Tendon Problems Flashcards
Tendinopathies are commoner in females. True/false?
False - commoner in males
What drugs are highly linked with tendinopathies?
Steroids
Quinolone antibiotics - ciprofloxacin
What is tendinosis?
Histological degeneration of collagen and the ECM of the tendon
Tendinopathies should be treated conservatively. True/false?
True
What types of surgery can be used in tendinopathies?
Debridement
Decompression
Synovectomy
Tendon transfer
What is the commonest rotator cuff muscle involved in rotator cuff pathology?
Supraspinatous
What are the clinical findings of rotator cuff pathology?
Dull achy pain gradually increasing
Difficulty sleeping on affected side
Painful arc
How is rotator cuff pathology managed?
Conservatively - rest/steroid injections
Surgically - subacromial decompresison
What is the gold standard for imaging a rotator cuff?
Ultrasound
What is the typical presentation of biceps tendinopathy?
Anterior shoulder pain aggregated by shoulder/elbow flexion and forearm pronation
What is the main clinical sign of biceps rupture?
Popeye sign
Lateral epicondylitis is better known as what condition?
Tennis elbow
Medial epicondylitis is aggravated by what movements?
Wrist flexion and pronation
DeQuervain’s tenosynovitis presents with pain where?
Radial styloid process at wrist
What test can be used to diagnose DeQuervain’s?
Finklestein’s test
What occurs in trigger finger?
Inflammation of tendon which get caught on A1 pulley causing triggering
What makes up the knee extensor mechanism?
Quadriceps muscle Quadriceps tendon Patella Patellar tendon Tibial tuberosity
Injections should be used in leg tendonitis. True/false?
False
How is quadriceps and patellar tendonopathy managed?
Surgical repair - sutures with bony anchors
Traction apophysitis at the tibial tubercle is known as what?
Osgood-Schlatter’s disease
Who commonly gets Osgood-Schlatter’s disease?
Active adolescent boys
Tibialis posterior dysfunction is the leading cause of what?
Acquired pes planus
