Soft tissue ortho injuries

Question 1

What is the pathophysiology of the common soft tissue orthopedic injuries?

Answer 1

Contusion, laceration, rupture/straining, contracture/fibrosis

Question 2

___ results from trauma, palpable discomfort, swelling, edema, pain locally, hemorrhage

Answer 2

Contusion

Question 3

Every HBC patient has ____

Answer 3

contusions

Question 4

What is the tx for contusions?

Answer 4

cold compress first 2-3 days, warm compress thereafter, rest and immobilization

Question 5

What is secondary to another injury damaged muscle replaced with fibrous tissues?

Answer 5

Contracture/fibrosis

Question 6

What are the clinical and physical exam findings for patients with soft tissue orthopedic injuries?

Answer 6

partial to non-weight bearing lameness with swelling of muscle, painful on palpation, abnormal range of motion, disuse of muscle(s) causing atrophy

Question 7

Scar tissue in soft tissues is badddd. T/F

Answer 7

True!!!

Question 8

we aim for MUSCLE FIBER regeneration and reorientation with ____ ____ injuries. Not scar tissue formation (that is bad)

Answer 8

soft tissue

Question 9

tendon is slow healing, it gets back about ___% of orginial strength following rupture at one year post op repair

Answer 9

80%

Question 10

Tendons heal via ___- dependent ____ deposition

Answer 10

fibroblast dependent collagen deposition

Question 11

Gaps in ____ formation during repair results in scarring. More scarring occurs when the area is immobilized

Answer 11

tendon

Question 12

What are the common TENDON SUTURE patterns we can use? What are the goals?

Answer 12

Locking loops, 3 loop pulley and Bunnell suture
goals are to reduce gap formation and distribute tension away from the cut ends of the tendon while decreasing suture site tension while maintaining good bf and apposition

Question 13

Bicipital tenosynovitis is inflammation of the biceps brachii tendon and the surrounding synovial sheath. How can we diagnose this?

Answer 13

Localize pain to the shoulder, ***pain after palpation of origin of biceps tendon (intertubercular groove, shoulder flexed, elbow extended)

Question 14

CS of Bicipital tenosynovitis-

Answer 14

pain on origin of biceps tenson, maybe some muscle atrophy, pain medial to grater tubercle

Question 15

inflammation of the biceps brachii tendon and the surrounding synovial sheath =

Answer 15

Bicipital tenosynovitis

Question 16

Tx for Bicipital tenosynovitis

Answer 16

NSAIDs, rest 6 weeks, gradual return to activity, steroid injections/ PRP injections, sx

Question 17

Calcaneal tendon rupture is uncommon. T/F

Answer 17

False!!! Very common

Question 18

What are the 5 muscles and 3 tendons making up the calcaneal tendon?

Answer 18

1- gastroc tendon
2- SFDFT
3- common tendon (includes biceps femoris, Gracilis, and Semitendinosus

Question 19

CS associated with calcaneal tendon rupture-

Answer 19

Acute lameness, non-weight bearing or plantigrade stance, possible laceration over tendon
Crab like clawing of toes with PARTIAL rupture with stifle extended

Question 20

Iliopsoas is easily confused with what other condition?

Answer 20

Hip dysplasia or hip osteoarthritis

Question 21

Avulsion fracture of the lesser trochanter appearance on rads = what condition?

Answer 21

Iliopsoas rupture or tear

Question 22

Supraspinatus tendinopathy is more common than people know because it is mistaked for what other condition? How can we rule it in?

Answer 22

Biceps issue; U/s to distinguish between the two

Question 23

Supraspinatus inserts at the ____

Answer 23

humerus

Question 24

Supraspinatus tendinopathy is seen in what types of dogs?

Answer 24

Large breed dogs, athletic/agility. Usually bilateral

Question 25

CS of Supraspinatus tendinopathy–

Answer 25

pain, partial weight bearing lameness -worsens with activity, muscle atrophy

Question 26

What do rads show with Supraspinatus tendinopathy??

Answer 26

Rads show mineralization at tendon