soft tissue Flashcards
tendonitis vs -osis
Tendinitis = acutely inflamed swollen tendon that does not have microscopic tendon damage
Tendinosis = chronically damaged tendon characterised by disorganised fibres and a hard, thickened, scared and rubbery appearance
unexpected cause of tendonitis and MOA
renal dialysis, poss use of steroids messing up collagen production
what do see here in this previously damaged achilles tendon
heterotopic calcification
which procedure is often associated with heterotopic ossification and what is the tx
hip replacement
prophylactic NSAIDS
describe the 4 phases of tendon healing
what is a fibrous enthesis
Fibrous tissue extends all way up to bone
what is a fibrocartilaginous enthesis
3 examples of fibrocartilagenous enthesis
rotator cuff muscles, Achilles tendon, plantar fascia
what happens at a fibrous enthesis?
collagenous Sharpey fibres pierce through periosteum to attach tendon to the bone
what sort of enthesis is this
fibrocartilagenous
gene associated with ankylysing spondylitis
HLA-B27
what is an enthesophyte
tendon gets damaged and repalced with bone which protrudes outwards making a bone spur
which IL associated with enthetitis
IL23
tnf alpha inhibitor
infliximab
tx for autoimmune musculoskeletal conditions
methotrexate
sulfasalazine
infliximab
what can you inject into an enthesitis to promote healing
hyperosmolar dextrose
tendonitis vs enthesitis
in the tendon
at the insertion point
ouchy snuff box, new mothers
De Quervain’s tenosynovitis
test for de quervain’s
pull thumb side away from forearm. positive is pain
what causes trigger finger
tendon enlargement inside the sheath
what is SLE
Systemic lupus erythematosus
SLE classic presentation
butterfly malar rash on face
symptoms of lupus
Nonspecific fatigue, fever, arthralgia weight changes, and dermatological
Small joints of hands, wrist and knees
Migratory asymmetrical pain not related to swelling
Malar facial rash in butterfly pattern
Photosensitivity
Discoid lesions
Alopecia
Renal nephritic disease
Neuropsychiatric
Pulmonary
Gastrointestinal
Cardiac
Hematologic
what has the problem in SLE arthritis and what is the consequence. what is the name
the tendon sheaths (not the bones) - it can be reversed. Jaccoud arthroptahy
which antibodies in SLE
ANA
what does DMARD mean
Disease-modifying antirheumatic drugs
SLE mab which isn’t rituximab. MOA
belimumab - anti BAFF (B cell activating factor)
