatomy
A direct hit to the collarbone can also cause a break. In most cases, the direct hit occurs from the joint side towards the body side of the bone. The muscles involved in clavicle fractures include the deltoid, trapezius, subclavius, sternocleidomastoid, and sternohyoid. The ligaments involved include the conoid ligament and trapezoid ligament.
The deltoid ligament (or medial ligament of talocrural joint) is a strong, flat, triangular band, attached, above, to the apex and anterior and posterior borders of the medial malleolus. The deltoid ligament supports the ankle joint and also resists excessive eversion of the foot. [1] The deltoid ligament is composed of 4 fibers:
It is designed to address ankle instability. More importantly, it is primarily used to repair the anterior talofibular ligament (ATFL) in the ankle. It is thought that the majority of patients regain most function in their ankles. The recovery time for the procedure varies according to the patient but usually takes a minimum of 3–6 months. [1]
[2] [13] More than a 2.7 mm increase between sides indicates a fibular collateral ligament tear, while greater than 4.0 mm indicates with a grade III posterolateral knee injury. [20] Posterior stress radiographs taken with the patient kneeling show the amount of posterior tibial translation in both knees and are helpful to diagnose PCL ...
A grade 1 sprain is defined as mild damage to a ligament or ligaments without instability of the affected joint. A grade 2 sprain is considered a partial tear to the ligament, in which it is stretched to the point that it becomes loose. A grade 3 sprain is a complete tear of a ligament, causing instability in the affected joint. [3]
Ligament and tendon injuries account for half of all musculoskeletal injuries. Ligament sprains and tendon strains are common injuries that do not require intervention, but the healing process is slow. Physical therapy can be used to assist reconstruction and use of injured ligaments and tendons. Torn ligaments or tendons typically require ...
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