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1. MSK > Tendon problems > Flashcards

Tendon problems Flashcards

1
Q

What is a tendonopathy?

A

disease of a tendon

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2
Q

What is a tendonitis?

A

inflammation of a tendon

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3
Q

What is a tendonosis?

A

chronic tendon injury with damage to a tendons ECM, i.e. there is no inflammation

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4
Q

What is a tenosynovitis?

A

inflammation of the tendon sheath

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5
Q

What is an enthesopathy?

A

inflammation of the tendon origin or insertion into the bone

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6
Q

What do fibroblasts produce?

A

proteoglycans

collagen

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7
Q

What are tendons made up of?

A

water
collagen - type 1
proteogylcans
(e.g. lots of fibroblasts)

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8
Q

What is the sequence of organisation of tendon composition?

A

microfibrils -> subfibrils -> fibrils -> fasicles -> tendon unit

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9
Q

What are fasicles surrounded by?

A

an endotendon

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10
Q

Which sign does a biceps tendonopathy present with?

A

popeye sign

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11
Q

What is the common presentation of a biceps tendonopathy?

A

pain on anterior arm and shoulder radiating to the elbow that is aggrevated by shoulder flexion, elbow flexion and forearm pronation

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12
Q

What are biceps tendonopathies due to?

A

overuse
instability
impingement

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13
Q

How are biceps tendonopathies investigated?

A

ultrasound

examination

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14
Q

How are biceps tendonopathies treated?

A

rest and physio

possibly surgical repair

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15
Q

What is the common name for lateral epicondylitis?

A

tennis elbow

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16
Q

What is the common presentation of tennis elbow?

A

overuse at the extensor tendon

pain with resisted extension of the middle finger and pain and tenderness over the lateral epicondyle

17
Q

What is the treatment of tennis and golfers elbow?

A

rest
physio
surgical release
steroid injections

18
Q

What is the common name for medial epicondylitis?

A

golfers elbow

19
Q

What is the common presentation for golfers elbow?

A

medial elbow pain worse on grasping and may present with ulnar neuropathy and muscle weakness

20
Q

How is golfers elbow investigated?

A

Ultrasound

MRI

21
Q

When would an EPL commonly rupture?

A

few weeks after an undisplaced distal radial fracture

- presents with loss of function of thumb extension

22
Q

When would an extensor tendon rupture occur?

A

secondary to rheumatoid arthritis
during pregnancy
women

23
Q

Why do extensor tendon ruptures occur?

A

attack on synovium leading to tendon degeneration leading to rupture

24
Q

How does an extensor tendon rupture present?

A

weakness in wrist extension

dropped finger

25
Q

How are extensor tendon ruptures treated?

A

DMARDs
tendon transfer
synovectomy to prevent reoccurrence

1. MSK (36 decks)

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