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Trauma & Ortho/ lower leg
Notes from Tran for final quiz
34
Medical
Graduate
12/10/2008

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Term
Shin Splints are:
Definition
pains in the front of the lower legs caused by exercise, usually after a period of relative inactivity.
Term
People that are usually affected are:
Definition
Runners
Term
There are two types of Shin Splints, name them:
Definition
Anterior and Posterior types
Term
Anterior Shin Splints cause pain in the
Definition
front of the lower leg, on the shin bone or tibia.
Term
Posterior Shin Splints or Medial Shin Splints produce pain in the:
Definition
Inside of the leg (on the inner surface of the tibia
Term
Anterior Shin Splints connect with what channel
Definition
Stomach channel
Term
Posterior Shin Splints connect with what channel
Definition
Spleen Channel
Term
Anterior shin splints: The Anterior Tibialis muscle is covered by a thin sheath which helps to:
Definition
Dorsiflex the foot
Term
Injury to the Tibialis Posterior and Soleus Muscles lead to:
Definition
posterior shin splints
Term
The most common causes of Posterior shin splints is due to:
Definition
Over use, Foot pronation (when the foot is pronated the Tibialis Anterior Muscle twists within its sheath
Term
The twisting of the muscle beneath its sheath can cause:
Definition
tiny tears in the muscle, inflammation, pain
Term
Symptoms of Shin Splints are:
Definition
Sharp pain on the anterior lateral tibia will be significant upon the onset of an activity.
Tenderness, pain at the middle or lower third of the tibia.
Term
Pain with Shin splints is often worse with:
Definition
running or other weight bearing exercise
Term
Pain from Shin Splints may be related to:
Definition
Training on exceptionally hard surfaces (concrete, indoor tracts with tight turns)
Term
Pain with Shin Splints gets worse with:
Definition
activity
Term
Shin Splints gets better with:
Definition
rest
Term
Shin Splints are aggravated by:
Definition
running, jumping, climbing up inclines, or running down hills :)
Term
What is the management of Shin Splints in a acute condition?
Definition
RICE (rest, ice, compression and elevation)
Term
More management tactics for folks with Shin Splints are:
Definition
throwing away worn out shoes and replacing them with a good shock absorbing pair.
Physical Therapy,
Myofascia release,
Anti-inflammatory medications,
Acupuncture :)
Term
TCM diagnosis of Shin Splints is:
Definition
Liver/Kidney yin xu,
Qi and Blood Stagnation,
Channel Blockage.
Term
Acupuncture treatment for Anterior Shin Splints is:
Definition
Use the ST channel: St 36, St39, St40, St 41
Term
Acupuncture treatment for Posterior Shin Splints is:
Definition
Using the Spleen Channel: Sp6, Sp7, Sp9
Term
A Stress Factor is:
Definition
An Overuse Injury
Term
A Stress Factor occurs when muscles become:
Definition
Fatigued and are unable to absorb added shock.
Term
Fatigued muscle transfers the overload of stress to the bone causing a tiny crack called a:
Definition
Stress Factor :)
Term
True or False, Women are more commonly affected by stress factors than men
Definition
True (maybe cause we live longer) :)
Term
Most stress factors occur where?
Definition
In weightbearing bones of the lower leg and the foot.
Term
Name some types of people who are very susceptible to Stress Fracture:
Definition
Tennis Players, Track and Fieldists, Gymnycand basketball players
Term
The most important treatment is
Definition
rest
Term
Most Stress Factors take how long to heal?
Definition
6 to 8 weeks
Term
The Posterior Inferior Tibiofibular Ligament does what?
Definition
Prevents the foot from moving backwards
Term
The Posterior Inferior Tibiofibular Ligament connects to the:
Definition
Fibula
Term
The Posterior Talofibular Ligament connects to the:
Definition
Fibula
Term
The most common ligament for injury is:
Definition
The Anterior Talofibula Ligament
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