Tendon and Ligament Injuries Flashcards
1
Q
Tendon and ligament injuries,
A
- Sometimes referred to as soft-tissue injuries, can occur throughout the life span.
- Some types are more common in adults and geriatric populations.
- More common for us to work with adults with tendon and ligament injuries than other age groups.
2
Q
Tendons
A
Collagen rich to elicit strong tensile strength to the bone.
3
Q
Tendonitis
A
An inflammatory condition of the tendon.
4
Q
Tendinosis
A
A degenerative condition of the tendon.
5
Q
Tendonitis and Tendinosis Symptoms
A
- Pain with AROM of the involved tendon
- Pain with resistance to the involved tendon
- Pain when the involved tendon is placed on stretch
6
Q
Lateral epicondylitis
A
- A tendonitis of the common extensor tendon
- Pain is often experienced at the lateral epicondyle
- Education focused on ergonomics and proper body mechanics
- Avoid lifting with elbow in full extension and pronation
- Screening of the entire upper extremity: Scapular Stabilization
7
Q
DeQuervain’s Tenosynovitis
A
Tendonitis of the tendons in the first dorsal compartment
- Abductor pollicis longus (APL)
- Extensor pollicis brevis (EPB)
8
Q
DeQuervain’s Tenosynovitis is commonly seen in…
A
- New mothers, golfers, knitters, and racquet sports players
- Avoid sustained thumb radial abduction
- Avoid pinching with wrist deviation
9
Q
Ligament Injuries
A
A ligament connects bone to bone to provide stability to the joint.
10
Q
Grade 1 Ligament Tears
A
Ligament is intact, but individual collagen fibers are disrupted or stretched
11
Q
Grade 2 Ligament Tears
A
Ligament has been partially torn
12
Q
Grade 3 Ligament Tears
A
Complete tear of the ligament
13
Q
Skier’s Thumb
A
- A disruption of the ulnar collateral ligament (UCL) of the thumb MCP joint.
- Often seen with individuals who fall while skiing or with ball injuries.
- Surgery will be required if there is a complete tear to the UCL of the thumb
14
Q
Tendon Lacerations
A
- If more than half of a tendon is lacerated, surgery will be required.
- An orthotic will be used after the surgery to protect the repair (often worn for 5-6 weeks)
- Clients can begin to engage in light functional tasks without resistance around 5-6 weeks post injury (Forceful AROM should be avoided prior to that time because when the muscle contracts it will pull on the repaired tendon)
15
Q
Flexor Tendons
A
- More round and contained within a synovial sheath (filled with synovial fluid that helps provide lubrication to the tendons_
- Flexor retinaculum and transverse carpal ligament
- Cruciate and annual ligaments (help to keep the flecor tendons in place. at the fingers to prevent bowstringing of the tendons during functional movement)
