tendon problems Flashcards
what is tendinopathy
painful tnedon
what is tendinosis
degeneration of the tendons collagen
what is tendinitis
inflammation of tnedon
what drugs can cause tendon problems
- steroids
- antibiotics
what is tendinosis likely due to
matrix metalloproteinases
presentation of rotator cuff problems
- aching pain down arm
- difficulty sleeping on affected side
- painful arc
- potential arc weakness
- positive impingement tests
presentation of biceps tendinopathy
pain anterior shoulder radiating to elbow
- aggravated by shoulder flexion, forearm pronation and elbow flexion
- snapping with shoulder movements if subluxation
signs of bicep rupture
- bruising
- popeye sign
what is tennis elbow
lateral epicondylitis
-pain and tenderness over the lateral epicondyle, the origin of the extensors
golfers elbow
inflammation of the flexor forearm muscles
medial elbow pain
-origin of the wrist flexors
-pain aggravated by wrist flexion and pronation
repetitive stress
should you inject in Golfer’s elbow
no
De Quervain’s tenosynovitis
- Tenosynovitis affects the first compartment which contains APL and EPB
- Typically it presents as a repetitive strain injury with pain over the radial styloid process at the wrist
what can cause an EPL rupture
- RA
- after a colles fracture
who gets achilles tendon ruptures
middle aged
what is tenosynovitis
inflammation of fluid filled sheath
what is enthesopathy
pain at enthesis (attachment of tendons, ligaments onto bone)
where does tendinosis commonly occur
at sites with poor blood supply
management for rotator cuff pathology
- physio
- inject
- subacromial decompression
treatment for biceps rupture
mainstay is conservative with rest and physio
-surgery can be carried out but high risk of neurovascular complications
treatment for tennis elbow
- rest
- physio
- injection of LA
- steroids
who gets De Quervain’s Tenosynovitis
women aged between 30 and 50
-associated with pregnancy and rheumatoid arthritis
which tests diagnose De Quervain’s tenosynovitis
- finklestein’s test
- eichoff’s test
management for De Quervain’s tenosynovitis
- splint
- rest
- physio
- analgesics, inject, surgical decompression
how does an extensor tendon rupture occur
- autoimmune attack on synovium
- tendon degeneration
- rupture
presentation of an extensor tendon rupture
weakness wrist extension or dropped finger
how does trigger finger happen
- stenosing tenosynovitis
- fibrocartilaginous metaplasia
- nodule FDS tendon
- nodule catches on A1 pully which cause triggering
should you inject tendonitis in the quads and patellar tendon
no
clinical findings of tendonitis in the quads and patellar tendon
- palpable gap
- no SLR
- high or low patella on x-ray
management for quads and patella tendon rupture
surgery
what is traction apophysitis
- insertion of patellar tendon into tibial tuberosity
- leaves prominent bony lump
risk factors for an achilles tendon rupture
- RA
- steroids
- tendonitis
how can a rupture of the tibialis posterior happen
- tenosynovitis
- progressive elongation
- rupture
