tendon problems Flashcards

1
Q

are tendon problems common?

A

yes - 30% of MSK consults are tendon related!

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2
Q

what is tendinopathy?

A

painful tendon

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3
Q

what is tendonitis?

A

inflammation of tendon

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4
Q

what is tendonosis?

A

degeneration of tendon

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5
Q

what is tenosynovitis?

A

inflammation of fluid filled sheath

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6
Q

what is enthesopathy?

A

pain at enthesis (the parts that attach tendons, ligaments to bone)

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7
Q

what is highlighted blue?

A

muscle

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8
Q

what is highlighted blue?

A

synovial cavity

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9
Q

what is highlighted blue?

A

bursa

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10
Q

what is highlighted blue?

A

joint capsule and synovial lining

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11
Q

what is highlighted blue?

A

tendon

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12
Q

what is highlighted blue?

A

ethesis

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13
Q

what is highlighted blue?

A

enthesis

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14
Q

what is highloghted blue?

A

epipyhseal bone

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15
Q

what is highlighted blue?

A

articular bone

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16
Q

what is highlighted blue?

17
Q

what is highlighted blue?

18
Q

what is tendonosis ?

A

histologic degeneration of collagen and extracellular matrix

19
Q

how does tendonosis present?

A

pain where tendon is

however sometimes not painful

20
Q

role of fibroblast?

A

produces collagen

21
Q

where does tendinosis usually occur?

A

areas of poor blood supply

22
Q

where does tendinosis usually occur?

A

areas of poor blood supply

23
Q

who is usually affected by rotator cuff pathology?

A
  • athletes who throw

- manual workers (painters)

24
Q

what muscle is most commonly affected in rotator cuff pathology?

A

supraspinatous

25
what investigations should be done for rotator cuff ?
USS- gold standard | MRI
26
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
27
what investigations are done for biceps tendinopathy?
clinical exam | USS
28
what is lateral epicondylitis/ tennis elbow?
10-20% bilateral Pain and tenderness over the lateral epicondyle, the origin of the extensors
29
what investigations are done for tennis elbow?
Clinical USS MRI
30
what is medial epicondylitis? (golfers elbow)
medial elbow pain - origin of the wrist flexors
31
what investigations are done for golfers elbow?
- clinical - USS - MRI
32
what is treatment for golfer and tennis elbow?
- rest - physio - avoidance of activities that aggrevate
33
what is de Quervain's tenosynovitis?
EDIT!
34
what are the special tests for de quarvain's tenosynovitis?
Finklestein's test | Eichoff's test
35
who is Achilles tendon rupture common in?
- middle ages - RA - steroids - tenodinits - usually during sudden acceleration/deceleration/ fall/jump
36
what are achilles tendon investigations?
USS | MRI