Tendinopathy and Capsular Pathologies

Question 1

What is tendinopathy?

Answer 1

describes disorders affecting the tendons, including pain and tendon rupture

Question 2

What is tendonitis?

Answer 2

Inflammation of the tendons

Question 3

What is tendinosis?

Answer 3

Chronic degernation of the tendon

Question 4

What is tenosynovitis?

Answer 4

Inflammation of the sheath- the synovium that surrounds the tendon

Question 5

What is the structure of a tendon?

Answer 5

Between bone and muscle
Fibro elastic properties- can be deformed and return to normal
transmits forces generated by muscle to bone to elicit movement
Sigh 1 collagen fibres are tightly packed together

Question 6

What is tendinopathy?

Answer 6

Tendinopathy is a process which describes injury to the tendon that is a result of overload beyond the capacity of that tendon

Question 7

Intrinsic factors of tendinopathy

Answer 7

age
anatomical variants- deformities
systematic disease
body weight
laxity of joint
muscle weakness or imbalance

Question 8

extrinsic factors of tendinopathy

Answer 8

occupation
sport
physical lad
training erros
shoes
environmental conditions

Question 9

Pathology of tendinopathy

Answer 9

minimal inflammation
disorganisation of collagen fibres and increased proportion of type 3 fibres
fibres are more spread with increased ground substance
abnormally sped tenocytes with increased apoptosis
neovascularisation
inceased cellularity

Question 10

What is adhesive capsulitis?

Answer 10

spontaneous onset of shoulder pain in combination with progressive limitation of passive and active glenohumeral joint movements, aka frozen shoulder

Question 11

Causes of adhesive capsulitis

Answer 11

Post trauma
post surgery
secondary to endocrine disease- 5 x more likely
idiopathic
more common in women than men

Question 12

What is the tendinopathy process?

Answer 12

Active Tendinopathy
Tendon disrepair
Degnerative Tendinopathy