Ear and Nose injuries Auricular hematoma cauliflower ear common in wrestlers use proper headgear evaluate for concomittant injuries with an otoscopic evaluation treatment aspiration wrapping Septal hematoma subperiosteal hematoma of the nasal septum that occurs secondary to facial trauma nasal congestion is the most common symptom treatment: urgent decompression under local anesthesia complications: saddle nose deformity with subsequent collapse- avascular necrosis of septal cartilage septal abscess- may occur within 72 hours unless urgent decompression performed Eye Injuries Common in baseball, basketball, racketball, boxing, martial arts Injuries include traumatic mydriasis a transient phenomenon during which the iris fails to constrict properly, resulting in a dilated pupil caused by contusion to iris sphincter treated with bedrest corneal abrasion diagnosed with fluorescent stain and UV light treat with topical antibiotics, topical NSAIDS, eye patch, and nonurgent referral to ophthalmologist hyphema blood in the anterior chamber treat with eye patch and to ER or emergent ophthalmologist ruptured globe sunken appearance vitreous exudate requires referral to ER or emergent ophthalmologist orbital wall fracture may cause occular muscle entrapment requires referral to ER or emergent ophthalmologist retinal detachment Bright flashes, stabbing pain, visual field cut requires referral to ER or emergent ophthalmologist Presentation vision loss decreased acuity floaters or flashers double vision Physical exam hyphema blood in anterior chamber may represent vitreous or retinal injury Dental injuries An avulsed tooth is a medical emergency and should be replaced immediately the likelihood of survival of the tooth depends on the length of time that the tooth is out of the socket and the degree to which the periodontal ligament is damaged. Tooth handling includes the tooth should be handled only by the crown end and not the root end it can be rinsed of debris with water or normal saline solution then place temporarily in buccal fold or pour normal saline solution on the teeth and then place them in milk Treatment the tooth and the athlete should be transported to the dentist for reinsertion as soon as possible and preferably within an hour
QUESTIONS 1 of 5 1 2 3 4 5 Previous Next Sorry, this question is for PEAK Premium Subscribers only Upgrade to PEAK Sorry, this question is for PEAK Premium Subscribers only Upgrade to PEAK Sorry, this question is for PEAK Premium Subscribers only Upgrade to PEAK This is an AAOS Self Assessment Exam (SAE) question. Orthobullets was not involved in the editorial process and does not have the ability to alter the question. If you prefer to hide SAE questions, simply turn them off in your Learning Goals. (SAE07SM.10) A 15-year-old female field hockey player sustains a blow to the mouth from a hockey stick. Three front teeth are knocked out and shown in Figure 4. In addition to calling a dentist immediately, what is the next best step in management? Tested Concept QID: 8672 FIGURES: A Type & Select Correct Answer 1 Place the teeth in an ice water bath. 8% (48/604) 2 Pour normal saline solution on the teeth and then place them in milk. 75% (455/604) 3 Have the player gargle with mouthwash and place the teeth in water. 4% (27/604) 4 Clean the teeth with a toothbrush and then reimplant them. 9% (53/604) 5 Clean the teeth with a toothbrush and place them on ice. 2% (14/604) L 2 Question Complexity E Question Importance Select Answer to see Preferred Response SUBMIT RESPONSE 2 Review tested concept (SBQ07SM.10) A 16-year-old women's lacrosse player is struck in the mouth with a ball. Several of her front teeth are knocked out of the socket. An emergent dentist appointment is made. What additional steps in initial management are recommended? Tested Concept QID: 1395 Type & Select Correct Answer 1 Rinse the teeth in saline and place them in ice. 13% (371/2931) 2 Scrub the roots with saline and reimplant them back in the sockets. 8% (234/2931) 3 Rinse the teeth in saline and place them in milk. 75% (2204/2931) 4 Scrub the teeth with a brush and place them on ice. 1% (26/2931) 5 Scrub the teeth with a brush and place them in milk. 3% (74/2931) L 2 Question Complexity D Question Importance Select Answer to see Preferred Response SUBMIT RESPONSE 3 Review tested concept
All Videos (1) Podcasts (0) Login to View Community Videos Login to View Community Videos Sport Medicine Board Prep Video Collection Series Ear, Eye and Dental Injuries Christian Schupp Knee & Sports - Ear, Eye, Mouth Injuries B 10/21/2013 436 views 4.6 (5)