Tendinopathy / Tendinosis / Tenosynovitis / Tendonitis

Question 1

Tendinopathy

Answer 1

Refers to tendon degeneration that’s characterised by a combination of tendon pain, swelling, and impaired performance

Question 2

What happens in Tendinopathy?

Answer 2

• Show hypercellularity
• A loss of the tightly bundles collagen fibre appearance
• An increase in proteoglycan content
• Neovascularisation
• Decreased mechanical integrity

Question 3

What does Tendinopathy look like?

Answer 3

• Accumulation of rounded and enlarge tenocytes
• Disorganisation of collagen fibres and loss of architecture
• Abundant ground substance with demarcation of collagen bundles
• Agglomeration of capillaries

Question 4

Tendinosis

Answer 4

Degeneration of the tendon’s collagen in response to chronic over-use

Question 5

Tenosynovitis

Answer 5

Inflammation of the sheath that surrounds a tendon

Question 6

Para/peri tendonitis

Answer 6

Involvement of the adjacent paratendon (can be alone or in combination with tendinosis)

Question 7

What is the inflammatory pattern of tendinopathies?

Answer 7

Pain first thing in the morning and at times stiffness first thing.