DEGREE OF STRAIN/ SPRAIN

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Grade 1 Grade 2 Grade 3

Strain

Sprain

Grades of Strain

GRADE 1

Local pain which increases with tension on muscle.

Minor loss of strength.

Mild swelling and ecchymosis.

Local tenderness.

Where in the muscle can a strain occur?

Grades of Strain

GRADE 2

Similar to grade 1 but: Moderate S/S Impaired muscle

function.

Grades of Strain

GRADE 3

S/S are severe. Loss of muscle

function. Palpable defect.

Highest incidence muscles: Hamstrings Gastrocnemius Quadriceps Hip flexors Rotator cuffs

Grades of Sprains

GRADE 1

Some stretching and separation of fibers.

Minimal instability. Mild pain, swelling

and joint stiffness.

Grades of Sprains

GRADE 2

Some tearing and separation of fibers.

Moderate instability. Moderate pain,

swelling, and joint stiffness.

Grades of Sprains

GRADE 3

Total tearing of ligament. Severe instability. Can result in subluxation. Severe pain then followed

by no to little pain from disruption of nerve fibers.

Severe swelling and joint stiffness some hours later.

Rule out other ligament damage.