Orthopaedics: Contusions, Sprains, Strains and
Sports Medicine Principles for the Professional Athlete and the Rest of Usi
1. Definition: the application of professional training to the understanding,
prevention, care and rehabilitation
The Musculoskeletal System
Case Study: Shoulder Pain, Adult
CHIEF COMPLAINT: "My shoulder hurts"
History of Present illness:
Nancy is a 52-year-old floral designer who presents for evaluation of shoulder pain.
She has experienced this pain in the past, b
1. Juvenile Rheumatoid Arthritis (JRA) (North America) = Juvenile Chronic Arthritis
The American Rheumatologic Association lists for criteria for diagnosing JIA
a. Chronic synovial inflammation of unknown etiology
b. Onset in children young
Rheumatic disease may be divided into acute and chronic courses. Acute disease, such as
gout, is self-limiting and provokes an appropriate inflammatory response to suppress the
opposing antigen (crystals).
Chronic rheumatic disease
a. Prior to 1960 = leading cause of death and structural heart damage
b. Resurgence in US?
i. More virulent strains of group A streptococci
c. Cardiac involvement = major cause of long-term morbidity
d. Majority of cases oc