Tendon Injuries

Question 1

what is the structure of a tendon

Answer 1

muscle origin usually from bone
musclotendinous junction
tendinous insertion into bones
fascicles covered by paratendon
tendon covered by epitenoon

Question 2

what are tendons connected to the sheath by

Answer 2

vincula

Question 3

degeneration of a tendon

Answer 3

Achille tenon- over time less blood supply leads to degeneration of the tendon
do Simmonds squeeze test

Question 4

what happens when there is is inflammation of the tendon

Answer 4

swollen, tendon and hot

Question 5

what is enthesiopathy

Answer 5

inflammation at the insertiion to the bone, usually at muscle origin rather than tendon insertion
common is tennis elbow

Question 6

what is an example of injury of a tendon

Answer 6

traction apophysitis

insertion of patellar tenon into anterior tibial tuberosity

Question 7

what is apophysisitis

Answer 7

injury or inflammation to area of growth in bones of children

Question 8

what is an avulsion fracture

Answer 8

an injury where the tendon attaches to the bone

happens when load exceeds when the muscle is contracting eg Mallet finger

Question 9

what is the treatment for avulsion

Answer 9

reattachment of tendon to bone

conservative

Question 10

what are the 2 mechanisms of rupture

Answer 10

pushing off with weight bearing forefoot whilst extending knee joint
unexpected dorsiflexion of ankle

Question 11

what is a musculotendinous junction tear

Answer 11

medial head of gastrocnemius with achilles tendon

Question 12

what is the treatment of a rutpture

Answer 12

conservative-mobilise, splint

operative-high activity