Tendon Problems Flashcards
Tendonitis vs tendonosis
Tendonitis - acute injuries accompanied by inflammation
Tendonosis - Chronic tendon injury with damage to a tendon at cellular level
what is tenosynovitis
inflammation of the tendon sheath
embryology - where do tendons arise from
lateral plate mesoderm
Conservative Mx for tendon problems
Rest
Analgesics/NSAIDs
Steroid injections
Splinting
what conditions are not given steroid injections and why not
Achilles tendon or extensor knee mechanisms
risk of rupture
surgical Mx for tendon problems
debridement
decompression
synovectomy - helps to present rupture
tendon transfer
muscles of the rotator cuff
supraspinatous
infraspinatous
subscapularis
teres minor
clinical findings of a rotator cuff tear
Achy pain Pain in 4 tendons of RC Shoulder tenderness Difficulty sleeping on affected side, reaching overhead & on lifting Painful arc with RC weakness Positive impingement tests
what are the impingement tests
Hawkins-Kennedy
Jobe’s
Scarft
what is the gold standard test for rotator cuff tear
Ultrasound
which head of bicep is typically affect in biceps tendinopathy
predominantly long head
what can be causes of biceps tendinopathy
overuse, instability,, impingement, trauma
symptoms of biceps tendinopathy
Pain anterior shoulder radiating to elbow
Aggravated by shoulder flexion, forearm pronation and elbow flexion
Snapping with shoulder movements
Ix for biceps tendinopathy
USS
sign of biceps rupture
popeye sign