Musculoskeletal: 15. Wang : Tendon And Ligament Dysfunction In Musculoskeletal Pain

Front 1

a strain is injury to what?

Back 1

a tendon

Front 2

what is infammation of a tendon?

Back 2

Tendinitis

Front 3

attaches muscle to bone

Back 3

Tendon

Front 4

chronic degeneration of tendon, distinct lack of inflammatory cells (have to see under scope)

Back 4

Tendinosis

Front 5

any disorder of the tendon is a...

Back 5

Tendinopathy

Front 6

what is Enthesis

****

Back 6

insertion site of tendon, ligament, fascia, or articular capsule into bone

Front 7

what is an Enthesopathy?

****

Back 7

any disorder of the enthesis (which is the insertion site of a tendon, ligament, fascia, etc to the bone)

Front 8

what is The enthesis organ?

**

Back 8

Collection of related tissues at and near the enthesis (tendon and bone fibrocartilage, fat pads, bursae, synovium) which serve a common function of stress dissipation

Front 9

posterior lateral aspect of the iliac crest

what attaches here?

Back 9

gluteal tendon

Front 10

pain upon awakening, inactivity, or after physical activity is normally associated with what (general)

Back 10

tendonopathies

Front 11

what does a high Beighton score mean?

Back 11

more hypermobile

Front 12

What are the 3 phases of healing

Back 12

Inflammation

Proliferation

Maturation

Front 13

cells involved in laying down new collagen fibers for ligaments and tendons are...

(seen in healing)

Back 13

fibroblasts

Front 14

what happens in the proliferation phase of healing?

Back 14

formation of ECM

Fibroblasts differentiate into myofibroblasts which contract and close the wound

Front 15

when you repair damage, do you get 100% repair?

Back 15

NO

Peak tensile strength reaches 70-80% of normal

Front 16

Piroxicam is what kind of drug? What does it do to ligament healing?

Back 16

NSAID

accelerates ligament healing after acute injury without increasing strength

Front 17

what clinical problem is notably one of the few tendon lesions where there is evidence of chronic inflammation; this may explain the improvement found with local corticosteroids?

Back 17

Trigger Finger

Front 18

what is Prolotherapy

Back 18

Proliferative therapy”

“Method of injection treatment designed to stimulate healing.

Various irritant solutions are injected into the ligaments, tendons, and joints to encourage repair of damaged tissue

Front 19

does prolotherapy cause scar formation?

****

Back 19

NO!!!

Front 20

hyperosmolar dextrose is an agent commonly used in what form of treatment?

Back 20

prolotherapy

Front 21

what is the difference between platelet rich plasma injection and prolotherapy?

Back 21

prolotherapy injects a substance like dextrose that will SECONDARILY cause the aggregation of inflammatory and healing factors

PRP literally injects autologous plasma rich in platelets and growth factors into dysfunctional tissues

Front 22

do ligament injuries heal well on their own? Why/why not?

Back 22

NO

bad blood supply

Front 23

please list the attachments for

Adductor brevis

Back 23

P: Inferior ramus of pubis, D: Pectineal line and linea aspera

Front 24

please list the attachments for
Adductor magnus

Back 24

P: Inferior ramus of pubis and ischial tuberosity, D: Linea aspera and adductor tubercle

Front 25

please list the attachments for
Gracilis

Back 25

P: Inferior ramus of pubis, D: Supero-medial tibia