Limbs and back week 2 Flashcards
briefly describe tendons
dense regularly arranged tissue that attach muscle to bone
highest tensile strength of all connective tissue
high proportion of collagen
closely packed parallel arranged in direction of force
Describe the composition of tendons
dense connective tissue (parallel fibres of collagen I)
sparsely vascularised
cellular (fibroblasts / tenocytes ) - 20%
Extracellular (80%) 70% water, 30% solids - collagen I, ground substance, elastin, collagen III
What is the origin and insertion of the supraspinatous muscle?
supraspinous fossa
greater tubercle
What is the function of the supraspinatous?
assists in the abduction of the nerve
What is the innervation of the supraspinatous?
supra scapular nerve
What is the origin and insertion of teres minor?
axillary border
greater tubercle
What is the function of teres minor?
external rotation
What is the innervation of theres minor?
axillary nerve
What is the origin and insertion of infraspinatous?
infraspinatous border
greater tubercle
What is the function of the infraspinatous?
external rotation
What is the innervation of infraspinatous?
supra scapular nerve
What is the origin and insertion of subscapularis?
sub scapular fossa
lesser tubercle
What is the function of subscapularis?
internal roation
What is the innervation of subscapularis?
supra-scapular nerve
What are risk factors associated with tendon injuries?
older age
attrition (wear and tear)
bone spurs
acromion shape
tendonopathy leading to tears
trauma (mostly acute)
genetic
What are the two types of tendon injury?
acute and chronic
What tests can be used to assess the supraspinatous?
ROM - forward elevation / abduction
Strength - arms out in scapular plane - don’t let me push your arms down
What tests can be used to examine infraspinatous and teres minor?
ROM - external rotation with elbow at side
Strength - arms tucked in and resisted external rotation
What tests can be used to examine subscapularis?
ROM - thumb behind back
Strength - belly press / push off behind back