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Ther Ex 1 > Tissue Healing > Flashcards

Tissue Healing Flashcards

1
Q

what is tendinitis?

A

inflammation of tendon
resulting in scarring or calcium deposits

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2
Q

what is tendinosis?

A

a pathology of CHRONIC degeneration without inflammation

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3
Q

what is tenosynovitis?

A

inflammation of synovial membrane

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4
Q

what is tenovaginitis?

A

inflammation with thickening of a tendon sheath

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5
Q

consequences of tendinosis

A

changes collagen; weakens tendon
reduces tensile strength
increases risk of tendon rupture

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6
Q

De Quervain’s is a example of ____

A

tenosynovitis of EPL

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7
Q

T/F: there is no pain with tendinosis

A

F

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8
Q

how does a tendon progress when a person is sedentary?

A

normal –> mechanically weakened –> (normal or excessive load +/- individual factors) –> reactive tendinopathy –> tendon dysrepair –> degenerative tendinopathy

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9
Q

symptoms of a grade I tissue injury

A

mild pain at time of injury or w/i 24 hrs
mild SWELLING, local tenderness
pain when injured tissues are stressed
normal joint feel

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10
Q

symptoms of a grade II tissue injury

A

moderate pain that affect ADLs
stress and palpation increases pain
tissue is partially torn
increased mobility

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11
Q

symptoms of a grade III tissue injury

A

near-complete/complete tear or avulsion
severe pain
stress is painLESS
palpation may reveal defect
unstable joint

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12
Q

what are the stages of tissue healing?

A

acute - inflammatory reaction
subacute - proliferation, repair, healing
chronic - maturation, remodeling

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13
Q

when is pain felt in the acute stage during ROM?

A

before full ROM is reached

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14
Q

when is pain felt in the subacute stage during ROM?

A

at the end of full ROM

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15
Q

when is pain felt in the chronic stage during ROM?

A

slightly after full ROM WITH OVERPRESSURE

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16
Q

how long does phase 1 of tissue healing last?

A

day 0-10

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17
Q

how long does phase 2 of tissue healing last?

A

day 2-22

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18
Q

how long does phase 3 of tissue healing last?

A

day 12 to 1 year+

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19
Q

what are the 5 cardinal signs of inflammation?

A

pain
heat
redness
swelling
loss of function

20
Q

wound closure in skin and muscle occurs ____ after injury

A

5-8 days

21
Q

wound closure in ligament and tendon occurs ___ after injury

A

3-6 weeks

22
Q

in a normal adult, 85% is type ____ collagen

A

type I

23
Q

after an injury, fibroblasts synthesize type ____ collagen

A

type III

24
Q

mature repaired ligament is ____% weaker than uninjured ligament

A

30-50%

25
Q

by ____ weeks, can tolerate mild tension to ligament after injury

A

3 weeks

26
Q

by ____ weeks, can begin to resume normal activities after ligament injury

A

6 weeks

27
Q

by ____ weeks, maximal tensile strength is regained after ligament injury

A

12 weeks

28
Q

the proliferative stage after tendon injury occurs _____ after injury

A

48-72 hours

29
Q

type ___ collagen synthesis predominates the proliferative stage of tendon healing

A

III

30
Q

how are collagen fibers oriented during the proliferative stage of tendon healing?

A

randomly

31
Q

the remodeling phase beings ____ weeks after injury and may continue for years

A

6-8 weeks

32
Q

how are type 1 collagen fibers oriented?

A

longitudinally

33
Q

active tension of TENDON across repair site in first ____ results in a poor outcome

A

3 weeks
need to perform PROM

34
Q

most rehab programs for tendon injury is _____

A

> 6 months
sometimes 1-2 years

35
Q

there should be no or limited recruitment of injured muscle-tendon for the first ______ following a repair

A

4-6 weeks

36
Q

_____ contractions or overstretch, especially with ____ muscles can cause injury

A

eccentric
2 joint

37
Q

how long is a muscle immobilized after injury?

A

short term: 2-5 days

38
Q

what is periosteum?

A

the outer layer of bone where tendons attach

39
Q

what is the shaft of the bone called?

A

diaphysis

40
Q

what motion is encourage for a spondy vs a compression fracture?

A

spondy: flexion
compression fx: extension

41
Q

type of fracture?
bone fragments into 3 or more pieces
common in aged, brittle bones

A

comminuted

42
Q

type of fracture?
bone is crushed
subjected to extreme trauma (ex: fall)
common in osteoporosis

A

compression

43
Q

type of fracture?
ragged break occurs with excess twisting
common sports fracture
usually long bone

A

spiral

44
Q

type of fracture?
epiphysis separated from diaphysis along epiphyseal plate

A

epiphyseal

45
Q

where does an epiphyseal fracture usually occur?

A

where cartilage cells are dying and calcification of matrix is occuring

46
Q

type of fracture?
broken bone portion pressed inward
typical of skull fracture

A

depressed

47
Q

type of fracture?
bone breaks incompletely
part of shaft breaks, other bends
common in children

A

greenstick

Ther Ex 1 (7 decks)

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