Similar histopathological picture in males with Achilles and patellar tendinopathy

Medicine and Science in Sports and Exercise

Volumn 36, Issue 9, 2004, Pages 1470-1475

  Maffulli, Nicola ^a   Testa, Vittorino ^b   Capasso, Giovanni ^c   Ewen, Stanley W ^d   Sullo, Alessio ^c   Benazzo, Francesco ^e   King, John B ^f  

^a KEELE UNIVERSITY SCHOOL OF MEDICINE   (United Kingdom)

^b Dynamic Center   (Italy)

^c SECOND UNIVERSITY OF NAPLES   (Italy)

^d UNIVERSITY OF ABERDEEN   (United Kingdom)

^e UNIVERSITY OF PAVIA   (Italy)

^f ROYAL LONDON HOSPITAL   (United Kingdom)

Author keywords

Etiology; Histopathology; Surgery; Tendinosis

Indexed keywords

COLLAGEN FIBER; EOSIN; HEMATOXYLIN;

ACHILLES TENDON; ADULT; ANTERIOR CRUCIATE LIGAMENT; ARTICLE; BIOPSY; CADAVER; CELL NUCLEUS; HISTOPATHOLOGY; HUMAN; HUMAN TISSUE; HYALINE DEGENERATION; LIGAMENT SURGERY; MAJOR CLINICAL STUDY; MALE; PATELLA TENDON; STAINING; STATISTICAL ANALYSIS; TENDON DISEASE;

ACHILLES TENDON; ADOLESCENT; ADULT; HUMANS; LOGISTIC MODELS; LONGITUDINAL STUDIES; MALE; MIDDLE AGED; PATELLA; REPRODUCIBILITY OF RESULTS; TENDON INJURIES; TENDONS;

EID: 4444303523     PISSN: 01959131     EISSN: None     Source Type: Journal    
DOI: 10.1249/01.MSS.0000139895.94846.8D     Document Type: Article

References (28)

