tendon problems Flashcards
are tendon problems common?
yes - 30% of MSK consults are tendon related!
what is tendinopathy?
painful tendon
what is tendonitis?
inflammation of tendon
what is tendonosis?
degeneration of tendon
what is tenosynovitis?
inflammation of fluid filled sheath
what is enthesopathy?
pain at enthesis (the parts that attach tendons, ligaments to bone)
what is highlighted blue?
muscle
what is highlighted blue?
synovial cavity
what is highlighted blue?
bursa
what is highlighted blue?
joint capsule and synovial lining
what is highlighted blue?
tendon
what is highlighted blue?
ethesis
what is highlighted blue?
enthesis
what is highloghted blue?
epipyhseal bone
what is highlighted blue?
articular bone
what is highlighted blue?
ligament
what is highlighted blue?
enthesis
what is tendonosis ?
histologic degeneration of collagen and extracellular matrix
how does tendonosis present?
pain where tendon is
however sometimes not painful
role of fibroblast?
produces collagen
where does tendinosis usually occur?
areas of poor blood supply
where does tendinosis usually occur?
areas of poor blood supply
who is usually affected by rotator cuff pathology?
- athletes who throw
- manual workers (painters)
what muscle is most commonly affected in rotator cuff pathology?
supraspinatous
what investigations should be done for rotator cuff ?
USS- gold standard
MRI
how does biceps tendinopathy present?
pain anterior shoulder radiating to elbow:
- aggrevated by shoulder flexion, forearm pronation and elbow flexion
- snapping with shoulder movements if subluxation
- Splinter bruising
- Pop eyes sign
what investigations are done for biceps tendinopathy?
clinical exam
USS
what is lateral epicondylitis/ tennis elbow?
10-20% bilateral
Pain and tenderness over the lateral epicondyle, the origin of the extensors
what investigations are done for tennis elbow?
Clinical
USS
MRI
what is medial epicondylitis? (golfers elbow)
medial elbow pain - origin of the wrist flexors
what investigations are done for golfers elbow?
- clinical
- USS
- MRI
what is treatment for golfer and tennis elbow?
- rest
- physio
- avoidance of activities that aggrevate
what is de Quervain’s tenosynovitis?
EDIT!
what are the special tests for de quarvain’s tenosynovitis?
Finklestein’s test
Eichoff’s test
who is Achilles tendon rupture common in?
- middle ages
- RA
- steroids
- tenodinits
- usually during sudden acceleration/deceleration/ fall/jump
what are achilles tendon investigations?
USS
MRI