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MSK 2 > Stress And Tendon Injuries (2) > Flashcards

Stress And Tendon Injuries (2) Flashcards

1
Q

What does the medial tibial stress syndrome account for?

A

Inflammatory, traction event on the tibial aspect of the leg

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2
Q

What is medial tibial stress syndrome common in?

A

Runners

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3
Q

What are the symptoms of medial tibial stress syndrome?

A

Tightness/tenderness

Throbbing along tibial crest that comes on with activity and goes away with rest

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4
Q

What are the causes of medial tibial stress syndrome?

A

Inappropriate footwear

Muscle weakness

Poor running mechanics

Tight gastroc

Excessive supination

Excessive pronation

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5
Q

What would provoke Tibialis anterior tendonopathy?

A

MMT

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6
Q

What will Tibialis anterior tendonopathy look similar to?

A

Medial tibial stress syndrome (palpation used to differentiate)

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7
Q

What can cause Tibialis posterior tendonopathy?

A

Pes planus

Irritation at insertion on navicular or behind medial malleoli

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8
Q

Where does perineal tendonopathy occur?

A

In sulcus behind lateral malleoli or at cuboid

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9
Q

What can cause perineal tendonopathy?

A

Overuse or friction

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10
Q

Where can peroneal tendonopathy rupture?

A

At the retinaculum which leads to peroneal subluxation

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11
Q

What is peroneal tendonopathy common after?

A

Inversion sprain

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12
Q

What is tarsal tunnel syndrome?

A

Lesion to posterior tibial nerve in flexor retinaculum

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13
Q

What causes tarsal tunnel syndrome?

A

Running on hard surfaces or poor fitting shoes

Over pronation

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14
Q

What are signs of tarsal tunnel syndrome?

A

Swelling

Medial ankle and heel pain

Sensory loss to medial heal

Positive tinels sign

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15
Q

Where is chronic exertional compartment syndrome often located?

A

Anteriorly

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16
Q

How long is the history of chronic exertional compartment syndrome prior to diagnosis?

A

2 year history

17
Q

Who is chronic exertional compartment syndrome common in?

A

Runners and soccer players

18
Q

What symptoms come along with chronic exertional compartment syndrome?

A

Neurologic weakness and numbness

19
Q

How can you treat chronic exertional compartment syndrome?

A

Transition to forefoot running

20
Q

How is Achilles tendonitis caused?

A

Overuse (gradual onset)

21
Q

What is Achilles tendonosis?

A

Hypovascular zone 2-6 cm from insertion

22
Q

What are symptoms that come with Achilles tendonosis?

A

Lack of CKC DF

Thickening of Achilles tendon

Tight, painful gastroc

Painful resisted Plantarflexion

23
Q

What is the treatment for Achilles tendonosis?

A

Stretching

Eccentric strengthening
(No NSAIDs)

24
Q

What is an Achilles tendon rupture?

A

Forceful sudden contraction (audible pop)

25
Q

What are risk factors for Achilles tendon rupture?

A

Cortisone injections

30-40 y/o male

26
Q

What does Achilles tendon rupture cause?

A

Inability to push off

Positive Thompson test

27
Q

How is an Achilles tendon rupture most treated?

A

Surgically

28
Q

What is Hallux abductovalgus?

A

Medial deviation of 1st metatarsal head

29
Q

What are the two types of Hallux abductovalgus?

A

Adolescent

Degenerative

30
Q

What is adolescent Hallux abductovalgus?

A

Hyperpronation of rear foot (may require surgical intervention)

31
Q

What is degenerative Hallux abductovalgus?

A

Degenerative joint disease of 1st MT head

32
Q

What are some treatments for Hallux abductovalgus?

A

Strengthening

Manual therapy

Modify footwear

Custom orthotics

Splinting

33
Q

What is Morton’s neuroma?

A

Pain and paresthesia in interdigital space (2-3 or 3-4) with fibrous entrapment of interdigital nerve

34
Q

What is management of Morton’s neuroma?

A

Shoe modifications

MT pads

MT mobilizations

35
Q

How do you manage Morton’s neuroma if symptoms do not improve?

A

Surgical excision

MSK 2 (21 decks)

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