TENDINOPATHIES HIGH YIELD

Question 1

what is the acute stage of tendonitis?

Answer 1

inflammatory cells

hypervascularity

Question 2

what is the chronic stage of tendonitis?

Answer 2

collagen disorganization

fibroblast proliferation

edema

fat accumulation

Question 3

this is also known as tenosynovitis?

Answer 3

paratenonitis

Question 4

tendonitis, tendinosis, paratenonitis equals?

Answer 4

specific pathological conditions

Question 5

what is tendonopathy?

Answer 5

generic descriptor of clinical conditions in and around tendons

Question 6

name this condition?

histologically
inflammatory cells in the paratenon/peritendinous areolar tissue

clinical exam
warm, edema present, point tender, paratenon thickened and adhered to normal tissues

Answer 6

paratenonitis

Question 7

name this condition?

histologically
same as paratenonitis BUT with decreased tendon collagen, fiber disorientation, scattered vascular ingrowth

clinical exam
same as paratenonitis BUT with nodule formation

Answer 7

paratenonitis with tendonosis

Question 8

name this condition?

histologically
non inflammatory collagen degeneration, fiber disorientation, hypocellularity, possible necrosis and calcifications

clinical exam
nodular appearance, little if any edema

Answer 8

tendinosis

Question 9

reactive tendinopathyt can lead to this type of tendinopathy when the load is excessive?

Answer 9

degenerative tendinopathy leading to a rupture

Question 10

strains are what type of overload and base?

Answer 10

acute overload

intensity based

Question 11

tendonopathy are what type of overload and base?

Answer 11

chronic overload

volume based

Question 12

tendon injuries account for what percent of all sports related pathology?

Answer 12

50%

Question 13

what are the tendon responses to loading types, 2 types?

Answer 13

cyclical

mechanical

Question 14

how does mechanical loading and collagen synthesis work?

Answer 14

intern signaled when under strain

release of collagen mRNA and TGF-8-1 and types I/III new collagen synthesized

Question 15

exercise concepts to consider when treating tendonopathies?

Answer 15

tendons do not like compression

high response to mechanical loading

increased stiffness after resistance

chronic habitual loading needed

an effective training program with high loads

Question 16

what are the 3 theories applying science to tendon injuries?

Answer 16

collagen disruption model

inflammatory model

tendon cell response model

Question 17

how are tendon injuries classified?

Answer 17

reactive

tendon disrepair

degenerative

reactive on
degenerative

Question 18

what are the two clinically relevant stages?

which ones are reversible/nonreversible

Answer 18

reactive/early disrepair
-reversible

late disrepair/degenerative
-nonreversible

Question 19

what are the treatment strategies utilizing load principles and the continuum?

Answer 19

isometrics

eccentrics-GOLD STD Alfredson Protocal

HSR-Heavy Slow Resistance
Beyer Protocal

Question 20

Eccentrics is what protocol?

Answer 20

alfredson protocal

Question 21

HSR is what protocol?

Answer 21

Beyer protocal

Question 22

where do palliative treatments come into play?

Answer 22

laser
massage
IASTM
dry needling

Question 23

what is important for endurance athletes?

Answer 23

strengthening

Question 24

this type of tendon does not like compression

stretch-shortening acommodates for this until tendon is no longer reactive

Answer 24

reactive tendons

Question 25

injured are a quick fix, T/F?

Answer 25

F

Question 26

how long should you be exposed to fluoroquinolone?

Answer 26

6 months

Question 27

what type of treatment modality is preferable in non-athletes?

for the reactive stage/in-season?

Answer 27

eccentrics

isometrics