Marked sympathetic component in the perivascular innervation of the dorsal paratendinous tissue of the patellar tendon in arthroscopically treated tendinosis patients

Knee Surgery, Sports Traumatology, Arthroscopy

Volumn 16, Issue 6, 2008, Pages 621-626

  Danielson, Patrik ^a   Andersson, Gustav ^a   Alfredson, Håkan ^a   Forsgren, Sture ^a  

^a UMEÅ UNIVERSITY   (Sweden)

Author keywords

Adrenoreceptors; Jumper's knee; Sympathetic innervation; Tendinopathy

Indexed keywords

ALPHA 1 ADRENERGIC RECEPTOR; ALPHA 2 ADRENERGIC RECEPTOR; ANTIBODY; BIOLOGICAL MARKER; NEUROPEPTIDE Y; RECEPTOR, ADRENERGIC, ALPHA 2A; RECEPTOR, ADRENERGIC, ALPHA-2A; TYROSINE 3 MONOOXYGENASE; UBIQUITIN THIOLESTERASE; UCHL1 PROTEIN, HUMAN;

ADOLESCENT; ADRENERGIC SYSTEM; ADULT; ARTHROSCOPY; ARTICLE; BLOOD VESSEL; FEMALE; HUMAN; IMMUNOLOGY; INNERVATION; MALE; PATELLA LIGAMENT; PHYSIOLOGY; TENDINITIS;

ADOLESCENT; ADULT; ANTIBODIES; ARTHROSCOPY; BIOLOGICAL MARKERS; BLOOD VESSELS; FEMALE; HUMANS; MALE; NEUROPEPTIDE Y; PATELLAR LIGAMENT; RECEPTORS, ADRENERGIC, ALPHA-1; RECEPTORS, ADRENERGIC, ALPHA-2; SYMPATHETIC NERVOUS SYSTEM; TENDINOPATHY; TYROSINE 3-MONOOXYGENASE; UBIQUITIN THIOLESTERASE;

EID: 44449168993     PISSN: 09422056     EISSN: 14337347     Source Type: Journal    
DOI: 10.1007/s00167-008-0530-1     Document Type: Article

References (37)

