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Semin Musculoskelet Radiol 2003; 07(1): 059-066
DOI: 10.1055/s-2003-41085
Copyright © 2002 by Thieme Medical Publishers, Inc., 333 Seventh Avenue, New York, NY 10001, USA. Tel.: +1(212) 584-4662

Biomechanics of Tendons and Tendon Failure

Jeffrey D. Towers, Edmond V. Russ, Sara K. Golla
  • Department of Radiology, University of Pittsburgh, Pittsburgh, PA
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Publikationsdatum:
30. Juli 2003 (online)

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ABSTRACT

Research into the biomechanical properties of tendons had led to a better understanding of the functional and pathophysiologic processes that occur in vivo, particularly in the setting of tendon injury and failure. Increasingly, biomechanical information is being utilized in the clinical setting, guiding patient management in certain circumstances. Differentiating minor and self-limiting abnormalities from those in which specific treatment may prevent further disability from altered biomechanics may become an important role for imaging. This article examines normal tendon anatomy and its relationship to tendon biomechanics under both physiological and pathologic conditions. Imaging characteristics of tendons in the physiologic and pathologic states are discussed. We have focused primarily on MRI, as this modality has been studied most intensively and has been shown to offer additional information regarding unsuspected pathology.

KEYWORDS

Tendon biomechanics - tendon failure - tendon anatomy

REFERENCES

  • 1 Jozsa L, Kannus P, Balint B J. Three-dimensional ultrastructure of human tendons.  Acta Anat . 1991;  142 306
    CrossrefPubMedGoogle Scholar
  • 2 Kastelic J, Galeski A, Baer E. The multicomposite structure of tendon.  Connect Tissue Res . 1978;  6 11
    CrossrefPubMedGoogle Scholar
  • 3 Elliott D H. Structure and function of mammalian tendon.  Biol Rev . 1965;  40 392
    PubMedGoogle Scholar
  • 4 O'Brien M. Structure and metabolism of tendons.  Scand J Med Sci Sports . 1997;  7 55
    CrossrefPubMedGoogle Scholar
  • 5 Jozsa L, Lehto M, Kvist M. Alterations in dry mass content of collagen fibers in degenerative tendonopathy and tendon rupture.  Matrix . 1989;  9 140
    PubMedGoogle Scholar
  • 6 Tidball J G, Daniel T L. Myotendinous junction of tonic muscle cells: structure and loading.  Cell Tissue Res . 1986;  245 315
    PubMedGoogle Scholar
  • 7 Tidball J G. Myotendinous junction injury in relation to junction structure and molecular composition.  Exerc Sport Sci Rev . 1991;  19 419
    PubMedGoogle Scholar
  • 8 Jarvinen M, Kannus P, Kvist M. Macromolecular composition of the myotendinous junction.  Exp Mol Pathol . 1991;  55 230
    CrossrefPubMedGoogle Scholar
  • 9 Jozsa L, Kannus P. Human Tendons. Anatomy, Physiology, and Pathology Champaign, IL: Human Kinetics 1997
    Google Scholar
  • 10 Petersen W, Stein V, Tillman B. Blood supply of the tibialis anterior tenbdon.  Arch Orthop Trauma Surg . 1999;  119 371-375
    CrossrefPubMedGoogle Scholar
  • 11 Butler D L, Grood E S, Noyes F R. Biomechanics of ligaments and tendons.  Exerc Sport Sci Rev . 1978;  6 125
    PubMedGoogle Scholar
  • 12 Best T M, Garrett W E. Basic science of soft tissue: muscle and tendon. In: DeLee JC, Drez D, eds. Orthopaedic Sports Medicine Philadelphia: WB Saunders 1994: 1
    Google Scholar
