Tendon Mechanics and Injuries Quiz
44 Questions
8 Views

Choose a study mode

Play Quiz
Study Flashcards
Spaced Repetition
Chat to Lesson

Podcast

Play an AI-generated podcast conversation about this lesson

Questions and Answers

What happens during the 'toe' stage of stress and strain?

  • The crimp inherent in the structure straightens. (correct)
  • The tissue undergoes maximum load before failure.
  • The tissue exhibits high stiffness.
  • The tissue experiences irreversible deformation.
  • How do tendons behave at low strain rates?

  • They absorb more mechanical energy. (correct)
  • They do not return to their original shape.
  • They exhibit higher stiffness.
  • They are more effective in carrying loads.
  • What is the primary cause of friction forces leading to tendon injuries?

  • Mechanical pinch of the tendon.
  • Lack of flexibility. (correct)
  • Irreversible deformation of the tendon.
  • Anatomical abnormalities.
  • Which stage of stress and strain results in irreversible deformation of tissue?

    <p>Yield stage. (C)</p> Signup and view all the answers

    What primarily causes tensile forces that can lead to tendon injuries?

    <p>Inadequate recovery from low intensity repetitive stimuli. (C)</p> Signup and view all the answers

    What is the primary function of tendons?

    <p>Transmit loads from muscle to bone (C)</p> Signup and view all the answers

    Which type of collagen predominantly composes tendons?

    <p>Type I collagen (D)</p> Signup and view all the answers

    What role do tenocytes play in tendons?

    <p>Synthesizing the extracellular matrix (B)</p> Signup and view all the answers

    Which of the following layers is NOT part of tendon structure?

    <p>Peritenon (C)</p> Signup and view all the answers

    What type of mechanoreceptors are sensitive to transient mechanical displacements?

    <p>Vater-Paccini’s corpuscles (C)</p> Signup and view all the answers

    How do tenocytes respond to mechanical stimuli?

    <p>Through anabolic or catabolic changes in the extracellular matrix (D)</p> Signup and view all the answers

    Which mechanoreceptor is primarily involved in sensing strain changes?

    <p>Golgi tendon organs (A)</p> Signup and view all the answers

    What is the purpose of the flanking layers around tendons, such as the epitenon and paratenon?

    <p>Reduce friction with the environment (A)</p> Signup and view all the answers

    What is a common symptom of shoulder dislocation?

    <p>Deep and fatiguing pain exacerbated by joint movement (A)</p> Signup and view all the answers

    Which treatment method is recommended if a conservative approach fails for joint instability?

    <p>Surgical approach such as ligamentoplasty (D)</p> Signup and view all the answers

    What is a critical step in the treatment of joint instability concerning exercise?

    <p>Therapeutic exercises should be supervised and gradually intensified (B)</p> Signup and view all the answers

    What should be evaluated before prescribing exercises for joint instability?

    <p>The laxity of the ligaments (A)</p> Signup and view all the answers

    Which of the following is a risk associated with joint instability in the shoulder?

    <p>Nerve injury leading to rupture or impingement (A)</p> Signup and view all the answers

    What is one of the primary functions of ligaments?

    <p>Joint reinforcement and stability (A)</p> Signup and view all the answers

    Which of the following is a characteristic of the composition of ligaments?

    <p>Contains fibroblasts and elastin (D)</p> Signup and view all the answers

    Which type of cells in ligaments is responsible for synthesizing procollagen?

    <p>Fibroblasts (A)</p> Signup and view all the answers

    How do ligaments differ from tendons in terms of collagen organization?

    <p>Ligaments exhibit less organized fibers (B)</p> Signup and view all the answers

    Which mechanoreceptor in ligaments is sensitive to joint position and range of movement?

    <p>Ruffini's endings (C)</p> Signup and view all the answers

    What is the primary component of the hierarchical structure of ligaments?

    <p>Collagen molecules (B)</p> Signup and view all the answers

    What percentage of the composition of ligaments is attributed to collagen?

    <p>75% (B)</p> Signup and view all the answers

    Which of the following contributes to the poor vascularization in ligaments?

    <p>Low cell count present (B)</p> Signup and view all the answers

    What characterizes reactive tendinopathy?

    <p>Non-inflammatory proliferative response (B)</p> Signup and view all the answers

    Which stage of treatment involves high-load strength training?

    <p>Stage 4 (C)</p> Signup and view all the answers

    What is a common symptom of iliotibial band syndrome?

    <p>Pain in the lateral side of the knee (A)</p> Signup and view all the answers

    Which of the following is NOT a characteristic of degenerative tendinopathy?

