Internal Injuries Sports Related Internal Injuries
General Overview of Internal Injuries Any organ in the abdominal cavity can be injured – pancreas, stomach, gall bladder, urinary bladder, intestines. Typical Symptoms – abdominal pain, tenderness over area, cold, sweaty skin, nausea/vomiting, rapid pulse, low blood pressure, loss of consciousness
Rib Contusion MOI – direct blow to rib cage S&S: 1. bruising of intercostal muscles 2. pain upon inspiration – expanding rib cage 3. localized tenderness
Rib Contusion Treatment: Padding with compression wrap Ice, NSAID, x-ray to rule out fracture
Rib Fracture MOI – direct blow S&S: 1. pain upon inspiration 2. shallow, rapid breathing 3. feel crepitus over rib
Rib Fracture Treatment 1. x-ray to rule out a pneumothorax 2. protective padding with compression wrap 3. allow 3-4 weeks to heal
Pneumothorax Tearing of lung leading to an accumulation of air between lung and chest wall. MOI – direct blow Complication of rib fractures
Pneumothorax S&S 1. cyanosis – bluish tongue, mucous membranes Shortness of breath\chest pain referred to shoulder Treatment – emergency! 1. administer oxygen 2. place in a semi-reclining position – 45 degrees
Ruptured Spleen Function: filters almost 10% of the body’s blood supply every minute. Located in the upper left quadrant, lower left rib cage MOI – direct blow
Ruptured Spleen S&S 1. pale, due to constricted blood vessels 2. rapid pulse Dizzy, faint – blood loss Abdominal pain referred to left shoulder
Ruptured Spleen Complication: Usually ruptures when spleen is enlarged- mononucleosis. Can rupture during a relatively innocent movement or direct blow Tearing of the spleen can cause rapid bleeding – life threating internal bleeding.
Hepatic Rupture ( LIVER) 2 nd largest organ of body Function: filters blood coming from digestive tract, detoxifies chemicals/metabolizes drugs 2 lobes – right lobe usually injured – bigger and presses against ribcage
Ruptured liver MOI – direct blow to upper right quadrant S&S – same as ruptured spleen due to bleeding in abdominal cavity but pain is referred to right shoulder Treatment – medical emergency – surgery!
Renal Contusion/Rupture(kidney) MOI: direct blow to lower back ( flank) S&S – backache, contusion to flank, blood in urine ( immediately refer to doctor)
Ruptured Kidney Treatment 1. some cases the partial rupture will resolve spontaneously Large rupture needs surgically repaired
Contusion to Solar Plexus Known as “Getting the Wind Knocked Out” MOI – direct blow to solar plexus or falling forcefully on your back Causes forceful expiration which inhibits inspiration for a few seconds Spasm of the diaphragm thus paralysis of breathing
Signs and Symptoms Unable to catch breath Treatment – calm athlete and normal breathing should occur in a few seconds.