  • 13 Hubbard R P, Chun K J. Mechanical responses of tendons to repeated extensions and wait periods.  J Biomech Eng . 1988;  110 11-19
    PubMedGoogle Scholar
  • 14 O'Brien M. Functional anatomy and physiology of tendons.  Clin Sports Med . 1992;  11 505
    PubMedGoogle Scholar
  • 15 Fung Y. Stress-strain-history relations of soft tissue in simple elongation. In: Fung YC, Perrone N, Anliker M, eds. Biomechanics: Its Foundations and Objectives Englewood Cliffs, NJ: Prentice-Hall 1993: 181-208
    Google Scholar
  • 16 Pradas M M, Calleja R D. Nonlinear viscoelastic behaviour of the flexor tendon of the human hand.  J Biomechanics . 1990;  23 773-781
    PubMedGoogle Scholar
  • 17 Clark R A, Henson P M. The Molecular and Cellular Biology of Wound Repair New York: Plenum Press 1988
  • 18 Leadbetter W B. Cell-matrix response in tendon injury.  Clin Sports Med . 1992;  11 533-577
    PubMedGoogle Scholar
  • 19 Frank C, Amiel D. Normal ligament properties and ligament healing.  Clin Orthop . 1985;  196 15-25
    PubMedGoogle Scholar
  • 20 Hamada K, Tomonaga A, Gotoh M. Intrinsic healing capacity and tearing process of torn supraspinatus tendons: in situ hybridization study of (1(I) procollagen mRNA.  J Orthop Res . 1997;  15 24
    CrossrefPubMedGoogle Scholar
  • 21 Oxlund H. Relationships between the biomechanical properties, composition and molecular structure of connective tissues.  Connect Tissue Res . 1986;  15 65-72
    PubMedGoogle Scholar
  • 22 Frey C, Shereff M. Tendon injuries about the ankle in athletes.  Clin Sports Med . 1988;  7 103
    PubMedGoogle Scholar
  • 23 Plecko M, Passi R. Ruptures of the Achilles tendon: causes and treatment.  J Finn Orthop Trauma . 1991;  14 201
    PubMedGoogle Scholar
  • 24 Kannus P, Jozsa L. Histopathological changes preceding spontaneous rupture of a tendon. A controlled study of 891 patients.  J Bone Surg Am . 1991;  73 1507
    PubMedGoogle Scholar
  • 25 Kannus P, Natri A, Jozsa L. Aetiology and pathogenesis of chronic tendon injuries in sports.  Clin Orthop . 1997;  2 25
    PubMedGoogle Scholar
  • 26 Amadio P C. Tendon and ligament. In: Cohen IK, Diegelmann RF, Lindblad WJ, eds. Wound Healing: Biochemical and Clinical Aspects Philadelphia: WB Saunders 1992: 384
    Google Scholar
  • 27 Woods L, Leach R E. Posterior tibial tendon ruptures in athletic people.  Am J Sports Med . 1991;  19 495-498
    PubMedGoogle Scholar
  • 28 Nirschl R P. The etiology and treatment of tennis elbow.  Am J Sports Med . 1974;  2 308-319
    PubMedGoogle Scholar
  • 29 Goldie I. Epicondylitis lateralis.  Acta Chir Scand . 1964;  339 77-113
    PubMedGoogle Scholar
  • 30 Mann R A, Casillas M M, Coughlin, M J. The foot and ankle tendons. In: Garrett WE Jr, Speer KP, Kirkendall DT, eds. Principles and Practice of Orthopaedic Sports Medicine Philadelphia: Lippencott Williams and Wilkins 2000: 979-1010
    Google Scholar
  • 31 Stone D, Green C, Rao U. Cytokine-induced tendinitis: a preliminary study in rabbits.  J Orthop Res . 1997;  17 168-177
    PubMedGoogle Scholar
  • 32 Goncalves-Neto J, Witzel S S, Teodoro W R. Changes in collagen matrix composition in human posterior tibial tendon dysfunction.  Joint Bone Spine . 2002;  69 189-194
    CrossrefPubMedGoogle Scholar
  • 33 Mosier S M, Pomeroy G, Manoli A. Pathoanatomy and etiology of posterior tibial tendon dysfunction.  Clin Orthop . 1999;  365 12-22
    PubMedGoogle Scholar