College of Massage Therapists of British Columbia (CMTBC) Practice Exam

What does the lesion characterized by microscopic tearing of tendon fascicles following overloading typically refer to?

1. Achilles Tendonitis

2. Trochanteric Bursitis

3. Epicondylitis

4. Plantar Fasciitis

The correct answer is: Epicondylitis

The lesion characterized by microscopic tearing of tendon fascicles following overloading typically refers to epicondylitis, which is a condition where the tendons that attach to the elbow become inflamed or develop tiny tears due to repetitive stress or overuse. In the case of lateral epicondylitis, often known as "tennis elbow," the extensor tendons are affected, while medial epicondylitis, referred to as "golfer's elbow," pertains to the flexor tendons. Epicondylitis arises from the mechanical overload of the tendon fibers, which leads to microtears, inflammation, and pain. The repetitive motions associated with activities such as gripping or lifting can exacerbate this condition, making it a common ailment among athletes and individuals who perform manual labor. The other conditions listed pertain to different mechanisms and structures: Achilles tendonitis specifically affects the Achilles tendon at the back of the ankle, trochanteric bursitis involves inflammation of the bursa near the greater trochanter of the hip, and plantar fasciitis pertains to inflammation of the plantar fascia on the bottom of the foot. Each of these conditions has distinct pathological features and areas of focus, distinguishing them from the microscopic tearing associated with epicondylitis