Injury And Healing Flashcards
Tendinitis
Inflammation of tendons
Swelling and pain
Grades of ligament/tendon tear
Grade I-slight incomplete tear
Grade II-moderate/severe incomplete tear-some joint instability
Grade III-complete tearing of 1 or more ligament usually needs surgery
Soft tissue
Made of type I collagen
What antibiotic is a risk factor for achilles tendon
Ciprofloxacin (fluroquinolones)
Ligaments
Connect bone to bone
Restrict joint motion
Stability and proprioreception
Tendons
Connect muscle to bone
Transmit forces
How do we treat tendon or ligament tears
Immobilize with plaster or boot brace
Surgical repair
Benefits and disadvantages of immobilization
Good-less ligament laxity
Bad-less overall strength of ligament repair scar
Protein degradation exceeds synthesis
Resorption at site of ligament insertion
ACL role
Gives knee joint stability
Helps back to forth movement of lower leg
Different examinations for ACL
lachmans
Anterior drawer
Pivot shift
Short term management
PROTECT
REST
ICE
COMPRESS
ELEVATE
Long term management
- Non operative
- Brace- ACL doesn’t heal well but some muscles can compensate in some cases
- Operative
- Repair
- Replace
What muscles insert into the Achilles tendon?
Soleus and gastrocnemius (calf muscle)
Tendon function
Plantarflexion
What would you find when examining a ruptured Achilles tendon?
- Difficulty walking / limp.
- Unable to perform heel raises (stand on tip toes)
- Thickening, tenderness and swelling on the affected side
- When prone with feet off the end of couch the affected side is held in dorsiflexion
Simmonds calf squeeze test
