Tendon Problems Flashcards
what is tendinopathy
pain
what is tendonitis
inflammation
what is tendonosis
degeneration
what is tenosynovitis
inflammation of fluid filled sheath
what is enthesopathy
pain at attachment of tendons and ligaments
what is the enthesis
site of attachments of tendons and ligaments to bone
what is aa tendon
links muscles to bone for joint function
what are some intrinsic factors of tendinopathy
age, gender, obesity, predisposing conditions e.g RA, anatomical factors e.g mal-alignment or leg length discrepancy
wha are some extrinsic factors of tendinopathy
trauma/injury, repetitive injury, drugs e.g steroids or antibiotics, sports
what happens in tendonosis
histological degeneration of collagen type 1 and extracellular matrix
what is tendonosis likely due to
matrix metalloproteinases (MMP’s)
what increases matrix mettaalloproteinases (MMP’s)
age and repetitive strain
where does tendonosis usually occur
areas of poor blood supply
is tendonosis always painful
no, don’t know what it is painful in some and not in others
what are the principles of management usually
conservative
-rest, physio, analgesic (anti-inflammatory), injections, splinting (surgical or casting)
what tendons should not be injected and why
achilles tendon or extensor knee mechanism
increased risk of rupture
what are surgical principles of management
debridement, decompression, synovectomy and tendon transfer
what are some controversial treatments
ultrasound, platelet rich plasma, steroid injection
what is steroid injection toxic to
tenocytes
what conditions are steroid injections as effective as physio
tennis elbow and shoulder impingement
