Tendonitis

Question 0

Tendon

Answer 0

Dense collagen fibrils that attach muscle to bone.

Cord- like or broad sheets (aponeuroses)

Question 1

Tendonitis

Answer 1

Inflammation of the tendon
Caused by chronic overload and resultant tearing of the fascicles

Pain with contraction and stretch.

Question 2

Tendon sheath

Answer 2

Covers tendons that run along bony prominences.

Double layered. Synovial. Mostly avascular

Question 3

Grades of tendonitis

Answer 3

Grade 1. Pain after activity only.
Grade 2. Pain before and after activity
Grade 3. Pain before, during and after. Affects ADLs.
Grade 4 Constant pain, which gets worse.

Question 4

Paratendonitis

Answer 4

Inflammation of paratendon or synovial sheath.

Question 5

Tendonosis

Answer 5

Degenerative changes occurring in chronic overuse tendon injuries.

Question 6

Impingement syndrome

Answer 6

Inflammation, pain and edema in the tissues within the coracoacromial arch, and between the acromioclavicular and glenohumeral joints.

Painful compression of tendons, especially supraspinatus.

Question 7

Three stages of impingement syndrome

Answer 7

1. Edema and hemorrhage of subacromial bursa (reversible)
2. Tendonitis and fibrosis. (Reversible)
3. Incomplete or complete rupture.

Question 8

Calcific Tendonitis/tendonopathy

Answer 8

Late stage rotator cuff Tendonitis. Usually affects supraspinatus tendon.

Fibrocytes change to chondrocytes; collagen disintegrates and calcific deposits accumulate within cells.

Question 9

Repetitive strain injury (RSI)

Answer 9

Repetitive movements an poor posture lead to muscle fatigue and damage to muscles, tendons and nerves.
Neck, shoulders, arms

Question 10

Acute Tendonitis

Answer 10

Gradual onset.
Local tenderness after activity; progresses to pain during activity.

Inflammation.
Possible crepitus.

Decreased ROM

Question 11

Chronic Tendonitis

Answer 11

Pain during and after activity
Chronic inflammation, fibrosis ms adhesions. Crepitus.

Possible thickening of tendon. Tendon may snap over bone/bursa

Decreased ROM and strength

May have acute flare ups.

Question 12

Acute Tendonitis: TX

Answer 12

Reduce inflammation (cold)
Reduce Edema (MLD)
Reduce HT and TrP (prox)
PROM.

Homecare: ice, stretch

Question 13

Chronic Tendonitis: TX

Answer 13

Soften adhesions (deep moist heat)
Increase circulation 
Decrease restrictions and Edema (MFR)
Decrease HT and TrP
Frictions 

Homecare: contrast, stretch

Question 14

Common Tendonitis locations

Answer 14

Supraspinatus
Infraspinatus
Subscapularis
Biceps (long head)
CFT, CET
APL, EPB
Patella
Popliteus
Tibialis posterior
Achilles

Question 15

Tendon sheaths

Answer 15

Biceps brachii (long head)
Superficial wrist flexors/extensors (except FCU)
Superficial dorsi/plantarflexors.