Popliteus Tendinopathy: Difference between revisions
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== Differential Diagnosis == | == Differential Diagnosis == | ||
The diagnosis should be largely established with a careful history and physical examination. Usually patients have symptoms that include tenderness along the course of the proximal popliteus tendon and pain with resisted external rotation. | |||
== Diagnostic Procedures == | == Diagnostic Procedures == |
Revision as of 15:18, 27 April 2011
Original Editors - Leen Vandereycken
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Search Strategy[edit | edit source]
Search Engines:
- PubMed
- Web of Knowledge
- http://scholar.google.be/
Key Words:
- Popliteus tendinitis
- Tendon popliteus / poplitea
- Popliteus tendon tenosynovitis
Definition/Description
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Theoretically speaking, popliteus tendinitis, also known as popliteus tendon tenosynovitis is a gap in the tendon of the popliteus. Popliteus is quite an uncommon pathology which often occurs in athletes and people with a history of other knee ligament injuries after trauma. It is a relatively unusual condition in non-athletes without a history of knee traumas.
Clinically Relevant Anatomy[edit | edit source]
The popliteus muscle’s function is endo-rotation the lower part of your leg when walking, as also it is a very crucial part for the stabilisation of the knee. The popliteus muscle provides forward stabilisation, as also the stabilisation of the retraction of the backside of the knee joint and the lateral meniscus during the flexion of the knee.
Epidemiology /Etiology[edit | edit source]
Common causes of posterolateral knee joint injury, such as popliteus tendinitis, are either a direct varus force, while the tibia is externally rotated, or a sudden forced knee hyperextension with the tibia internally rotated.
Characteristics/Symptoms[edit | edit source]
Symptoms of popliteus tendinitis are inflammation, pain, swelling, or even tenderness outside of your knee. If the patient continues to load its knee, symptoms will worsen and scar tissue can form, which makes physical activity to be extra painful.
Differential Diagnosis[edit | edit source]
The diagnosis should be largely established with a careful history and physical examination. Usually patients have symptoms that include tenderness along the course of the proximal popliteus tendon and pain with resisted external rotation.
Diagnostic Procedures[edit | edit source]
There is more than one treatment modality used. It’s the duty of the chiropractors to be aware of other treatments in case that the conservative treatments don’t work or in case that the patients want to know all their possibilities.
In general, NSAIDs (non-steroidal anti-inflammatory drugs) are mostly used to deal with the problem of tendinopathy. As awkward as it may be, there is little evidence to support neither to reject the use of the oral NSAIDs for tendinopathy.
Only for lateral elbow pain cases there are some elements proven that support the use of it.
Another treatment that is often used, is the injection of corticosteroids. But it is not (yet) known how many times an injection is necessary, what the dosages or the intervals are.
So the use of corticosteroids is not the best solution in this case because scientists haven’t found all the details of the medicine.
ESWT (extracorporeal shock wave therapy) is also a way to treat tendinopathy.
It is an ultrasound-guided method that focuses a single-pressure pulse at a specific place.
The shock takes only a couple of microseconds.
It has been proved that this therapy helps to heal the tissue and breaks down the calcific deposits.
On the other hand, there are cases where the opposite effects have been reported.
When the therapy is not effective (after 3 to 6 months) for the treatment of the tendinopathy, a surgery is the best way to solve the problem. Tendonitis is - according to a recent survey – one of the most seen conditions among chiropractors.
Mostly they treat it without any medical co-management. There are several methods which are used by the chiropractors: massage, electrical stimulation, bracing, therapeutic exercises…[1]
Outcome Measures[edit | edit source]
add links to outcome measures here (also see Outcome Measures Database)
Examination[edit | edit source]
add text here related to physical examination and assessment
Treatment
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The treatment for popliteus tendinitis includes rest, cold compresses, elevation, an elastic wrap, physical therapy, and nonsteroidal anti-inflammatory medications for pain. Additional treatment for popliteus tendinitis may include oral corticosteroids or corticosteroid injections.[4]
Physical Therapy Management
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add text here
Key Research[edit | edit source]
Resources
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[1] Mark T. Pfefer, RN, MS, DC,a Stephan R. Cooper, DC,b and Nathan L. Uhl, DCc
Journal of Manipulative and Physiological Therapeutics
Chiropractic Management of Tendinopathy January 2009
[2] http://www.merckmanuals.com/professional/sec21/ch324/ch324o.html
[3] Diagnosis and Management
Timothy S. Petsche, MD; F. Harlan Selesnick, MD
[4] http://www.freemd.com/tendinitis-of-the-popliteus-tendon/treatment.htm
[5] Popliteus tendinitis, a new perspective
Murray E. Allen; Gary Ray
Research in Sports Medicine: An International Journal
[6] http://www.itendonitis.com/popliteus-tendonitis.html
[7] Lateral Stabilizing Structures of the Knee: Functional Anatomy and Injuries Assessed
Clinical Bottom Line[edit | edit source]
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Recent Related Research (from Pubmed)[edit | edit source]
see tutorial on Adding PubMed Feed
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References[edit | edit source]
see adding references tutorial.