Kinesiology 3336A/B Lecture Notes - Lecture 4: Tendinosis, Ankle, Bursitis
Document Summary
Bob is a sedentary 45yo office worker. Has been trying to get back in shape so he has decided to do stairs at lunch and after work everyday. By day 5 he is sore over the posterior aspect of his ankle when he pushes off. Tendons are mechanically responsible for transmitting muscle forces to bone and in doing so permit locomotion and enhance joint stability. Tendon has no synovial sheath but is surrounded by paratenon. Only vascular tendons are surrounded by paratenon. Tendinitis- inflammation of the tendon itself and is realtively rare. Paratenonitis- inflammation, pain and crepitation of the paratenon as it slides over the structure. Pain and/or crepitation (of paratenon) of acute onset. Red and hot all over involved structure. Usually precipitated by movement around the ankle joint- remember: too much, too soon! Made on the basis of local swelling.