Tendon Injuries

Question 1

Tendon degeneration eg. Achilles tendon

Answer 1

-intrasubstance mucoid degeneration
–may be swollen, painful, tender; may be asymptomatic
–precursor to rupture?

Question 2

Inflammation of Tendon (de Quervain’s stenosing tenovaginitis)

Answer 2

-tendons of EPB + APL passing through common tendon sheath at radial aspect of wrist
–swollen, tender, hot, red
–positive Finklestein’s test

Question 3

Enthesiopathy

Answer 3

Inflammation at insertion to bone of:

• muscle/tendon
• ligament

Question 4

Traction apophysitis - e.g. Osgood Schlatter’s disease

Answer 4

• insertion of patellar tendon into anterior tibial tuberosity
• adolescent active boys
• Recurrent load
• Inflammation

Question 5

Osgood Schlatter’s disease symptoms

Answer 5

• pain at the tibial tubercle

- localised tenderness

Question 6

Osgood Schlatter’s disease investigations

Answer 6

-plain X-rays

Question 7

Osgood Schlatter’s disease treatment

Answer 7

Early stage
-modification of activities and non pharmacological measures
-non-steroidal anti-inflammatory drugs (NSAID)
-physiotherapy
Progressive or late stage
-surgery

Question 8

Mallet finger

Answer 8

-insertion of extensor tendon into dorsum of base of distal phalanx of finger
–forced flexion of extended finger

Question 9

Treatment Avulsion

Answer 9

Conservative
–Limited application
–Retraction tendon
Operative
-Reattachment tendon
-Through bone
       -Fixation bone fragment

Question 10

Intrasubstance Rupture e.g. Achilles tendon

Answer 10

-Load exceeds failure strength
-positive Simmond’s (squeeze) test
–palpable tender gap

Question 11

Laceration (incision) e.g. esp. finger flexors (FDS & FDP)

Answer 11

• common
• males > females
• young adults
• repair surgically & early