Tendon problems Flashcards

1
Q

how common are tendon related problems

A

30% of MSK consults

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2
Q

what does tenosynovitis and tendonitis mean

A
tenosynovitis = inflammation of the tendon and it's sheath
tendonitis = inflammation of the tendon
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3
Q

what does tendinopathy or tendonosis refer to

A

general terms for tendon damage/disease

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4
Q

what does enthesopathy mean

A

disorder of the muscular or tendinous attachment to the bone

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5
Q

what are some intrinsic causes of tendonopathy

A

increasing age, obesity, gender, pre-disposing diseases, anatomical factors

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6
Q

give an example of a pre-disposing condition to tendinopathy

A

rheumatoid arthritis

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7
Q

give some examples of anatomical factors that can cause tendinopathy

A

mal-alignment, leg length discrepancy, hyperpronation

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8
Q

what are some of the extrinsic causes of tendinopathy

A

trauma/injury, repetitive injury, drugs, sports related causes

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9
Q

what drugs are associated with development of tendinopathy

A

steroids, some specific antibodies

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10
Q

what pathology is seen with tendonosis

A

histologic degeneration of collagen and extracellular matrix

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11
Q

what is the likely pathophysiology to tendonosis

A

likely due to matrix metalloproteinases, which increase with age + repetitive strain
(can be present and cause no problems)

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12
Q

what types of conservative management can be used for tendinopathies

A

rest, physio, analgesics, injections, splinting

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13
Q

what tendinopathies are injections often used for

A

tennis elbow and rotator cuff problems

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14
Q

what tendinopathies are injections NOT to be used in

A

achilles tendon and extensor knee mechanism problems

due to risk of rupture

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15
Q

what conservative management can be used for achilles tendon problems

A

splints and casting

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16
Q

what different surgical techniques can be used to treat tendinopathies

A

debridement, decompression, synovectomy, tendon transfer

17
Q

what is the purpose of a debridement surgery

A

removal of diseased tissue

18
Q

what is the surgical technique of decompression used for

A

subscapularis tendonitis and subacromial decompression

19
Q

what is the benefit of synovectomy surgery and when would it be used

A

helps to prevent rupture, used in extensor tendons of wrists, tibialis posterior

20
Q

when would the surgical technique of tendon transfer be used

A

for tibialis posterior or extensor pollicis longus