tendon trauma/achilles tendon trauma Flashcards
how can age affect tendons
increase in collagen fibril cross linking
decrease in tendon elasticity, vascularity and reaction time
tendon healing stages
wk 1 fibroblastic splintar, serous granulation tissue
wk 2= increased vascularity and collagen in paratenon
wk 3= longitudinal collagen formation (passive motion)
wk 4= decreased swelling, fibers align. active motion
Eckert davis classification of peroneal subluxation
- retinaculum striped
- fibrocartilage ridge and torn retinaculum
- avulsion w retinaculum and fascia intact
- retinaculum elevated from calc (Oden)
Mattles test
foot plantarflexed with patient prone and knee at 90
Simmonds test
foot should be plantarflexed w patient prone
Toygars skin angle
normal=110-125. 130-150=torn
kuwada classification
- partial tear <50%
- complete tear <3 cm
- 3-6 cm
- <6 cm
puddu classification of chronic Achilles path
peritendonitis
Tendonitis
Combination
bunnell stitch
figure 8 or weave
Karkow stitch
interlocking
Kessler stitch
box stitch
lynn
end to end Achilles reapproximation with plantaris fanned out for reinforcement
silverskolid
1 strip gastroc brought down or both gastroc heads reattached below knee
lindholm
multiple gastroc strips brought down
bug and boyd
fascia lata strips for reinforcement