    <p>Short-term adaptation (D)</p> Signup and view all the answers

    Which exercise type is emphasized in Stage 2 of the treatment protocol?

    <p>Isotonic and heavy slow resistance exercises (B)</p> Signup and view all the answers

    How long do the therapeutic exercise programs last according to the provided content?

    <p>14 weeks (C)</p> Signup and view all the answers

    Which tendon injury is characterized by compression-entrapment in the subacromial space?

    <p>Subacromial impingement (A)</p> Signup and view all the answers

    What is the primary purpose of Stage 1 in the treatment protocol?

    <p>Control symptoms and prepare the neuromuscular system (A)</p> Signup and view all the answers

    What is a recommended prevention strategy for athletes at risk of tendinopathies?

    <p>Progressive resistance training (D)</p> Signup and view all the answers

    Which symptom is associated with a total tendon rupture?

    <p>Sudden, severe pain (A)</p> Signup and view all the answers

    What is a common cause of tendon ruptures among weekend athletes?

    <p>Balance training (D)</p> Signup and view all the answers

    Which of the following is NOT a symptom of a partial tendon rupture?

    <p>Deformity to the retraction of the fibers (B)</p> Signup and view all the answers

    What is the focus of conservative treatment for tendon ruptures?

    <p>Functional treatment with gradual loading (C)</p> Signup and view all the answers

    Which tendon rupture is characterized by an eccentric contraction of the quadriceps?

    <p>Patellar tendon rupture (A)</p> Signup and view all the answers

    What type of training is critical after a tendon rupture for recovery?

    <p>Proprioceptive training (A)</p> Signup and view all the answers

    What anatomical feature does the Brunet-Guedj sign evaluate?

    <p>Achilles tendon integrity (A)</p> Signup and view all the answers

    Which approach provides potentially better healing for tendon ruptures?

    <p>Surgical approach with dynamic orthosis (C)</p> Signup and view all the answers

    What should be considered before starting a rehabilitation program after tendon injury?

    <p>Patient's pharmacological treatment history (A)</p> Signup and view all the answers

    Flashcards

    What is a tendon?

    Tendon is a strong, fibrous tissue that connects muscles to bones, transmitting forces and providing joint position information.

    What is the primary component of a tendon?

    Type I collagen fibers make up the majority of a tendon, forming strong bundles.

    Which cells are most abundant in a tendon?

    Tenocytes, the most abundant cells, maintain tendon health by producing extracellular matrix and responding to mechanical stress.

    What is the role of the endotenon and epitenon in a tendon?

    The endotenon surrounds individual fascicles, providing a protective layer, while the epitenon covers the entire tendon.

    Signup and view all the flashcards

    What are two types of mechanoreceptors found in tendons?

    Ruffini’s corpuscles detect stretching of the tendon, while Vater-Paccini’s corpuscles are sensitive to vibrations and rapid changes in pressure.

    Signup and view all the flashcards

    What is the role of Golgi tendon organs in tendons?

    Golgi tendon organs sense strain changes in a tendon and protect against excessive force.

    Signup and view all the flashcards

    What is the role of neuromuscular spindles in tendons?

    Neuromuscular spindles provide information about joint position and movement to the brain.

    Signup and view all the flashcards

    What are nociceptors in tendons?

    Nociceptors in tendons detect potential tissue damage, sending pain signals to the brain.

    Signup and view all the flashcards

    Stress (in biomechanics)

    The load applied to a tissue, causing stress on its structure.

    Signup and view all the flashcards

    Strain (in biomechanics)

    The deformation or change in shape a tissue undergoes when loaded. It's the tissue's response to stress.

    Signup and view all the flashcards

    Toe Region of Stress-Strain Curve

    The toe region of the stress-strain curve represents the initial straightening of the crimp within the tissue structure under minor load. It's a non-linear response.

    Signup and view all the flashcards

    Linear Region of Stress-Strain Curve

    The linear region of the stress-strain curve shows a proportional relationship between stress and strain. The tissue stretches linearly with increasing load.

    Signup and view all the flashcards

    Yield Point of Stress-Strain Curve

    The yield point on the stress-strain curve is the point where the tissue experiences irreversible deformation. Exceeding this point causes permanent damage.

    Signup and view all the flashcards

    What is a ligament?

    A fibrous connective tissue that connects bones, providing joint stability, guidance, and proprioceptive information.

    Signup and view all the flashcards

    What are the main components of ligaments?

