Lower limb - Artikel Z
4 important questions on Lower limb - Artikel Z
Pedro is a 27-year-old professional football player. He comes to see you with pain in the region of his right Achilles tendon.
Which of the following symptoms is MOST CHARACTERISTIC of Achilles tendinopathy?
A. Pain which is worse with forced ankle plantarflexion
B. Pain with hopping and all weight-bearing activity
C. Severe “lancinating” pain radiating from the buttock and hamstring
D. Pain and stiffness lasting a few minutes when he first gets up in the morning
Based on his initial description of his symptoms, you think that it is likely that he has Achilles tendinopathy. You wonder why this might have developed and ask him some more questions.
Which of the following findings is a risk factor for developing tendinopathy?
A. A reduction in his training load
B. A recent history of 2kg weight loss
C. A past history of tendinopathy
D. Recently stopping smoking
Before you decide how best to treat Pedro’s injury, you decide that you would like some further information about the condition of the tendon. You decide to arrange some imaging.
Which of the following statements is CORRECT regarding the imaging of a painful tendon?
A. USS is ideal as it can demonstrate the condition of other articular structures
B. MRI imaging of tendinopathy is very operator dependant
C. USS is the most widely used imaging modality
D. X-rays show the tendon in good detail
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Pedro has not had any treatment so far. Which of the following options do you consider to represent the best initial treatment?
A. Refer the athlete for a platelet rich plasma (PRP) injection
B. A corticosteroid injection to get the patient’s pain under control
C. An increased football-training load to promote tendon resilience
D. A strength programme incorporating eccentric and isometric exercises
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