tendinopathy

Question 1

Tendinopathy

Answer 1

describe disorders primarily affecting the tendons, including pain and tendon rupture.

Question 2

tendonitis

Answer 2

inflammation of the tendon

Question 3

tendonosis

Answer 3

chronic degeneration of the tendon

Question 4

tenosynovitis

Answer 4

inflammation of the synovium sheath that surrounds the tendon

Question 5

Tendon

Answer 5

Situated between bone and muscle
Fibro-elastic properties
Transmits forces generated by muscle to bone to bring about movement
cellular tenocytes
matrix made of tightly packed type I collagen
proteoglycans
vascularity
innervation by mechnoreceptor and nociceiptor

Question 6

Collagen fibres arrangement

Answer 6

tendon- stiff and resistant to tensile forces but not as resistant to compression or shear force

ligament- better suited for non-axial loads slightly less able to resist tensile forces

Question 7

factor implicated in tendinopathy

Answer 7

age 
anatomical variants
systemic disease
body weight
joint laxity
muscle weakness/imbalance

occupation 
sport
physical load
training errors
shoes and equipment
environment conditions

Question 8

common

Answer 8

shoulder-supraspinatus and bicipital tendons

elbow-lateral and medial epicondyle

knee-patallar tendon, popliteal tendons and iliiotibial band

leg-posterior tibial tendon in the leg

ankle- achillies tendon

Question 9

Pathology of tendinipathy

Answer 9

mimimal inflammtion
Disorganisation of collagen fibres and increased proportion of type III fibres
seperation of the cell matrix
angiogenesis

Fibres more spread with increased ground substance
Abnormally shaped tenocytes with increased apoptosis
Increased cellularity
Neovascularisation

Question 10

Treatment

Answer 10

eccentric loading