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Sprain



 
 
A sprain (from the French
French language

French is a Romance language spoken around the world by around 80 million people as first language, by 190 million as second language, and by about another 200 million people as an acquired tongue, with significant speakers in 54 countries....
 espraindre - to wring) is an injury
Injury

Injury or bodily injury is damage or harm caused to the structure or Purpose of the body caused by an outside wiktionary:agent or force, which may be physical or chemical....
 which occurs to ligament
Ligament

Ligaments connect bone to bone. In anatomy, the term ligament is used to denote three different types of structures:# Fibrous Tissue that connects bones to other bones....
s caused by being stretched beyond their normal capacity and possibly torn. Muscular tears caused in the same manner are referred to as a strain
Strain (injury)

A strain is an injury to a muscle in which the muscle fibers tear as a result of stretching. Strains are also colloquially known as pulled muscles....
. In cases where either ligament or muscle tissue is torn, immobilization and surgical repair may be necessary.
ough some signs and symptom
Symptom

A symptom is a departure from normal function or feeling which is noticed by a patient, indicating the presence of disease or abnormality. A symptom is subjective, observed by the patient, and not measured....
s can be used to assess the severity of a sprain, the most definitive method is with the use of Magnetic Resonance Imaging
Magnetic resonance imaging

GaneshMagnetic resonance imaging , or nuclear magnetic resonance imaging , is primarily a medical imaging technique most commonly used in radiology to visualize the structure and function of the body....
 (MRI).






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A sprain (from the French
French language

French is a Romance language spoken around the world by around 80 million people as first language, by 190 million as second language, and by about another 200 million people as an acquired tongue, with significant speakers in 54 countries....
 espraindre - to wring) is an injury
Injury

Injury or bodily injury is damage or harm caused to the structure or Purpose of the body caused by an outside wiktionary:agent or force, which may be physical or chemical....
 which occurs to ligament
Ligament

Ligaments connect bone to bone. In anatomy, the term ligament is used to denote three different types of structures:# Fibrous Tissue that connects bones to other bones....
s caused by being stretched beyond their normal capacity and possibly torn. Muscular tears caused in the same manner are referred to as a strain
Strain (injury)

A strain is an injury to a muscle in which the muscle fibers tear as a result of stretching. Strains are also colloquially known as pulled muscles....
. In cases where either ligament or muscle tissue is torn, immobilization and surgical repair may be necessary.

Degrees

Although some signs and symptom
Symptom

A symptom is a departure from normal function or feeling which is noticed by a patient, indicating the presence of disease or abnormality. A symptom is subjective, observed by the patient, and not measured....
s can be used to assess the severity of a sprain, the most definitive method is with the use of Magnetic Resonance Imaging
Magnetic resonance imaging

GaneshMagnetic resonance imaging , or nuclear magnetic resonance imaging , is primarily a medical imaging technique most commonly used in radiology to visualize the structure and function of the body....
 (MRI). Sprains are graded in four degrees.
  • The first degree is only a minor tear or stretch of a ligament
    Ligament

    Ligaments connect bone to bone. In anatomy, the term ligament is used to denote three different types of structures:# Fibrous Tissue that connects bones to other bones....
    .
  • The second degree is a tear of a ligament, which is usually followed by pain or swelling
    Swelling (medical)

    In medicine, swelling is the enlargement of organs caused by accumulation of excess fluid in Tissue , called edema.It can occur throughout the body , or a specific part or organ can be affected ....
  • The third degree is a complete rupture.
  • The fourth degree breaks the ligament, along with some small bones if severe enough, and requires surgery to repair.
  • The fifth degree tears all the ligaments and actually breaks all the surrounding bones; sometimes cannot be repaired and results in amputation.


Signs and symptoms


The typical signs and symptoms associated with a sprain are the cardinal signs of a sprain.
  • inflammation
    Inflammation

    Inflammation is the complex biological response of Blood vessel tissues to harmful stimuli, such as pathogens, damaged cells, or irritants. It is a protective attempt by the organism to remove the injurious stimuli as well as initiate the healing process for the tissue....
  • localized pain
    Pain

    Pain, in the sense of physical pain, is a typical sensory experience that may be described as the unpleasant awareness of a noxious stimulus or bodily harm....
  • swelling
    Swelling (medical)

