Tendon injuries Flashcards

1
Q

What does a tendon attach to?

A

Muscle origin and a bone

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2
Q

How are cells arranged in tendons?

A

Longitudinally

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3
Q

What is the most common type of cell in a tendon?

A

Tenocyte

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4
Q

What are fascicles?

A

Structures containing collagen bundles within the tendon

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5
Q

What covers collagen bundles?

A

Endotenon

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6
Q

What covers fascicles?

A

Paratenon

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7
Q

What covers the tendon?

A

Epitenon

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8
Q

How do tendons attach to tendon sheaths?

A

By a vinculum

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9
Q

What is a vinculum?

A

Connecting band of tissue

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10
Q

What is the purpose of thickenings in the tendon sheath?

A

They form strong annular pulleys

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11
Q

What is the function of tendons?

A

They are very strong in tension and highly flexible

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12
Q

What can cause tendon injury?

A
Degeneration
Inflammation
Enthesiopathy
Traction apophysitis
Avulsion+bone fragment
Tear - intrasubstance (rupture)
Tear - musculotendinous junction
Laceration
Crush
Nodules
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13
Q

What is an enthesopathy?

A

Disorder involving attachment of a tendon or ligament to bone

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14
Q

What is traction apophysitis?

A

Inflammation of the apophysis

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15
Q

What happens in degeneration of the tendon?

A

Intrasubstance mucoid degeneration

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16
Q

How can tendon degeneration present?

A

Swollen
Painful
Tender
May be asymptomatic

17
Q

What is Finkelstein’s test?

A

Person grasps the thumb within their fist and ulnar deviating the wrist

18
Q

What is avulsion?

A

Failure at insertion due to load exceeding capacity while muscle contracting

19
Q

What are conservative treatments of avulsion?

A

Limited application

Retraction of the tendon

20
Q

What causes rupture of the tendon?

A

Load exceeds limits

21
Q

When would you operate on someone with tendon rupture?

A

High risk of rerupture
High activity
Ends cannot be opposed