Chapter 6: Tenosynovitis

Question 1

Lesion of the gliding surfaces, between a tendon and its synovial sheath. They adhere to one another. Crepitus can be present. This condition is called:

Answer 1

Tenosynovitis

Question 2

Most common sites of tenosynovitis are the following. Except:

a. Shoulder
b. Wrist
c. Knee
d. Thumb
e. Ankle

Answer 2

Except: c

Question 3

What is the primary cause of Tenosynovitis?

Answer 3

Overuse

Question 4

What are the other cause of Tenosynovitis?

Answer 4

• Bony deformity adjacent to the sheath Inflammation in an adjacent structure
• Inflammation in a communicating synovial tissue, e.x. RA

Question 5

All are signs and symptoms of tenosynovitis. Except:

a. Pain on percussion
b. Pain stretching
c. Crepitis – palpable or audible: see or hear it
d. May be swelling due to increased production of synovial fluid and inflammation
e. Intensity of pain varies according to severity, from pain following movement, to constant pain

Answer 5

Except: a

Correct: Pain on palpation

Question 6

When testing, what indicates the presence of Tenosynovitis?

Answer 6

• Pain on palpation
• Pain on stretch
• Pain with resisted action
• Pain on movement

Question 7

Tenosynovitis: Which statement is true?

a. There is rare swelling associated with tenosynovitis, therefore, swelling technique is not necessary in acute and subacute stages of injury
b. The position of the tendon for frictioning is taut in the chronic stage. This is to provide a solid base on which to move the tendon sheath, to disengage any adhesions between the two tissues.

Answer 7

b

Question 8

True or False:

One of the aim in the treatment of Tenosynovitis is to reduce ROM and muscle strength.

Answer 8

False

• Aim: Decrease inflammation causing swelling
• Decrease fibrosis between sheath and tendon
• Restore full ROM and muscle strength