Deck 70: Upper Extremity Tendinopathy: Bicipital Tendinopathy, Lateral Epicondylitis, and De Quervains Tenosynovitis

Question 1

Tendinopathy refers to:

A) An inflammatory process involving the tendon structure.
B) A degenerative process of the tendons that is usually noninflammatory
C) An acute process that precedes a tenosynovitis
D) A chronic process that involves multiple tendons

Answer 1

B

Question 2

Tendon injury can occur from:

A) Acute trauma or repetitive force
B) A chemically induced injury
C) An infectious process
D) All of the above
E) None of the above

Answer 2

D

Question 3

Symptoms associated with tendinopathy include:

A) Localized pain
B) Fever
C) Joint instability
D) All of the above
E) None of the above

Answer 3

A

Question 4

Extrinsic forces that may contribute to a tendinopathy include:

A) A narrowed acromium space
B) Inadequate rest periods with physical training
C) Biomechanical compressive forces, such as awkward postures
D) All of the above
E) None of the above

Question 5

Risk factors for bicipital tendinopathy include:

A) Repetitive, overhead reaching
B) Young age
C) Playing golf
D) Computer keyboarding and mouse use

Question 6

A diagnosis of bicipital tendinopathy is confirmed by:

A) A positive cross-arm test elicits pain
B) When resisting wrist extension, pain is reported in the anterior shoulder
C) A shoulder shrug against resistance elicits pain
D) Tenderness to palpation in the bicipital groove

Question 7

De Quervain's tenosynovitis is pain localized over the ulnar styloid made worse with radial deviation.

Question 8

Risk factors for de Quervain's tenosynovitis include:

A) Repetitive, forceful thumb motion
B) Diabetes
C) Male gender
D) Left handedness

Question 9

Risk factors for lateral epicondylitis include:

A) Vibrating tools
B) Force and repetition with the wrist in extension
C) Former or current smoking
D) All of the above
E) None of the above

Question 10

Treatment for upper extremity tendinopathies includes:

A) Referral to an orthopedic hand consultant early in course of treatment
B) Injection with corticosteroids after 2 weeks of conservative treatment
C) Modification of home and work activities to remove trigger events
D) Narcotics are used to manage chronic pain associated with tendinopathy

Question 11

Red flags for shoulder complaints include:

A) Progressive neurologic and/or vascular compromise
B) Pain with movement
C) Lack of systemic symptoms,
D) All of the above
E) None of the above

Question 12

If work activities are contributing to upper extremity tendinopathies:

A) Advise the patient to find a different type of work
B) Prescribe 2 weeks of time off work to allow complete healing
C) Complete any mandatory reporting,
D) All of the above
E) None of the above