Soft tissue tendon issues Flashcards

1
Q

intrinsic factors for tendinopathy

A
age 
gender
obesity 
malalignment 
RA and predisposing factors
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2
Q

extrinsic factors for tendinopathy

A
trauma/injury 
repetitive injury 
steroids 
antibiotics 
sport
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3
Q

true/false - steroid injections are given for tendinopathies of the lower limb

A

false - try to avoid it

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4
Q

whos more likely to get rotator cuff tear

A

athletes who throw or mechanical workers

older patients

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5
Q

clinical findings of rotator cuff tear

A

achy pain down arm
+ve impingement tests
painful arc and weakness
diffculty sleeping on affected side, reaching overhead

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6
Q

management of rotator cuff tear

A

physio, steroid injection and analgesia

subacromial deocmpression if bad

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7
Q

cause of biceps tendinopathy

A

overuse, instability, impingement, trauma

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8
Q

signs and symptoms of biceps tendinopathy

A

pain on ant shoulder radiating to elbow
aggravated by shoulder flexion, pronation and elbow flexion
snapping or popeye sign

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9
Q

in who is de quervain’s tenosynovitis more common and what test diagnoses

A

women 30-50
pregnancy/RA
finklestein’s test

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10
Q

management of de quervain’s tenosynovitis

A
splint and rest 
analgesia 
physiotherapy 
injection 
decompression
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11
Q

what clinical sign would make you suspect an extensor tendon rupture due to RA

A

weak wrist extension

dropped finger

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12
Q

how would you repair an extensor tendon rupture or EPL rupture

A

tendon transfer

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13
Q

what is trigger finger and how is it managed

A

fibrocartilagenous metaplasia to cause nodule which catches on A1 pulley
observation, injection, surgical release

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14
Q

what is osgood-schlatters disease

A

apophysitis at insertion of tibial tuberosity leaving bony lump
more common in active and adolescent boys

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15
Q

in who is achilles tendon rupture more common

A
middle age
RA 
Steroids 
Tendonitis 
diabetes 
ciprofloxacin
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16
Q

how can you spot a tibialis posterior stretch/rupture

A

progressive flatfoot and valgus hindfoot

17
Q

management of tibialis posterior rupture?

A
NSAIDs
casting 
injection 
debride 
tendon transfer