Tendon problems Flashcards
What are tendons composed of?
What is the predominant cell type?
Type I collagen
Fibroblast
What is tendonosis?
chronic tendon injury with degeneration of the extracellular matrix
-no inflammation present
Tenosynovitis is….
inflammation of the tendon sheath
Surgery is the preferred treatment over splinting for achilles tendon rupture (T/F)
False
-same results for fixation in a cast
What muscle is the primary supinator of the forearm?
Biceps brachii
What is Enthesopathy?
inflammation of the tendon origin or the insertion into bone
Lateral Epicondylitis is commonly known as _____ ______. It is due to inflammation (enthesopathy) at the insertion site of the forearm ______ at the lateral epicondyle of the _______
tennis lebow
extensors
humerus
De Quervain’s Tenosynovitis affects what tendons?
What is the diagnostic test?
Abductor pollucis longus
Extensor Pollucis brevis
Finklestein’s test
-make a fist over thumb and adduct wrist
The medical name of Golfer’s elbow is _____ _____. It is an inflammation at the medial epicondyle of the humerus - the origin of the ____ _____
Medial Epicondylitis
wrist flexors
Describe the mechanism of Trigger finger.
- Inflammation / tenosynovitis causes a nodule to form on the Flexor Digitorum Superficialis tendon
- Nodule catches on A1 pulley of tendon sheath
What is noted on clinical examination of patient with Knee extensor mechanism rupture?
- failure of straight leg raise
- palpable gap
Osgood-Schlatter’s disease Traction Apophysitis - inflammation of the insertion of the _______ tendon into the ______ _______
patellar tendon
into the tibial tuberosity
What is noted on clinical examination of Achilles Tendon rupture?
- palpable gap
- unable to stand on toes
- Simmond’s test (squeeze calf in prone patient - if ruptured, no plantarflexion_
What’s the conservative management of Achilles tendon rupture?
Equinus cast
-plantarflexed foot brings ruptured tendon ends close
What is noted on clinical examination in patient with Tibialis Posterior tendon rupture?
Flatfoot
Valgus hindfoot
More than one toe seen from behind
