Tendinitis & Bursitis

Question 1

define: tendon

Answer 1

regularly arranged, dense collagen fibrils, attaches muscle to bone - part of musculotendinous unit

Question 2

what is the difference in tendons surrounded by paratendon and a tendon sheath?

Answer 2

if the tendon moved in a straight line, surrounded by paratendon (bv’s coiled in loose alveolar tissue of paratendon)
if the tendon goes over bony prominence, its surrounded by a tendon sheath

Question 3

what is a tendon sheath and its purpose?

Answer 3

double layered tubular structure filled with synovial fluid- the inner layer surrounds the tendon, allowing for glide

Question 4

what does tendonitis result from?

Answer 4

microtearing of the tendon fascicles due to overloading of the tendon, with resulting inflammatory response

Question 5

what is the grading for tendonitis?

Answer 5

grade 1: pain on activity only
grade2: pain at beginning, disappears during, returns after
grade 3: pain at beginning, during and after activity - pain may restrict activity
grade 4: pain with ADL’s and continues to get worse

Question 6

whats the difference between paratendinosis, tenosynovitis, and tenovaginitis?

Answer 6

para: inflammation of paratendon or tendon sheath
tenosynovitis: irritation of inner surface of sheath
tenovaginitis: irritation and thickening of the sheath itself

Question 7

what mm is impacted with extensor tendinosis and what movements bother it?

Answer 7

ECRB (first - than ECRL and ED)

repetitive, forceful EXT, supination and radial deviation

Question 8

what tendons does DeQuervain’s tenosynovitis impact?

Answer 8

APL and EPL

Question 9

what degrees are the “painful arch”

Answer 9

60-120 degrees of painful ABD - humerus against acromion

Question 10

where does the impingement occur with impingement syndromes of the shoulder?

Answer 10

pinching of RC and subacromial tissue between coracoacromial arch and proximal humerus

Question 11

how long can it take a bursa to grow if surgically removed?

Answer 11

6-24 months

Question 12

what are the 2 types of bursae?

Answer 12

adventitious (adaptive)

synovial (innate)

Question 13

where are the 2 main bursa at the greater trochanter?

Answer 13

1. lies between glute max tendon and trochanter

2. lies between the gluteus medius tendon and trochanter

Question 14

how does pain present with hip bursitis (trochanteric bursae)

Answer 14

pain located to the lateral hip

pain worsened on climbing stairs and getting out of car

Question 15

where is the iliopectineal bursae and its pain referral?

Answer 15

btwn the iliopsoas and iliofemoral mm (1-2 cm inferior to middle third of inguinal lig)
Pain is at anterior hip and may radiate down anterior leg due to pressure on the femoral nerve

Question 16

where is the ischial bursa and its pain referral?

Answer 16

btwn glute max nd ischial tuberosity

pain refers down posterior leg - similar to sciatic pain

Question 17

where is the pes anserine bursae located?

Answer 17

between the tendons of sartorius, gracilis and ST mm and medial tibia

Question 18

where is the prepatellar bursa located?

Answer 18

lower half of patella, patellar ligament and skin

Question 19

where is the retrocalcaneal bursa located?

Answer 19

between achilles tendon and calcaneus