Week 3: Tendon Injury Terms

Paratendinopathy

inflammation of paratenon sheath which becomes thicker and inflammed

clinical manifestations of paratendinopathy

swelling, burning, shooting, pain, crepitus, dysfunction, tenderness, warmth

If paratendinopathy becomes a chronic condition, it can lead to

adhesion of sheath to tendon underneath

treatment of paratendinopathy

NSAIDS, corticosteroid injections

acute tendinopathy (tendinitis)

minor lesion of tendon tissue

cause of acute tendinopathy

tissue fatigue, strained so much it can no longer endure any tension/stress

symptoms of acute tendinopathy

inflammation, edema, pain

chronic tendinopathy (tendinosis)

degeneration within tendon, no inflammatory response

causes of chronic tendinopathy

atrophy due to aging, microtrauma, vascular trauma, overuse

signs of chronic tendinopathy

palpable tendon, nodule, not tender to touch

symptoms of chronic tendinopathy

pain with active movement, prolonged stretch

Pantendinopathy (tendiosis with paratenonitis)

both paratendinopathy and acute/chronic tendinopathy occur, seperate entities

signs of pantendinopathy

inflammatory signs with palpable tendon nodule, swelling, redness

symptom of panteninopathy

pain

acute tendon rupture

macrotraumatic insult to tendon, suddent onset and memmorable

small tear vs complete rupture

small present similar to tendinitis, complete ruptures present with loss of function

tendon strain can lead to

rupture (same grades as muscle strains/lig sprains)

tendon dislocation is common in

biceps

thermal injury

burn or cold

prognosis of tendinitis/tendinosis

good with rehab, time varies, depends on age/capactity/adherenace/symptoms/chronicity

prognosis of complete rupture

variable, some do well with non-operative care but may not return to full level of function