Tendon pathology

Last revised by Maulik S Patel on 17 Jan 2022

A number of processes can cause tendon pathology and there is a discrepancy in terminology reflecting the unclear pathophysiology. 

Terminology

  • tendinopathy: general umbrella term for pain and swelling of a tendon 2,3
  • tendinitis
  • tendinosis
    • chronic tendon injury with cellular-level damage 2
    • some authors specifically define it as tendinopathy of the mid-tendon 3
  • tenosynovitis: pain and swelling affecting a fully-developed tendon sheath +/- tendinosis 3
  • paratenonitis/peritendinitis/paratendinopathy: inflammation of the paratenon +/- tendinosis 3
  • tendon entrapment
  • tendon rupture
  • tendon instability (subluxation and dislocation)

Pathology

Tendon pathology can be:

  • degenerative
  • traumatic, e.g. acute ruptures, lacerations

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Cases and figures

  • Figure 1: tendon pathology on MRI
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  • Case 1: patella tendon lateral femoral condyle friction syndrome
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  • Case 2: Achilles paratenonitis
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  • Case 3: quadriceps tendon rupture
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  • Case 4: Achilles tendon rupture
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  • Case 5: extensor carpi ulnaris tenosynovitis
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  • Case 6: foreign body induced tenosynovitis of finger
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  • Case 7: extensor pollicis longus tendon tear
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  • Case 8: extensor hallucis longus and brevis re-tear
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  • Case 9: flexor carpi radialis tendon laceration
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  • Case 10: tibialis anterior tendon laceration
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