    Ligaments are made up of collagen and elastic fibers, ground substance, fibroblasts, and other cells.

    Signup and view all the flashcards

    How do ligaments compare to other tissues in terms of vascularity and cells?

    Ligaments are less vascularized than other connective tissues and have fewer cells.

    Signup and view all the flashcards

    What role do fibroblasts play in ligament structure?

    Fibroblasts, the primary cells in ligaments, produce collagen and other matrix components.

    Signup and view all the flashcards

    What is the structural organization of ligaments?

    The hierarchical organization of ligaments involves collagen molecules forming fibrils, fibers, and fascicles, encased by a thin membrane called the epiligament.

    Signup and view all the flashcards

    What are the main types of mechanoreceptors found in ligaments?

    Ruffini endings, Paccini corpuscles, and Golgi receptors are mechanoreceptors that provide information about joint position, movement, and strain.

    Signup and view all the flashcards

    What is the role of nociceptors in ligaments?

    Nociceptors are free nerve endings that sense potential tissue damage, triggering pain signals.

    Signup and view all the flashcards

    What is an epiligament and how does it differ in intra-articular ligaments?

    The epiligament is a thin membrane surrounding ligaments. In intra-articular ligaments, it is enveloped by a synovial membrane.

    Signup and view all the flashcards

    Reactive Tendinopathy

    A non-inflammatory response where the tendon thickens due to increased collagen production as a short-term adaptation to stress.

    Signup and view all the flashcards

    Tendon Dysrepair

    An attempt of the tendon to heal, but ends up with increased matrix breakdown, more cells, and damage to collagen fibers.

    Signup and view all the flashcards

    Degenerative Tendinopathy

    The most severe stage, where the tendon undergoes irreversible changes, characterized by widespread collagen disruption, cell death, and extensive new vessels and nerves.

    Signup and view all the flashcards

    Subacromial Impingement

    Occurs when the rotator cuff muscles and bursa are squeezed in the space under the shoulder bone, causing pain and difficulty raising the arm.

    Signup and view all the flashcards

    Iliotibial Band Syndrome

    A condition caused by friction between the iliotibial band and the outer part of the knee.

    Signup and view all the flashcards

    Epicondylitis

    Characterized by microscopic tears in the tendons that extend the wrist, leading to pain on the outside of the elbow.

    Signup and view all the flashcards

    Patellar Tendinopathy

    Inflammation or irritation of the tendon that connects the kneecap to the shinbone, causing pain in the front of the knee.

    Signup and view all the flashcards

    Therapeutic Exercise Programme

    A structured exercise program that focuses on improving tendon health over 14 weeks.

    Signup and view all the flashcards

    Joint Dislocation

    A complete and stable separation of two joint surfaces, usually caused by overstretched or torn ligaments.

    Signup and view all the flashcards

    Joint Instability

    A state of instability in a joint, often resulting from ligament damage. The joint may feel loose or prone to giving way.

    Signup and view all the flashcards

    Rehabilitation for Joint Instability

    A therapeutic exercise program designed to restore strength, stability, and function to a joint following an injury. It typically spans 12 weeks and progresses from basic exercises to more complex movements.

    Signup and view all the flashcards

    Labral-Anchored Capsulorrhaphy or Ligamentoplasty

    A surgical procedure to repair damaged ligaments or joint capsules. It involves attaching the capsule or ligaments back to the bone using anchors.

    Signup and view all the flashcards

    Exercises for Joint Instability

    Exercises that focus on strengthening the muscles surrounding a joint to improve stability and reduce the risk of further injury.

    Signup and view all the flashcards

    Progressive Resistance Training

    A gradual increase in resistance exercises to strengthen muscles and tendons, particularly important for athletes who are prone to tendon injuries. Example: jump training for basketball players.

    Signup and view all the flashcards

    Explosive Gestures

    Sudden, intense movements that place a high load on tendons. Examples: powerful jumps, heavy lifting. Avoid these in individuals who are not accustomed to such activities.

    Signup and view all the flashcards

    Eccentric Training

    Exercises that strengthen tendons through controlled lengthening and shortening movements. These help improve tendon resilience and reduce injury risk. Example: slowly lowering yourself during a squat.

    Signup and view all the flashcards

    Balance Training

    Exercises that improve balance, coordination, and stability. Important for preventing tendon injuries related to poor control during sports activities.

    Signup and view all the flashcards

    Tendinopathy

    A state of a tendon where there is pain but no complete tear, often characterized by stiffness, decreased movement and a gradual loss of strength. This can be caused by overuse and repetitive activities.

