Ortho 2 Exam 2 (LLAF and Shoulder) --> LLAF Conditions (tendons)

what are acute tendon injuries? (2)

- muscle-tendon strain

- tendon rupture

what are overuse tendon injuries (tendinopathies)? (3)

- tendinitis

- tendonosis

- paratenonitis

what is a muscle-tendon strain

- tension injury to muscle-tendon unit

how are muscle-tendon strains graded?

- Grade I = mild strain

- Grade II = moderate strain

- Grade III = severe strain

PT interventions for muscle-tendon strains

- minimize pain and swelling (PRICE)

- minimize effects of immobilization

> focus on early painfree ROM

- restore normal muscle length

- restore normal muscle strength

what is a tendon rupture?

- an acute injury

- associated with imposed eccentric load

intervention choices for tendon ruptures? what does the decision depend on?

- surgical --> repair rupture

- conservative --> maximize function without repair

- depends on specific tenon that is ruptured, full or partial rupture, functional demand of work/sport

what are common tendons that are ruptured? (6)

- achilles

- patellar

- plantaris

- rotator cuff

- proximal biceps

- posterior tibialis

how is collagen synthesized / degraded in response to exercise?

- immediately after exercise, there is more degradation than synthesis

> net degradation over the first 24-36H

- after 36H, there is more collagen synthesis than degradation

> net synthesis 36-72H

what is paratenonitis?

- tenosynovitis

- inflammation of the paratenon

> tendon sheath issue

> hypervascularity of the sheath

what is the traditional inflammatory model for tendinopathy: pain generation

1. overuse from repetitive activity

2. acute inflammatory response

3. pain (result of inflammation)

4. focus of treatment is inhibition of inflammation