soft tissue problems

Question 1

what does this encompass

Answer 1

tendinopathies (including tears and ruptures), enthesopathies (inflammation of a tendinous origin from or insertion into bone), cartilage tears, labrum tears, tenosynovitis, capsulitis and non-infective fasciitis

Question 2

what do the vast majority of soft tissue problems settle with

Answer 2

rest, analgesia and NSAIDS

Question 3

when can steroid injections be used

Answer 3

for rotator cuff problems and lateral epicondylitis

Question 4

when can steroid injections not be used

Answer 4

for extensor mechanism problems and around the achilles tendon due to the risk of rupturing the tendon

Question 5

management of refractory cases which do not respond to conservative management

Answer 5

surgical debridement (removal of disease tissue) or decompression (subacromial decompression)

Question 6

when can a synovectomy be carried out

Answer 6

in rheumatoid arthritis where there is inflammation of the extensor tendons of the wrist or for inflammation of the tibias posterior to prevent its rupture

Question 7

major tendon tears require

Answer 7

splintage (e.g casting for achilles tendon rupture), surgical repair (for extensor mechanism rupture) or tendon transfer (tibias posterior and extensor policies longus rupture)

Question 8

labral tears of the acetabulum or glenoid can be

Answer 8

respected or repaired