Tendonitis And Bursitis (Msq Drill 146)

1. So, repetitive mechanical loads through the tendon can eventually lead to tendonitis?

Yes

No

2. Which tendons are more vulnerable to injury?

Those that cross more than one joint

Those that do not cross more than one joint

3. A laceration or a sudden force will cause a (n) _________ injury

Acute

Chronic

4. So, a chronic strain is basically oversuse repetitive injury to a tendon?

Yes

No

5. A chornic strain is referred to as tendonisis or tendinopathy. True or false?

True

False

6. Can you have a combines chronic injry with acute trauma to a tendon?

Yes

No

7. Can a partial thickness tendon tear heal spontanesously?

Yes

No

8. Tendinosis is failed tendon healing. True or false?

True

False

9.
There is a paratendon that surrounds the tendon which is richly vascularized. Can this paratendon become inflammed causing paratendonitis?

Yes

No

10. Which of the following will you find in patients with tenosynovitis or pratendonitis?

Pain

Swelling

Difficulty moving joint where inflammation occurs

No inflammation occurs

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11. Which of the following are rotator cuff clinical findings?

Atrophy or thinning of muscles about he shoulder

Pain when lifting the arm

Pain when lowering the arm from a fully raised position

Pain at rest in severe cases

Weakness when lifitng or rotating the arm with crepitus.

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12. Jumper's knee is associated with:

Achilles tendonitis

Quadriceps and patellar tendinitis

13. Should you inject the patellar tendon?

Yes

No

14. In which of the following are tendon injuries usually located?

Muscle tedon groups cross two or more joints

Convexity of theunderlying bone

Tenodns invloved in locomotion

Tendons invlved in ballistic performance

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15. In tendonitis is force transmitted through the tendon to the bone?

Yes

No

16. Can inflammatory changes occur in tendons?

Yes

No

17. So, the tendon sheath in a partial thickness tendon tear may or may not tear. If it does tear and bledding occurs, can healing occur without surgery?

Yes, through extrinsic healing

No, no healing occurs

18. If no bleeding occurs in a partial thickness tendon tear a scar forms though fibroblastic scar formation. what is this scar called?

Tenosynovitis

Tendinosis

19. Even though the cause of adhesive capsulitis is not well understood we do know tha:

It is related to autoimmune processes

It follows injury or surgery

It can happen following immobilization

Treatment is done with mobilization, PT, OT, OMT, NSAIDS and steroids

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20. Biceps tendinitis and rupture involves:

The long head of the biceps

The short head of the biceps

21. What is this degree of tearing?

tendon and sheath disruption
inflammatory response
healing depends on extent of contraction
may require surgical repair

Full thickness

Partial thickness

22. Which of the following are tendon properties?

Bendable

Minimal elongation

No contractility

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23. Which of the folowing make up the compoistion of tendons?

Type 1 collagen

Matrix - proteoglcans & glycosaminoglycans

Fibroblastic cells - which repairs collagen, matrix

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24. Does an acute tendon injury disrupt the tendon and sheath?

Yes

No

25. Which of the following are characgteristics of a chronic tendon injuury with acute trauma?

An inflamed tendon is subjected to a suddenoverload event causing an acute disrpution

Bleeding

Tendon sheath is affected

Inflammatory changes around the tendon

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26. Is tendonisis usually a successful repair to a tendon tear?

Yes

No

27. In tendonisis there is an increase in repair cells due to chronic or acute microtears?

Chronic

Acute

28. Lateral epicondylitis is known as tennis elbow, what muscle is inovlved?

Flexor capri radialis

Abductor pollicus longus

Extensor carpi radialis brevis

29. Acute lateral epicondylitis can be caused by a laceration?

Yes

No

30. With adhesive capsulitis or frozen shoulder is there any inflammation involved?

Yes

No

31. Does the biceps tendon cross one joint or two joints?

One joint

Two joints

32. If a patient has a thickened flexor tendon within the distal aspect of palm leading to abnormal gliding of tendon within sheath. They may develop a nodule on the tendon. What might this be?

Dupuytrens

Dequavaines

Trigger

33. Which of the following are characteristics of quadriceps and patellar tendinitis?

Microtears leading to chronic inflammatory changes

Localized tenderness above or below the kneecap

No tenderness

Running, jumping, starting and stopping

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34. What is more common tendinopathy or tendinitis?

Tendinopathy

Tendnitis

35. Chronic strain can occur due to:

Cumulative damage

Microtearing of the tendon fibers

Localized tenderness

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36. Which of the following are characteristics of tendinosis?

Occurs with patial thickness tears when the tendon sheath is not disrupted

Local fibroblastic repair without normal inflmmatory cells

Results ina poor quality scar - poor collages x-linking, rudimentary vascular structures, fibroblastic hyperplasia and avscualr tendon

Common orthpedic complaint

Very frequent and disabling

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37. Where does biceps tendon rupture usually occur?

At the forearm attachment

At the shoulder attachment

It can occur distally at radial tuberosity or at short head on coracoid process.

Explanation

It can occur distally at radial tuberosity or at short head on coracoid process.

38. Howdo you treat tendinosis?

Control pain

NSAIDS - short term

Ice

Avoid re-injury

Avoid complete immobilization and surgical resection of abnormal tissue

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39. Basically tendinitis referes to acute injury with or without inflammation?

With inflammation

Without inflammation

40. When is an individual at risk for biceps tendinitis and rupture?

Repetitive strain

Underhand activities

Overhead activities

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41. Which of the following are the three stages of achilles tendonitis?

Paratendonitis

Tendinosis

Paratendinosis

Tendinosis

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42. Is tendinitis common?

Yes

No

It is not common because the tendon is vary pporly vascularized.

Explanation

It is not common because the tendon is vary pporly vascularized.

43. Is achilles tendonitis a prostaglandin mediated inflammatory process?

Yes

No

44. Does chronic strain cause disruption of the tendon sheath?

Yes

No

45. What is the inflammation of a tendon and the sheath that surrounds it known as?

Tenosynovitis

Tendinosis

Paratendonitis

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46. Adhesive capsulitis has inflammation of the joint capsule with pain and stiffness of joint. Is the cuase of adhesive capsulitis well understood?

Yes

No

47. In addition to inflammation what else can occur to tendons resulting in tenodnitis?

Degeneration

Fibrinoid necrosis

Microtearing

Fibroblast proliferation

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