Tendon Problems Flashcards
Define tendinopathy
Disease of tendon
What is the name for; inflammation, degeneration of tendon?
Tendonitis
Tendonosis
What is the name for inflammation of the tendon sheath?
Tenosynovitis
Define enthesopathy
Inflammation of origin/insertion
What cells are tendons mainly composed of?
Fibroblasts
Describe the organisation of tendons
Fasicles separated by endotenon
Many fasicles are surrounded by epitenon
Outmost layer is paratenon
Where are the three types of collagen found?
Type 1 -bone
Type 2 - cartilage
Type 3 - fibrocartilage
What is the blood supply to the tendons?
Periosteum
Paratenon
Name the intrinsic factors of tendinopathy
Age Gender Obesity Pre-disposing disease Anatomical factors
Name the extrinsic factors of tendinopathy
Trauma
Repetitive injury
Drugs - steroids, antibiotics
Sports related factors
What causes tendonosis?
Degeneration of collagen and extracellular matrix
Where does tendonosis usually occur?
Areas with poor blood supply
How is tendonosis treated?
Conservative management - rest and physio, analgesia, steroid injections in upper limb, splinting
Surgery - debridement, decompression, synovectomy, tendon transfer
What causes biceps tendinopathy?
Overuse, instability, impingement, trauma
How does biceps tendiopathy present?
Pain in anterior shoulder radiating to the elbow, aggravated by shoulder flexion, pronation and elbow flexion