    Signup and view all the flashcards

    Tendon Rupture (Complete)

    A complete tear of a tendon, resulting in immediate and intense pain, inability to use the affected joint, and visible deformation.

    Signup and view all the flashcards

    Tendon Rupture (Partial)

    A partial tear of a tendon, involving a less severe and sudden onset of pain, a gradual decrease in strength, and sometimes bruising at the injury site.

    Signup and view all the flashcards

    Biomechanical Alteration

    Any movement or activity that alters the normal alignment of joints and forces on tendons. Examples: overuse, incorrect form during sports, structural imbalances.

    Signup and view all the flashcards

    Achilles Tendon

    The tendon that connects the calf muscles (gastrocnemius and soleus) to the heel bone. This tendon is vulnerable to rupture due to powerful pushing off during running and jumping.

    Signup and view all the flashcards

    Patellar Tendon Rupture

    A tendon rupture that involves the tendon that connects the quadriceps muscle to the kneecap, often caused by sudden knee flexion or forceful extension.

    Signup and view all the flashcards

    Study Notes

    Tendon Composition and Structure

    • Tendons connect muscles to bones, withstanding high tensile forces.
    • Tendons are composed of regular, densely packed, parallel bundles of connective tissue.
    • They transmit forces from muscle to bone, providing feedback to the brain about joint position.
    • Tendons facilitate joint movement via muscle contractions.
    • Primary components are thick bundles of Type I collagen fibers.
    • Ground substance is limited.
    • Primarily contain fibroblasts/tenocytes (cells that synthesize and maintain extracellular matrix).
    • Tenocytes are the most common cell type.
    • Tenocytes synthesize the extracellular matrix and maintain homeostasis.
    • Tendons are sensitive to mechanical stimuli, adapting to loads through anabolic or catabolic changes.
    • Tendon structure has hierarchical layers (fibrils, fibers, fascicles).
    • Endotenon surrounds fascicles.
    • Epitenon covers the tendon.
    • Paratenon covers the epitenon.
    • Proteoglycans and glycoproteins align the tendon.

    Ligament Composition and Structure

    • Ligaments connect bones, withstanding substantial tensile forces, but less than tendons.
    • They are made of regular bundles of dense connective tissue arranged in parallel bundles.
    • Ligaments reinforce joints, guide movements, and provide proprioceptive feedback to the central nervous system.
    • Primarily composed of collagen and elastic fibers.
    • Ligament fibers are less organized compared to tendon fibers.
    • Ground substance and fibroblasts are present.
    • Some ligaments have more elastic fibers than collagen fibers.

    Tendon and Ligament Cells

    • Tendons contain tenocytes, which are responsible for extracellular matrix synthesis and repair.
    • Ligaments contain fibroblasts, which also contribute to matrix synthesis and repair.

    Tendon and Ligament Biomechanics

    • Tendons & ligaments are viscoelastic, possessing both elastic and viscous properties due to the molecular composition & arrangement
    • In tendons, stress-strain curves show a toe region (minor load), linear region (stable load), yielded region (irreversible deformation), and failure region (peak load).
    • Ligament also has distinct stress-strain behavior.
    • At low strain rates Tendons absorb energy and are less effective for higher loads.
    • At high strain rates Tendons are highly stiff and efficient in transmitting muscle forces to bone.
    • Both tendons and ligaments respond to mechanical stimuli, adapting their structure and function to maintain appropriate levels of strength, stability, and elasticity.

    Tendon and Ligament Injuries

    • Tendon and ligament injuries can arise from overuse, trauma, or a combination of factors.
    • Common diagnoses include tendinopathies and tendinopathy.
    • Both injuries can stem from acute or chronic events/conditions.

    Tendon and Ligament Treatment/Prevention

    • Treatment strategies for tendon and ligament injuries include rest, ice, compression (braces), elevation (RICE), physiotherapy, and strengthening exercises.
    • Prevention strategies include gradual progression of activity, appropriate warm-up routines, maintaining proper posture, and using proper technique when lifting weights.
    • Injuries vary significantly based on the specific location of damage within the tendon or ligament, and this must be carefully analyzed.

    Studying That Suits You

    Use AI to generate personalized quizzes and flashcards to suit your learning preferences.

    Quiz Team

    Related Documents

    Description

    Test your knowledge about tendon structure, mechanics, and injuries with this quiz. Explore topics including stress and strain stages, collagen composition, and the role of tenocytes. Understand how tendons respond to mechanical forces and the implications for injuries.

    More Like This

    Use Quizgecko on...
    Browser
    Browser