Tendon Problems Flashcards
Where do tendons attach?
Muscle to bone
Where do ligaments attach
Bone to bone
What is tendinopathy
Disease of the tendon
What is tendonitis
Inflammation of the tendon
What is tendonosis
Chronic tendon injury with damage to a tendon at cellular level
What is tenosynovitis
inflammation of the tendon sheath
What is Enthesopathy
Inflammation of the tendon origin or the insertion into the bone
What asre tendons mostly made up of
Type 1 collagen
What tendons should never be injected with steroids and why?
Achilles tendon or extensor knee mechanism
There is a higher chance of rupture
What are the 5 general methods of manageing a tendon injury
Rest Analgesia Injections Splinting Surgical
How do we splint an Achilles tendon
So the toe is pointing down so ends of tendons are closer together
What 2 groups of people are likely to suffer from a rotator cuff problem
Athletes (throwing events) Manual workers (painters)
Where can biceps tendiopathy occur?
1 of 3 places
Long head: supraglenoid tubercle of the scapula.
Short head: coracoid process of the scapula. -
Radial tuberosity
What causes biceps tendinopathy
Overuse, instability, impingement or trauma, often lifting action
Where do patients complain of pain in biceps tendiopathy
Anterior shoulder radiating to the elbow which is aggrevated by shoulder flexion, forearm pronation and elbow flexion
What is the name of the sign that can seen in patients with Biceps Brachii
Popeye sign
What is the more technical term for Tennis elbow
Lateral Epicondylitis
What are the symptoms of tennis elbow
Pain and tenderness over the lateral epicondyle, the origin of the forearm extensors
What imaging can be useful in diagnosing Tennis elbow
USS
MRI
NCS for ulnar nerve
What is the management / treatment for Tennis Elbow
Rest and physio, modify activites, orthotics, injections and surgical release
What is another term for Golfers elbow
Medial epicondylitis
Where does pain present in a patient with De Quervain tenosynovitis
radial styloid process
What types of people are more likely to develop De Quervain tenosynovitis
Those that hammer or throw darts
What imaging techniques are useful for DeQuervain tenosynovitis
USS or XR to rule out fracture
What are clinical findings of extensor knee problems
Palpable gap
Asymmetrical
No straight leg raise
What is the management required for an extensor knee problem
Surgery
What group of people are likely to have a extensor knee problems
Adolescent boys
What age of patients may develop a Calcaneal Tendon injury
Middle aged
What are some of the clinical findings found in calcaneal tendon
Palable gpa
Unable to tiptoe stand
Bruising
What tests positive in Calcaneal Tendon
Simmond’s test positive
