tendonitis

Sinding - Larson - Johanssen

Epidemiology

 

Active pre teen boy

- activity related pain

- common in high jumpers

 

Diagnosis

 

Fragmentation / calcification of inferior pole

- repetitive traction injury where PT inserts

- tender at this point

 

Stages 

 

I     Normal

II    Ca inferior pole irregularity

III   Coalesce Ca inferior pole

Patellar tendonitis

Definition

 

Patellar Tendinitis

 

Epidemiology

 

Most common in athletes

- especially if involved in running, jumping and kicking

- over use injury

 

Basketball players

 

Aetiology

 

Chronic overload v inferior patella impingement

 

Schmidt et al Am J Sports Med

- dynamic MRI in patients with jumper's knee v controls

- no evidence of impingemnt

ECU Calcific Tendonitis

Symptoms

 

Sudden onset of pain without history of trauma

- ulnar aspect of the wrist

- particularly associated with repetitive ulnar deviation

 

Signs

 

Swelling over the ECU or FCU tendon sheaths 

- occasional crepitation on range of motion

 

X-ray 

 

May show calcific deposits within the tendon sheath