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MSK > tendon problems > Flashcards

tendon problems Flashcards

1
Q

are tendon problems common?

A

yes - 30% of MSK consults are tendon related!

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2
Q

what is tendinopathy?

A

painful tendon

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3
Q

what is tendonitis?

A

inflammation of tendon

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4
Q

what is tendonosis?

A

degeneration of tendon

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5
Q

what is tenosynovitis?

A

inflammation of fluid filled sheath

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6
Q

what is enthesopathy?

A

pain at enthesis (the parts that attach tendons, ligaments to bone)

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7
Q

what is highlighted blue?

A

muscle

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8
Q

what is highlighted blue?

A

synovial cavity

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9
Q

what is highlighted blue?

A

bursa

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10
Q

what is highlighted blue?

A

joint capsule and synovial lining

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11
Q

what is highlighted blue?

A

tendon

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12
Q

what is highlighted blue?

A

ethesis

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13
Q

what is highlighted blue?

A

enthesis

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14
Q

what is highloghted blue?

A

epipyhseal bone

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15
Q

what is highlighted blue?

A

articular bone

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16
Q

what is highlighted blue?

A

ligament

17
Q

what is highlighted blue?

A

enthesis

18
Q

what is tendonosis ?

A

histologic degeneration of collagen and extracellular matrix

19
Q

how does tendonosis present?

A

pain where tendon is

however sometimes not painful

20
Q

role of fibroblast?

A

produces collagen

21
Q

where does tendinosis usually occur?

A

areas of poor blood supply

22
Q

where does tendinosis usually occur?

A

areas of poor blood supply

23
Q

who is usually affected by rotator cuff pathology?

A
  • athletes who throw

- manual workers (painters)

24
Q

what muscle is most commonly affected in rotator cuff pathology?

A

supraspinatous

25
Q

what investigations should be done for rotator cuff ?

A

USS- gold standard

MRI

26
Q

how does biceps tendinopathy present?

A

pain anterior shoulder radiating to elbow:

  • aggrevated by shoulder flexion, forearm pronation and elbow flexion
  • snapping with shoulder movements if subluxation
  • Splinter bruising
  • Pop eyes sign
27
Q

what investigations are done for biceps tendinopathy?

A

clinical exam

USS

28
Q

what is lateral epicondylitis/ tennis elbow?

A

10-20% bilateral

Pain and tenderness over the lateral epicondyle, the origin of the extensors

29
Q

what investigations are done for tennis elbow?

A

Clinical
USS
MRI

30
Q

what is medial epicondylitis? (golfers elbow)

A

medial elbow pain - origin of the wrist flexors

31
Q

what investigations are done for golfers elbow?

A
  • clinical
  • USS
  • MRI
32
Q

what is treatment for golfer and tennis elbow?

A
  • rest
  • physio
  • avoidance of activities that aggrevate
33
Q

what is de Quervain’s tenosynovitis?

A

EDIT!

34
Q

what are the special tests for de quarvain’s tenosynovitis?

A

Finklestein’s test

Eichoff’s test

35
Q

who is Achilles tendon rupture common in?

A
  • middle ages
  • RA
  • steroids
  • tenodinits
  • usually during sudden acceleration/deceleration/ fall/jump
36
Q

what are achilles tendon investigations?

A

USS

MRI

MSK (64 decks)

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