Tendon Injuries Flashcards
Enthesis
Junction btwn tendon and bone (fibrocartilage)
Myotendinous junction (mtj)
Connection btwn tendon and muscle (susceptible for injury)
Overuse tendon injuries
Enthesopathy,tendinopathy
Acute tendon injuries
Direct trauma (sliced) or ruptured
Enthesopathy
Most commonly overuse, characterized by inflammation/degeneration/calcification resulting in pain and dysfunction
Tendinopathy
Umbrella term for tendon problems (caused by repetitive tensile/compressive loading and inadequate recovery
Reactive tendinopathy
Non-inflammatory, structural changes and thickening of stressed area
Tendon disrepair
Worsening, tendon structure becomes disorganized
Degenerative tendinopathy
Chronic stage
Diagnosis of tendinopathy
First pain after exercise, then at the start of activity, then both… Do pain provocation tests
Exercise based rehab for lower limb tendinopathy
Stage 1: isometric exercise
Stage 2: isotonic and heavy, slow resistance exercises
Stage 3: increase in speed and energy storage (single jumps, load tendon)
Stage 4: energy storage and release repeated jumps) and sport specific training
Rotator cuff tendinopathy
Subacromial pain syndrome (sps) resulting in rotator-cuff related shoulder pain… Can test with palpation, Rom, painful arc test
Qualities of Achilles tendon rupture
Active mid-aged recreational athletes, high risk of re-injury (rapid directional changes and jumps), usually occurs without warning
Mechanism for Achilles tendon rupture
Strong contraction of lower leg muscles with simultaneous extension (eccentric loading of tendon)
Diagnosing Achilles tendon tear
Acute, intense pain, “snap”, reduced power in plantarfaxion, gap in tendon tissue, bruising/swelling, ultrasound/mri
