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Ligament Tissue Pathology

  • Simone Cerciello
  • Philippe Neyret
Chapter
Part of the Orthopaedic Study Guide Series book series (ORTHSTUDY)

Abstract

Tendons are connective structures with mostly parallel fiber arrangement. Tendons are interposed between muscles and bones and transmit the force generated in the muscles to bone. In this way they are responsible for joint movement. The point of connection with a muscle is called a myotendinous junction (MTJ), and the point of connection with a bone an osteotendinous junction (OTJ). The peculiar anatomic organization and metabolism are responsible for their unique function.

References

  1. 1.
    Kannus P, Jozsa L, Jarvinnen M. Basic science of tendons. In: Garrett Jr WE, Speer KP, Kirkendall DT, editors. Principles and practice of orthopaedic sports medicine. Philadelphia: Lippincott Williams and Wilkins; 2000. p. 21–37.Google Scholar
  2. 2.
    Roshan J, Girish K, Gary B, Bobby Chhabra A, Tendon MD. Biology, biomechanics, repair, growth factors, and evolving treatment options. Hand Surg. 2008;33A:102–12.Google Scholar
  3. 3.
    O’Brien M. Structure and metabolism of tendons. Scand J Med Sci Sports. 1997;7:55–61.CrossRefGoogle Scholar
  4. 4.
    Hess GP, Cappiello WL, Poole RM, Hunter SC. Prevention and treatment of overuse tendon injuries. Sports Med. 1989;8:371–84.CrossRefGoogle Scholar
  5. 5.
    Jozsa L, Lehto M, Kannus P, Kvist M, Reffy A, Vieno T, Jarvinen M, Demel S, Elek E. Fibronectin and laminin in Achilles tendon. Acta Orthop Scand. 1989;60:469–71.CrossRefGoogle Scholar
  6. 6.
    Tipton CM, Matthes RD, Maynard JA, Carey RA. The influence of physical activity on ligaments and tendons. Med Sci Sports. 1975;7:165–75.PubMedGoogle Scholar
  7. 7.
    Calve S, Dennis RG, Kosnik PE II, Baar K, Grosh K, Arruda EM. Engineering of functional tendon. Tissue Eng. 2004;10:755–61.CrossRefGoogle Scholar
  8. 8.
    Kirkendall DT, Garrett WE. Function and biomechanics of tendons. Scand J Med Sci Sports. 1997a;7:62–6.CrossRefGoogle Scholar
  9. 9.
    Curwin S. Biomechanics of tendon and the effects of immobilization. Foot Ankle Clin. 1997;2:371–89.Google Scholar
  10. 10.
    Jozsa L, Kannus P, Balint BJ, Reffy A. Three-dimensional ultrastructure of human tendons. Acta Anat. 1991;142:306–12.CrossRefGoogle Scholar
  11. 11.
    Elliott DH. Structure and function of mammalian tendon. Biol Rev. 1965;40:392–421.CrossRefGoogle Scholar
  12. 12.
    Kastelic J, Galeski A, Baer E. The multicomposite structure of tendon. Connect Tissue Res. 1978;6:11–23.Google Scholar
  13. 13.
    Kvist M, Jozsa L, Järvinen M, Kvist H. Fine structural alterations in chronic Achilles paratenonitis in athletes. Pathol Res Pract. 1985;180:416–23.CrossRefGoogle Scholar
  14. 14.
    Sharma P, Maffulli N. Tendon injury and tendinopathy: healing and repair. J Bone Joint Surg. Am. 2005;87:187–202. https://doi.org/10.2106/JBJS.D.01850.Google Scholar
  15. 15.
    Ochiai N, Matsui T, Miyaji N, Merklin RJ, Hunter JM. Vascular anatomy of flexor tendons. I. Vincular system and blood supply of the profundus tendon in the digital sheath. J Hand Surg. 1979;4:321–30.CrossRefGoogle Scholar
  16. 16.
    O’Brien M. Functional anatomy and physiology of tendons. Clin Sports Med. 1992;11:505–20.PubMedGoogle Scholar
  17. 17.
    Oxlund H. Relationships between the biomechanical properties, composition and molecular structure of connective tissues. Connect Tissue Res. 1986;15:65–72.CrossRefGoogle Scholar
  18. 18.
    Fyfe I, Stanish WD. The use of eccentric training and stretching in the treatment and prevention of tendon injuries. Clin Sports Med. 1992;11:601–24.PubMedGoogle Scholar
  19. 19.
    Chansky HA, Iannotti IP. The vascularity of the rotator cuff. Clin Sports Med. 1991;10:807–22.PubMedGoogle Scholar
  20. 20.
    Fan L, Sarkar K, Franks DJ, Uhthoff HK. Estimation of total collagen and types I and III collagen in canine rotator cuff tendons. Calcif Tissue Int. 1997;60:223–9.CrossRefGoogle Scholar
  21. 21.
    Butler DL, Grood ES, Noyes FR, Zernicke RF. Biomechanics of ligaments and tendons. Exerc Sport Sci Rev. 1978;6:125–81.PubMedGoogle Scholar
  22. 22.
    Rowe RWD. The structure of rat tail tendon fascicles. Connect Tissue Res. 1985;14:21–30.CrossRefGoogle Scholar
  23. 23.
    Vailas AC, Tipton CM, Laughlin HL, Tcheng TK, Matthes RD. Physical activity and hypophysectomy on the aerobic capacity of ligaments and tendons. J Appl Physiol. 1978;44:542–6.CrossRefGoogle Scholar
  24. 24.
    Williams JG. Achilles tendon lesions in sport. Sports Med. 1986;3:114–35.CrossRefGoogle Scholar
  25. 25.
    Gallop PM, Blumenfield OO, Seifter S. Structure and metabolism of connective tissue proteins. Annu Rev Biochem. 1972;41:617.CrossRefGoogle Scholar
  26. 26.
    Jozsa L, Kannus P. Human tendons anatomy, Physiology, and Pathology. Champaign, IL: Human Kinetics, 1997: 47–48; 54–55; 56–57; 59; 76–77.Google Scholar
  27. 27.
    Kvist M, Jozsa L, Järvinen M, Kvist H. Chronic Achilles paratenonitis in athletes: a histological and histochemical study. Pathology. 1987;19:1–11.CrossRefGoogle Scholar
  28. 28.
    Langberg H, Rosendal L, Kjaer M. Training-induced changes in peritendinous type I collagen turnover determined by microdialysis in humans. J Physiol. 2001;534:297–302.CrossRefGoogle Scholar
  29. 29.
    Langberg H, Skovgaard D, Petersen LJ, Bulow J, Kjaer M. Type I collagen synthesis and degradation in peritendinous tissue after exercise determined by microdialysis in humans. J Physiol. 1999;521 Pt 1:299–306.CrossRefGoogle Scholar
  30. 30.
    Olesen JL, Heinemeier KM, Haddad F, Langberg H, Flyvbjerg A, Kjaer M, Baldwin KM. Expression of insulin-like growth factor I, insulin-like growth factor binding proteins, and collagen mRNA in mechanically loaded plantaris tendon. J Appl Physiol. 2006;101:183–8.CrossRefGoogle Scholar

Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  • Simone Cerciello
    • 1
    • 2
  • Philippe Neyret
    • 3
    • 4
  1. 1.Casa di Cura Villa BetaniaRomeItaly
  2. 2.Marrelli HospitalCrotoneItaly
  3. 3.Centre Albert-Trillat, CHU Lyon Croix-Rousse, Hospices Civils de LyonLyonFrance
  4. 4.University Lyon 1LyonFrance

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