tendons Flashcards
how are tendons arranged
longitudinal arrangement of cells (tenocytes) and fibres (collagen type 1)
structure of a tendon
collagen bundles covered by endotenon, fascicles covered by paratenon, tendon covered by epitenon
what carries blood supply to tendon
vinculum
what is within tendon sheath
tendons connected to sheath by vinculum
synovial lining and fluid
function of tendon
movement. pull on bone to bend joints
degeneration of tendon signs
swollen
painful
tender
may be asymptomatic
intrasubstance mucoid degeneration
inflammation of tendon
swollen hot tender red
positive finklesteins test
enthesiopathy
inflammation at insertion to bone
due to repetitive injury that doesnt repair eg tennis elbow
can happen in ligament too
avulsion and or bone fragment
failure at insertion
load exceeding failure strength while muscle contracting
treatment of avulsion
limited application
retraction tendon
surgery-
reattachment tendon
fixation bone fragment
achilles tendon rupture
caused mainly by pushing off weight bearing forefoot whilst extending knee joint
positive simmonds test
palpable tender gap