Soft tissue tendon issues Flashcards
intrinsic factors for tendinopathy
age gender obesity malalignment RA and predisposing factors
extrinsic factors for tendinopathy
trauma/injury repetitive injury steroids antibiotics sport
true/false - steroid injections are given for tendinopathies of the lower limb
false - try to avoid it
whos more likely to get rotator cuff tear
athletes who throw or mechanical workers
older patients
clinical findings of rotator cuff tear
achy pain down arm
+ve impingement tests
painful arc and weakness
diffculty sleeping on affected side, reaching overhead
management of rotator cuff tear
physio, steroid injection and analgesia
subacromial deocmpression if bad
cause of biceps tendinopathy
overuse, instability, impingement, trauma
signs and symptoms of biceps tendinopathy
pain on ant shoulder radiating to elbow
aggravated by shoulder flexion, pronation and elbow flexion
snapping or popeye sign
in who is de quervain’s tenosynovitis more common and what test diagnoses
women 30-50
pregnancy/RA
finklestein’s test
management of de quervain’s tenosynovitis
splint and rest analgesia physiotherapy injection decompression
what clinical sign would make you suspect an extensor tendon rupture due to RA
weak wrist extension
dropped finger
how would you repair an extensor tendon rupture or EPL rupture
tendon transfer
what is trigger finger and how is it managed
fibrocartilagenous metaplasia to cause nodule which catches on A1 pulley
observation, injection, surgical release
what is osgood-schlatters disease
apophysitis at insertion of tibial tuberosity leaving bony lump
more common in active and adolescent boys
in who is achilles tendon rupture more common
middle age RA Steroids Tendonitis diabetes ciprofloxacin