    In medicine, swelling is the enlargement of organs caused by accumulation of excess fluid in Tissue , called edema.It can occur throughout the body , or a specific part or organ can be affected ....
  • loss of function
  • loss of normal limb function
  • elasticity of ligament decrease


Joints involved

Although any joint can experience a sprain, some of the more common include:
  • the ankle
    Ankle

    In human anatomy, the ankle joint is formed where the foot and the human leg meet. The ankle, or talocrural joint, is a synovial hinge joint that connects the distal ends of the tibia and fibula in the lower limb with the proximal end of the talus bone in the foot....
    . It is the most common, and has been said that sprains such as serious ankle sprains are more painful and take longer to heal than actually breaking the bones in that area. See sprained ankle
    Sprained ankle

    A sprained ankle, also known as an ankle sprain, twisted ankle, rolled ankle, ankle injury or ankle ligament injury, is a common medical condition where one or more of the ligaments of the ankle is torn or partially torn....
     for more details.
  • the knee
    Knee

    ----The knee is the lower extremity joint connecting the femur, patella, and the tibia and the surrounding anatomical region which includes the popliteal fossa, also known as "knee pit"....
    . Perhaps one of the more talked about sprains is that to the anterior cruciate ligament
    Anterior cruciate ligament

    The anterior cruciate ligament is one of the four major ligaments of the knee. It connects from a posterio-lateral part of the femur to an anterio-medial part of the tibia....
     (ACL) of the knee. This is a disabling sprain common to athletes, especially in basketball
    Basketball

    Basketball is a team sport in which two teams of five active players each try to score points against one another by propelling a basketball through a 10 feet  high hoop under organized rules....
    , football, pole vaulting, and judo
    Judo

    , meaning "gentle way", is a modern Japanese martial art and combat sport, that originated in Japan in the late nineteenth century. Its most prominent feature is its competitive element, where the object is to either Throw one's opponent to the ground, immobilize or otherwise subdue one's opponent with a grappling manoeuvre, or force an opponent...
    . See Anterior cruciate ligament injury
    Anterior cruciate ligament injury

    An injury to the anterior cruciate ligament can be a debilitating musculoskeletal injury seen most often in athletes. Non-contact tears and ruptures are the most common causes of ACL injury....
    .
  • the finger
    Finger

    A finger is a type of digit , an organ of manipulation and sensation found in the hands of humans and other primates.Normally humans have five digits, termed phalanges, on each hand ....
    s.
  • the wrist
    Wrist

    In human anatomy, the wrist is the flexible and narrower connection between the forearm and the hand. The wrist is essentially a double row of small short bones, called carpals, intertwined to form a malleable hinge....
    .
  • the toe
    Toe

    Toes are the Digit s of the foot of an animal. Many animal species such as cats walk on their toes, and are described as being digitigrade....
    s.


Treatment

The first modality for a sprain can be remembered using the acronym R.I.C.E.
RICE (medicine)

RICE is a treatment method for soft tissue injury which is an acronym for Rest, Ice, Physical compression and Elevation . When used appropriately, recovery time is usually shortened and discomfort minimized....


  • Rest: The sprain should be rested. No additional force should be applied on site of the sprain. If, for example, the sprain were an ankle sprain, then walking
    Walking

    Walking is the main form of animal locomotion on Earth, distinguished from running and crawling . When carried out in shallow waters, it is usually described as wading and when performed over a steeply rising object or an obstacle it becomes scrambling or climbing....
     should be kept to a minimum.


  • Ice: Ice should be applied immediately to the sprain to minimize swelling and ease pain. It can be applied for 20-30 minutes at a time, 3-4 times a day. Ice can be combined with a wrapping to minimize swelling and provide support.


  • Compression: Dressings, bandages, or ace-wraps should be used to immobilize the sprain and provide support.


  • Elevation: Keeping the sprained joint elevated above heart level will also help to minimize swelling.


Ice and compression (cold compression therapy
Cold compression therapy

Cold Compression Therapy combines two of the principles of RICE to reduce pain and swelling from a sports or activity injury to soft tissues. The therapy is especially useful for sprains, strains, pulled muscles and pulled ligaments....
) will not completely stop swelling and pain, but will help to minimize them as the sprain begins to heal itself. Careful management of swelling is critical to the healing process as additional fluid may pool in the sprained area.

External links

  • [https://online.epocrates.com/u/2911578/Muscle+sprains+and+strains Muscle sprains] at epocrates.com