CCSP Sports Injury Treatment 2 — Questions and Answers
Question 1: A runner presents with proximal hamstring tendinopathy. Which rehabilitation approach has the strongest evidence for chronic tendinopathy treatment?
- Static stretching protocol
- Heavy slow resistance training (Correct answer)
- Ultrasound therapy
- Ice massage only
Correct answer: Heavy slow resistance training
Heavy slow resistance (HSR) training is the gold standard for chronic tendinopathy, promoting tendon remodeling and load tolerance.
Question 2: When treating a Grade II lateral ankle sprain, which intervention should be prioritized in the subacute phase (days 4–14)?
- Complete immobilization in a cast
- Functional rehabilitation with proprioceptive training (Correct answer)
- Surgical ligament repair
- Corticosteroid injection
Correct answer: Functional rehabilitation with proprioceptive training
Functional rehabilitation with proprioceptive training restores neuromuscular control and reduces re-sprain risk in Grade II ankle sprains.
Question 3: A baseball pitcher develops medial elbow pain consistent with UCL sprain. Conservative management fails. What is the gold standard surgical procedure?
- Medial epicondylectomy
- Ulnar nerve transposition
- Ulnar collateral ligament reconstruction (Tommy John surgery) (Correct answer)
- Arthroscopic debridement
Correct answer: Ulnar collateral ligament reconstruction (Tommy John surgery)
UCL reconstruction (Tommy John surgery) is the gold standard for overhead athletes with complete UCL tears failing conservative care.
Question 4: Which taping technique is most appropriate as an adjunct for patellar tendinopathy symptom relief during sport?
- McConnell taping to unload the patellar tendon (Correct answer)
- Kinesio taping over the quadriceps only
- Rigid ankle strapping
- Compression wrap of the entire thigh
Correct answer: McConnell taping to unload the patellar tendon
McConnell patellar taping unloads the tendon and can reduce pain during activity in patellar tendinopathy.
Question 5: A cyclist with iliotibial band syndrome does not improve with stretching. Which adjunct treatment targets the underlying compression mechanism?
- Cortisone injection at the lateral knee fat pad (Correct answer)
- Medial knee bracing
- Plantar orthotics for supination
- Strengthening the hip adductors
Correct answer: Cortisone injection at the lateral knee fat pad
Corticosteroid injection at the lateral knee fat pad targets the compressed bursal tissue and can reduce pain refractory to stretching.
Question 6: For acute muscle strains, what is the current evidence-based replacement for the classic RICE protocol?
- HARM (Heat, Alcohol, Running, Massage)
- PEACE & LOVE (Protection, Elevation, Avoid anti-inflammatory, Compression, Education + Load, Optimism, Vascularization, Exercise) (Correct answer)
- PRICE (Protection, Rest, Ice, Compression, Elevation)
- MEAT (Movement, Exercise, Analgesics, Treatment)
Correct answer: PEACE & LOVE (Protection, Elevation, Avoid anti-inflammatory, Compression, Education + Load, Optimism, Vascularization, Exercise)
The PEACE & LOVE framework is the current evidence-based protocol emphasizing early controlled loading and avoiding anti-inflammatories that impair healing.
Question 7: A collegiate wrestler has a cauliflower ear (auricular hematoma). What is the immediate treatment to prevent perichondrial fibrosis?
- Oral antibiotics for 10 days
- Aspiration and compression dressing (Correct answer)
- Topical corticosteroid cream
- Ice pack for 48 hours only
Correct answer: Aspiration and compression dressing
Needle aspiration followed by a compression dressing prevents hematoma re-accumulation and the resulting cartilage deformity.
CCSP Sports Injury Treatment 2
A runner presents with proximal hamstring tendinopathy.
Which rehabilitation approach has the strongest evidence for chronic tendinopathy treatment?