Tendons Flashcards
What’s the highest achilles tendon load ?
Forward hopping
Patient has achilles pain later in runs and with cycling? What’s most likely
Para tendon
What is the stethoscope useful for ruling in around the achilles
More likely a paratendon
An Achilles pain that is slightly medial and higher, would indicate what differential dx?
Plantaris
How do you spot a plantaris presentation around the achilles ?
- Higher and notes medial the mid portion achilles
- Pain in DF
- Feels better in shoes
Some key features that indicate a retrocalc. Bursa vs IAT?
- No dose dependent increase in pain
- Pain worsens with activity, no warm up
- Better in barefoot
- Hates friction from footwear
Why does a peri tendon start to hurt later in a run?
Calf stops working as hard and rom at the ankle increases - ? Endurance of calf issue
Large rom exercises inducing a tendon pain may make you think what?
Peri-tendon
Retrocalcaneal bursitis and IAT, should they be considered clinically a seperate entity?
No
Why might heel wedges make an IAT worse?
Lifting the heel wedge up into the heel counter can compress the bursa
When thinking of provocative loads, what are the three load types to consider for tendon pain
- Compressive
- Tensile
- Shear/friction
During a calf raise, what should the ankle jt idieally line up with
The 2nd MTP anteriorly
What is targeted remodelling in bone healing
Osteoclasts remove damaged bone and osteoblasts fill the void
Osteoclast activation and resorption in cortical bone takes how long ?
Around 4 weeks
New bone replacement by osteoblasts takes how long?
About 3 months
