Active pre teen boy
- activity related pain
- common in high jumpers
Fragmentation / calcification of inferior pole
- repetitive traction injury where PT inserts
- tender at this point
I Normal
II Ca inferior pole irregularity
III Coalesce Ca inferior pole
Patellar Tendinitis
Most common in athletes
- especially if involved in running, jumping and kicking
- over use injury
Basketball players
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
LHB primary function is humeral head depressor
Also accelerate / decelerate arm in overhead sports
Biceps problems usually occur with other pathology
- rotator cuff / instability
3 main problems
1. Degeneration
Sudden onset of pain without history of trauma
- ulnar aspect of the wrist
- particularly associated with repetitive ulnar deviation
Swelling over the ECU or FCU tendon sheaths
- occasional crepitation on range of motion
May show calcific deposits within the tendon sheath