Archives of Orthopaedic and Trauma Surgery

, Volume 110, Issue 1, pp 15–21

Pathological alterations in human tendons

  • L. Józsa
  • A. Réffy
  • P. Kannus
  • S. Demel
  • E. Elek
Original Articles

DOI: 10.1007/BF00431359

Cite this article as:
Józsa, L., Réffy, A., Kannus, P. et al. Arch Orthop Trauma Surg (1990) 110: 15. doi:10.1007/BF00431359

Summary

The present authors analyzed the pathological alterations of 1966 tendons examined in the National Institute of Traumatology, Budapest, during the past 18 years. The majority of cases proved to be tendinopathies ( (hypoxic-degenerative tendinopathy or calcific tendinitis, tendolipomatosis and mucoid degeneration) leading to tendon rupture. The incidence of tendon tumors, foreign bodies, infectious tendon diseases, and other pathological conditions was clearly lower.

The methods of tissue preparation and of examination of tendon specimens were also evaluated. Light microscopy was sufficient for the diagnosis of pyogenic tendinitis, tumors, xanthoma, gout, and gangrene. In degenerative tendinopathies and alterations due to hereditary disease, electron microscopy was necessary. Polarization microscopy had a key role in examination of collagen structure and architecture, and identification of foreign bodies in the tendons. Enzyme histochemical and immunohistochemical examination were reliable but not absolutely necessary in the diagnosis of tendon pathology.

Copyright information

© Springer-Verlag 1990

Authors and Affiliations

  • L. Józsa
    • 1
  • A. Réffy
    • 1
  • P. Kannus
    • 2
    • 3
  • S. Demel
    • 1
  • E. Elek
    • 1
  1. 1.Department of MorphologyNational Institute of TraumatologyBudapestHungary
  2. 2.Tampere Research Station of Sports MedicineTampereFinland
  3. 3.Department of Orthopaedics and RehabilitationUniversity of VermontBurlingtonUSA
  4. 4.Tampere Research Station of Sports MedicineTampereFinland

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