tendon problems

Question 1

what is tendinopathy

Answer 1

painful tnedon

Question 2

what is tendinosis

Answer 2

degeneration of the tendons collagen

Question 3

what is tendinitis

Answer 3

inflammation of tnedon

Question 4

what drugs can cause tendon problems

Answer 4

• steroids

- antibiotics

Question 5

what is tendinosis likely due to

Answer 5

matrix metalloproteinases

Question 6

presentation of rotator cuff problems

Answer 6

• aching pain down arm
• difficulty sleeping on affected side
• painful arc
• potential arc weakness
• positive impingement tests

Question 7

presentation of biceps tendinopathy

Answer 7

pain anterior shoulder radiating to elbow

• aggravated by shoulder flexion, forearm pronation and elbow flexion
• snapping with shoulder movements if subluxation

Question 8

signs of bicep rupture

Answer 8

• bruising

- popeye sign

Question 9

what is tennis elbow

Answer 9

lateral epicondylitis

-pain and tenderness over the lateral epicondyle, the origin of the extensors

Question 10

golfers elbow

Answer 10

inflammation of the flexor forearm muscles
medial elbow pain
-origin of the wrist flexors
-pain aggravated by wrist flexion and pronation
repetitive stress

Question 11

should you inject in Golfer’s elbow

Answer 11

no

Question 12

De Quervain’s tenosynovitis

Answer 12

• Tenosynovitis affects the first compartment which contains APL and EPB
• Typically it presents as a repetitive strain injury with pain over the radial styloid process at the wrist

Question 13

what can cause an EPL rupture

Answer 13

• RA

- after a colles fracture

Question 14

who gets achilles tendon ruptures

Answer 14

middle aged

Question 15

what is tenosynovitis

Answer 15

inflammation of fluid filled sheath

Question 16

what is enthesopathy

Answer 16

pain at enthesis (attachment of tendons, ligaments onto bone)

Question 17

where does tendinosis commonly occur

Answer 17

at sites with poor blood supply

Question 18

management for rotator cuff pathology

Answer 18

• physio
• inject
• subacromial decompression

Question 19

treatment for biceps rupture

Answer 19

mainstay is conservative with rest and physio

-surgery can be carried out but high risk of neurovascular complications

Question 20

treatment for tennis elbow

Answer 20

• rest
• physio
• injection of LA
• steroids

Question 21

who gets De Quervain’s Tenosynovitis

Answer 21

women aged between 30 and 50

-associated with pregnancy and rheumatoid arthritis

Question 22

which tests diagnose De Quervain’s tenosynovitis

Answer 22

• finklestein’s test

- eichoff’s test

Question 23

management for De Quervain’s tenosynovitis

Answer 23

• splint
• rest
• physio
• analgesics, inject, surgical decompression

Question 24

how does an extensor tendon rupture occur

Answer 24

• autoimmune attack on synovium
• tendon degeneration
• rupture

Question 25

presentation of an extensor tendon rupture

Answer 25

weakness wrist extension or dropped finger

Question 26

how does trigger finger happen

Answer 26

• stenosing tenosynovitis
• fibrocartilaginous metaplasia
• nodule FDS tendon
• nodule catches on A1 pully which cause triggering

Question 27

should you inject tendonitis in the quads and patellar tendon

Answer 27

no

Question 28

clinical findings of tendonitis in the quads and patellar tendon

Answer 28

• palpable gap
• no SLR
• high or low patella on x-ray

Question 29

management for quads and patella tendon rupture

Answer 29

surgery

Question 30

what is traction apophysitis

Answer 30

• insertion of patellar tendon into tibial tuberosity

- leaves prominent bony lump

Question 31

risk factors for an achilles tendon rupture

Answer 31

• RA
• steroids
• tendonitis

Question 32

how can a rupture of the tibialis posterior happen

Answer 32

• tenosynovitis
• progressive elongation
• rupture