1. ARCHAMBAULT, J. M., J. P. WILEY, and R. C. BRAY. Exercise loading of tendons and the development of overuse injuries. Sports Med. 20:87-89, 1995.
2. BENAZZO, F., G. STENNARDO, and M. VALLI. Achilles and patellar tendinopathies in athletes: pathogenesis and surgical treatment. Bull. Hosp. Joint Dis. 54:236-240, 1996.
3. CLANCY, W. G. J. Tendon trauma and overuse injuries. In: Sports-Induced Inflammation: Clinical and Basic Science Concepts, W. B. Leadbetter, J. A. Buckwalter, and S. L. Gordon (Eds.). Park Ridge, IL: American Academy of Orthopaedic Surgeons, 1990, pp. 609-618.
4. COLOSIMO, A. J., and F. H. BASSETT. Jumper's knee: diagnosis and treatment. Orthop. Rev. 29:139-149, 1990.
5. COOK, J. L., K. KHAN, P. R. HARCOURT, et al. A cross-sectional study of 100 cases of jumper's knee managed conservatively and surgically. Br. J. Sports Med. 31:332-336, 1997.
6. COOK, J. L., K. M. KHAN, Z. S. KISS, B. D. COLEMAN, and L. GPIFFITHS. Asymptomatic hypoechoic regions on patellar tendon ultrasound: a 4-year clinical and ultrasound followup of 46 tendons. Scand. J. Med. Sci. Sports 11:321-327, 2001.
7. FRITSCHY, D., and R. WALLENSTEN. Surgical treatment of patellar tendinitis. Knee Surg. Sports Traumatol. Arthroscopy 1:131-133, 1993.
8. JOSZA, L., B. J. BALINT, A. REFFY, and S. DEMEL. Fine structural alterations of collagen fibres in degenerative tendinopathy. Arch. Orthop. Trauma Surg. 103:47-51, 1984.
9. JOZSA, L., and P. KANNUS. Histopathological findings in spontaneous tendon ruptures. Scand J. Med. Sci. Sports 7:113-1181, 1997.
10. KANNUS, P. Tendons: a source of major concern in competitive and recreational athletes. Scand. J. Med. Sci. Sports 7:53-54, 1997.
11. KHAN, K. M., and J. L. COOK. Overuse tendon injuries: where does the pain come from? Sports Med. Arthrosc. Rev. 8:17-31, 2000.
12. KHAN, K. M., F. BONAR, P. M. DESMOND, et al. Patellar tendinosis (jumper's knee): findings at histopathologic examination, US and MR imaging. Radiology 200:821-827, 1996.
13. KHAN, K. M., J. L. COOK, N. MAFFULLI, and P. KANNUS. Where is the pain coming from in tendinopathy? It may be biochemical, not only structural, in origin. Br. J. Sports Med. 34:81-83, 2000.
14. KHAN, K. M., and N. MAFFULLI. Tendinopathy: an Achilles' heel for athletes and clinicians. Clin. J. Sports Med. 8:151-154, 1998.
15. MAFFULLI, N., V. BARRASS, and S. W. B. EWEN. Light microscopic histology of Achilles tendon ruptures: a comparison with unruptured tendons. Am. J. Sports Med. 28:857-863, 2000.
16. MAFFULLI, N., P. M. BINFIELD, W. J. LEACH, and J. B. KING. Surgical management of tendinopathy of the main body of the patellar tendon in athletes. Clin. J. Sport Med. 9:58-62, 1999.
17. MAFFULLI, N., P. M. BINFIELD, D. MOORE, and J. B. KING. Surgical decompression of chronic central core lesions of the Achilles tendon. Am. J. Sports Med. 27:747-752, 1999.
18. MAFFULLI, N., S. W. B. EWEN, S. W. WATERSTON, and J. REAPER. Tenocytes from ruptured and tendinopathic Achilles tendon produce greater quantities of collagen type III than tenocytes from normal Achilles tendon: an in vitro model of human tendon healing. Am. J. Sports Med. 28:499-505, 2000.
19. MAFFULLI, N., and D. KADER. Tendinopathy of tendo achillis. J. Bone Joint Surg. Br. 84:1-8, 2002.
20. MAFFULLI, N., K. M. KHAN, and G. PUDDU. Overuse tendon conditions: time to change a confusing terminology. Arthroscopy 14:840-843, 1998.
21. MOVIN, T., P. GUNTNER, A. GAD, and C. ROLF. Ultrasonography-guided percutaneous core biopsy in Achilles tendon disorder. Scand. J. Med. Sci. Sports 7:244-248, 1997.
22. MOVIN, T. Aspects of aetiology, pathoanatomy and diagnostic methods in chronic mid-portion achillodynia. Ph.D. Thesis. Stockholm: Karolinska Institute, 1998, pp. 1-51.
23. NICHOLS, C. E. Patellar tendon injuries. Clin. J. Sports Med. 111:807-813, 1992.
24. RAATIKAINEN, T., J. KARPAKKA, J. PURANEN, et al. Operative treatment of partial rupture of the patellar ligament: a study of 138 cases. Int. J. Sports Med. 15:46-49, 1994.
25. ROLF, C. G., B. S. FU, A. PAU, W. WANG, and B. CHAN. Increased cell proliferation and associated expression of PDGFRbeta causing hypercellularity in patellar tendinosis. Rheumatology 40:256-261, 2001.
26. SULLO, A., N. MAFFULLI, G. CAPASSO, and V. TESTA. The effects of prolonged peritendinous administration of PGE1 to the rat Achilles tendon: a possible animal model of chronic Achilles tendinopathy. J. Orthop. Sci. 6:349-357, 2001.
27. TALLON, C., N. MAFFULLI, V. BARRASS, and S. W. B. EWEN. Ruptured Achilles tendons are significantly more degenerated than tendinopathic tendons. Med. Sci. Sports Exerc. 33:1983-1990, 2001.
28. YU, J. S., J. E. POPP, C. C. KAEDING, et al. Correlation of MR imaging and pathologic findings in athletes undergoing surgery for chronic patellar tendinitis. Am. J. Roentgenol. 165:115-118, 1995.