Tendon Injuries

Question 1

Tendons are made of…

They transfer…

They have excellent…

Answer 1

collagen tissue

force from muscles to the skeletal system

tensile properties

Question 2

Tendon Enthesis

Myotendinous junction

Answer 2

Junction between tendon and bone

connection between tendon and muscle (most prone for injury)

Question 3

Tendon stress-strain curve

Answer 3

same as ligaments

After 4% deformation is where it gets bad

Question 4

Do tendons take longer to strength train than muscles?

When does strength start to improve?, stuctural changes?

Do tendons take longer to recover than muscles?

Answer 4

yes, they still increase surface area (this takes 6-12 weeks of consistent training)

4-8 weeks, >12 weeks

yes, optimal loading is every 2-3 days

Question 5

Enthesopathy

Treatment

Answer 5

• injury affecting the enthesis
• overuse, inflammation of the attachment point

physiotherapy, pain control, rest

Question 6

Tendinopathy is the

mechanism

Answer 6

Umbrella term for tendon overuse injuries

repetitive tensile loading, sprinting or jumping, inadequate recovery

Question 7

Cook–Purdam Model

Reactive tendinopathy

Worsening tendon pathology

Degenerative tendinopathy

Answer 7

• Non-inflammatory, structural
  changes & thickening of stressed tendon area
• Tendon disrepair
• Worsening tendon pathology,
  tendon structure becomes
  disorganized
• Degenerative tendinopathy
• Chronic stage

Question 8

Risk factors of tendinopathy

Answer 8

Intrinsic - older age, males, menopause, genetics

Extrinsic - training load, spikes in loads, periods of deconditioning

Question 9

Exercise Based Rehabilitation Programs for Lower Limb Tendinopathy

Answer 9

Stage 1- Isometric exercises
Stage 2- isotonic and heavy slow resistance exercises
Stage 3- increase in speed and energy store exercises and single jump exercises
Stage 4- energy storage and release and sport specific exercises. Repeated jumps and direction changes

Question 10

Actions of these muscles?
Supraspinatus, infraspinatus, subscapularis, teres minor

Look at painful ARC thing

Answer 10

Abduction, external rotation, internal rotation, external rotation

Question 11

Prevention of Tendinopathy

Tendon Rupture commonly occurs in people…

____ of NFL players returned after 12 months

Answer 11

we can reduce risks (early treatment is important), educate people on what to do when they feel pain

aged 30-50

61% of NFL players returned after 12 months

Question 12

Tendon rupture steps

Answer 12

eccentric force generation, mid-tendon area, partial or complete rupture

Question 13

Patellar tendon partial rupture
How long till return?

Complete rupture
How long till return?

Answer 13

4-6 weeks

8-18 months

Question 14

Management of tendinopathy

Answer 14

Education of patients

Load monitoring

Pain monitoring

Exercise based progressive
rehabilitation program

Question 15

partial patellar rupture vs complete ruptute RTS

Answer 15

4-6 weeks vs 8-18 months