Tendinopathy Flashcards
1
Q
Definition
A
degeneration of collagen
Tenditis, tendinosis, tendosynovitis interchangeable terms
2
Q
Risk factors
A
- age
- chronic disease - RA
- repetivie exercise
3
Q
Pathophysiology
A
- chronic tendon injury due to overuse- repetitive loading
- degeration, disorganisation of collagen fibres
- increased cellularity
- little inflammation
4
Q
Role of the tendon
A
- transmits force from muscle to acheive movement
- parallel collagen fibres with tenocytes
- surrounded by paratendon sheath
- larglely avascular, nutrion via paratenin
muscle to bone!
5
Q
Sites
A
- rotator cuff
- tennis elbow (lateral epicondylitis)
- Golfers elbow (medial epicondylitis)
- platar fascitis (not a tendon but affects same group)
- achilles
6
Q
Clinical features
A
- functional pain
- tendon swollen thick and tender
7
Q
Diagnosis
A
- xray unhelpful
- MRI good for unclear diagnsosi
- ultrasound is useful for loking at one specific tendon
8
Q
Treatment
A
Non operative
- NSAIDS
- steroid injections impair own bodys attempt to repair
operative
- 50% of tendon debridement without loss of function
