UW revision achilles tendinopathy 12-26 (1)

Question 1

Risk factors. 1. sport?

Answer 1

Athletic activity, increase in activity

Question 2

Risk factors. 2. systemic disorders? 2

Answer 2

psoriasis, ankylosing spondylitis

Question 3

Risk factors. 3. drugs? 2

Answer 3

Glucocorticoids, fluoroquinolones

Question 4

CP?

Answer 4

swelling, warmth, pain at posterior heel

Question 5

CP of tendon rupture?

Answer 5

,,poppin” sensation and acute pain following rapid acceleration/direction changes

Question 6

examination findings? in general

Answer 6

Swelling, tenderness 2-6 cm proximal to tendon insertion

Question 7

examination findings? in rupture

Answer 7

Positive Thompson test

Question 8

Dx? 3 things

Answer 8

Clinical findings
Ug: swelling, neovascularization
MRI

Question 9

Mx? acute

Answer 9

activity modification, ice, NSAIDs

Question 10

Mx? chronic

Answer 10

eccentric resistance exercises

Question 11

Achilles tendinopathy vs Subcutaneous calcaneal bursitis?

Answer 11

Subcutaneous calcaneal bursitis = Pain, tenderness at the calcaneal prominence (achilles tendon insertion point). Assoc. with swelling, warmth, and often erythema.

Question 12

Achilles tendinopathy vs enthesitis?

Answer 12

enthesitis = in ankylosing spondylitis and other spondyloarthropathies and is usually assoc. with back pain and stiffness