Tendon Problems

Question 1

Tendinopathies are commoner in females. True/false?

Answer 1

False - commoner in males

Question 2

What drugs are highly linked with tendinopathies?

Answer 2

Steroids

Quinolone antibiotics - ciprofloxacin

Question 3

What is tendinosis?

Answer 3

Histological degeneration of collagen and the ECM of the tendon

Question 4

Tendinopathies should be treated conservatively. True/false?

Answer 4

True

Question 5

What types of surgery can be used in tendinopathies?

Answer 5

Debridement
Decompression
Synovectomy
Tendon transfer

Question 6

What is the commonest rotator cuff muscle involved in rotator cuff pathology?

Answer 6

Supraspinatous

Question 7

What are the clinical findings of rotator cuff pathology?

Answer 7

Dull achy pain gradually increasing
Difficulty sleeping on affected side
Painful arc

Question 8

How is rotator cuff pathology managed?

Answer 8

Conservatively - rest/steroid injections

Surgically - subacromial decompresison

Question 9

What is the gold standard for imaging a rotator cuff?

Answer 9

Ultrasound

Question 10

What is the typical presentation of biceps tendinopathy?

Answer 10

Anterior shoulder pain aggregated by shoulder/elbow flexion and forearm pronation

Question 11

What is the main clinical sign of biceps rupture?

Answer 11

Popeye sign

Question 12

Lateral epicondylitis is better known as what condition?

Answer 12

Tennis elbow

Question 13

Medial epicondylitis is aggravated by what movements?

Answer 13

Wrist flexion and pronation

Question 14

DeQuervain’s tenosynovitis presents with pain where?

Answer 14

Radial styloid process at wrist

Question 15

What test can be used to diagnose DeQuervain’s?

Answer 15

Finklestein’s test

Question 16

What occurs in trigger finger?

Answer 16

Inflammation of tendon which get caught on A1 pulley causing triggering

Question 17

What makes up the knee extensor mechanism?

Answer 17

Quadriceps muscle
Quadriceps tendon
Patella
Patellar tendon
Tibial tuberosity

Question 18

Injections should be used in leg tendonitis. True/false?

Answer 18

False

Question 19

How is quadriceps and patellar tendonopathy managed?

Answer 19

Surgical repair - sutures with bony anchors

Question 20

Traction apophysitis at the tibial tubercle is known as what?

Answer 20

Osgood-Schlatter’s disease

Question 21

Who commonly gets Osgood-Schlatter’s disease?

Answer 21

Active adolescent boys

Question 22

Tibialis posterior dysfunction is the leading cause of what?

Answer 22

Acquired pes planus