Tendon Problems Flashcards

1
Q

what is tendinopathy

A

pain

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2
Q

what is tendonitis

A

inflammation

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3
Q

what is tendonosis

A

degeneration

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4
Q

what is tenosynovitis

A

inflammation of fluid filled sheath

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5
Q

what is enthesopathy

A

pain at attachment of tendons and ligaments

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6
Q

what is the enthesis

A

site of attachments of tendons and ligaments to bone

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7
Q

what is aa tendon

A

links muscles to bone for joint function

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8
Q

what are some intrinsic factors of tendinopathy

A

age, gender, obesity, predisposing conditions e.g RA, anatomical factors e.g mal-alignment or leg length discrepancy

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9
Q

wha are some extrinsic factors of tendinopathy

A

trauma/injury, repetitive injury, drugs e.g steroids or antibiotics, sports

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10
Q

what happens in tendonosis

A

histological degeneration of collagen type 1 and extracellular matrix

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11
Q

what is tendonosis likely due to

A

matrix metalloproteinases (MMP’s)

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12
Q

what increases matrix mettaalloproteinases (MMP’s)

A

age and repetitive strain

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13
Q

where does tendonosis usually occur

A

areas of poor blood supply

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14
Q

is tendonosis always painful

A

no, don’t know what it is painful in some and not in others

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15
Q

what are the principles of management usually

A

conservative

-rest, physio, analgesic (anti-inflammatory), injections, splinting (surgical or casting)

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16
Q

what tendons should not be injected and why

A

achilles tendon or extensor knee mechanism

increased risk of rupture

17
Q

what are surgical principles of management

A

debridement, decompression, synovectomy and tendon transfer

18
Q

what are some controversial treatments

A

ultrasound, platelet rich plasma, steroid injection

19
Q

what is steroid injection toxic to

A

tenocytes

20
Q

what conditions are steroid injections as effective as physio

A

tennis elbow and shoulder impingement