mod 2- collagenous tissues Flashcards
Type 1 and 2 which does tension and which handles pressure
1- tension
2-pressure
what fails when you load quick and slow
quick- lig
slow- bone avulsed
what 3 factors influence stress imposed on tendons during activity
- amount of contraction in muscle
- the size of tendon
- speed of contraction
what will rutpture first muscles or tendons
muscles always first
tensile strength of tendons is 2x
tendinotis vs tendonitis
itis- inflamation due to micro tears
otis- chronic overuse of tendon
rebah for tendinosis and time
eccentic loads (6-8w)
steps of full tendon rupture healing
- inflammation
- matrix/cellular proliferation- fibroblasts, macrophages, mast cells help synthesize new collagen (6 w)
- remodelling/maturation- realigning the collagen to original structure (starts in 3rd week)
most common insertional tendon injuries
- supraspinatus
- common wrist extensors
- quads
(called enthesiopathy)
traits of tendinopathy/enthesiopathy
- underuse injury
- joint side (close to bone)
- compresive changes
- atrophy changes
- degenerative changes
how muscles attach to bone
epimysium forms the tendons
tendons attach to bone thru sharplys fibres
sharplys are continous with periosteum
muscle testing grading
normal- withstand strong resistence good- moderate resistence fair- sustain against gravity poor- complete ROM only when gravity is eliminated trace- some contractility zero- no contractility
5 factors that determine muscle force
- velocity of contraction
- length of muscle
- passive elastic component
- electricity from muscle
- cross sectional area
more muscle tension when fast or slow
slow
conc or eccentric when do u make most force
- eccentric (when max 100% contraction)
- isotmetric (1st when under 100% contraction)
- concentric
what length of muscle do u create most force
in middle