1. Alfredson H (2005) The chronic painful Achilles and patellar tendon: research on basic biology and treatment. Scand J Med Sci Sports 15:252-259
2. Alfredson H, Lorentzon R (2000) Chronic Achilles tendinosis. A review. Crit Rev Phys Rehabil Med 12:103-117
3. Alfredson H, Ohberg L (2005) Neovascularisation in chronic painful patellar tendinosis-promising results after sclerosing neovessels outside the tendon challenge the need for surgery. Knee Surg Sports Traumatol Arthrosc 13:74-80
4. Alfredson H, Ohberg L (2005) Sclerosing injections to areas of neo-vascularisation reduce pain in chronic Achilles tendinopathy: a double-blind randomised controlled trial. Knee Surg Sports Traumatol Arthrosc 13:338-344
5. Andersson G, Danielson P, Alfredson H, Forsgren S (2007) Nerve-related characteristics of ventral paratendinous tissue in chronic Achilles tendinosis. Knee Surg Sports Traumatol Arthrosc 15:1272-1279
6. Banes AJ, Donlon K, Link GW, Gillespie Y, Bevin AG, Peterson HD, Bynum D, Watts S, Dahners L (1988) Cell populations of tendon: a simplified method for isolation of synovial cells and internal fibroblasts: confirmation of origin and biologic properties. J Orthop Res 6:83-94
7. Baron R (2000) Peripheral neuropathic pain: from mechanisms to symptoms. Clin J Pain 16:S12-S20
8. Baron R, Levine JD, Fields HL (1999) Causalgia and reflex sympathetic dystrophy: does the sympathetic nervous system contribute to the generation of pain? Muscle Nerve 22:678-695
9. Chotani MA, Mitra S, Su BY, Flavahan S, Eid AH, Clark KR, Montague CR, Paris H, Handy DE, Flavahan NA (2004) Regulation of alpha(2)-adrenoceptors in human vascular smooth muscle cells. Am J Physiol Heart Circ Physiol 286:H59-H67
10. Coleman BD, Khan KM, Maffulli N, Cook JL, Wark JD (2000) Studies of surgical outcome after patellar tendinopathy: clinical significance of methodological deficiencies and guidelines for future studies. Victorian Institute of Sport Tendon Study Group. Scand J Med Sci Sports 10:2-11
11. Coleman BD, Khan KM, Kiss ZS, Bartlett J, Young DA, Wark JD (2000) Open and arthroscopic patellar tenotomy for chronic patellar tendinopathy. A retrospective outcome study. Victorian Institute of Sport Tendon Study Group. Am J Sports Med 28:183-190
12. Cook JL, Malliaras P, De Luca J, Ptasznik R, Morris M (2005) Vascularity and pain in the patellar tendon of adult jumping athletes: a 5 month longitudinal study. Br J Sports Med 39:458-461; discussion 458-461
13. Cook JL, Malliaras P, De Luca J, Ptasznik R, Morris ME, Goldie P (2004) Neovascularization and pain in abnormal patellar tendons of active jumping athletes. Clin J Sports Med 14:296-299
14. Curvin S, Stanish WD (1984) Tendinitis: it's etiology and treatment. Collamore Press, DC Heath & Co, Lexington
15. Danielson P, Alfredson H, Forsgren S (2006) Distribution of general (PGP 9.5) and sensory (substance P/CGRP) innervations in the human patellar tendon. Knee Surg Sports Traumatol Arthrosc 14:125-132
16. Danielson P, Alfredson H, Forsgren S (2007) Studies on the importance of sympathetic innervation, adrenergic receptors, and a possible local catecholamine production in the development of patellar tendinopathy (tendinosis) in man. Microsc Res Tech 70:310-324
17. Forsgren S (1989) Neuropeptide Y-like immunoreactivity in relation to the distribution of sympathetic nerve fibers in the heart conduction system. J Mol Cell Cardiol 21:279-290
18. Hrometz SL, Edelmann SE, McCune DF, Olges JR, Hadley RW, Perez DM, Piascik MT (1999) Expression of multiple alpha1-adrenoceptors on vascular smooth muscle: correlation with the regulation of contraction. J Pharmacol Exp Ther 290:452-463
19. Johnson DP (1998) Arthroscopic surgery for patellar tendonitis. Arthroscopy 14(Suppl 1):44
20. Jonsson P, Alfredson H (2005) Superior results with eccentric compared to concentric quadriceps training in patients with jumper's knee: a prospective randomised study. Br J Sports Med 39:847-850
21. Józsa L, Kannus P (1997) Human tendons: anatomy, physiology, and pathology. Human Kinetics, Champaign
22. Khan KM, Maffulli N, Coleman BD, Cook JL, Taunton JE (1998) Patellar tendinopathy: some aspects of basic science and clinical management. Br J Sports Med 32:346-355
23. Khan KM, Cook JL, Bonar F, Harcourt P, Astrom M (1999) Histopathology of common tendinopathies. Update and implications for clinical management. Sports Med 27:393-408
24. Leech CJ, Faber JE (1996) Different alpha-adrenoceptor subtypes mediate constriction of arterioles and venules. Am J Physiol 270:H710-H722
25. Lian O, Dahl J, Ackermann PW, Frihagen F, Engebretsen L, Bahr R (2006) Pronociceptive and antinociceptive neuromediators in patellar tendinopathy. Am J Sports Med 34:1801-1808
26. Lian OB, Engebretsen L, Bahr R (2005) Prevalence of jumper's knee among elite athletes from different sports: a cross-sectional study. Am J Sports Med 33:561-567
27. Maffulli N, Khan KM, Puddu G (1998) Overuse tendon conditions: time to change a confusing terminology. Arthroscopy 14:840-843
28. Movin T (1998) Aspects of aetiology, pathoanatomy and diagnostic methods in chronic mid-portion Achillodynia. Thesis, Karolinska Institute, Stockholm
29. Peers KH, Lysens RJ (2005) Patellar tendinopathy in athletes: current diagnostic and therapeutic recommendations. Sports Med 35:71-87
30. Riley GP (2005) Gene expression and matrix turnover in overused and damaged tendons. Scand J Med Sci Sports 15:241-251
31. Romeo AA, Larson RV (1999) Arthroscopic treatment of infrapatellar tendonitis. Arthroscopy 15:341-345
32. Schattschneider J, Binder A, Siebrecht D, Wasner G, Baron R (2006) Complex regional pain syndromes: the influence of cutaneous and deep somatic sympathetic innervation on pain. Clin J Pain 22:240-244
33. Soldado F, Reina F, Yuguero M, Rodriguez-Baeza A (2002) Clinical anatomy of the arterial supply of the human patellar ligament. Surg Radiol Anat 24:177-182
34. Teasell RW, Arnold JM (2004) Alpha-1 adrenoceptor hyperresponsiveness in three neuropathic pain states: complex regional pain syndrome 1, diabetic peripheral neuropathic pain and central pain states following spinal cord injury. Pain Res Manag 9:89-97
35. Testa V, Capasso G, Maffulli N, Bifulco G (1999) Ultrasound-guided percutaneous longitudinal tenotomy for the management of patellar tendinopathy. Med Sci Sports Exerc 31:1509-1515
36. Willberg L, Sunding K, Ohberg L, Forssblad M, Alfredson H (2007) Treatment of Jumper's knee: promising short-term results in a pilot study using a new arthroscopic approach based on imaging findings. Knee Surg Sports Traumatol Arthrosc 15:676-681
37. Wong HY (1993) Neural mechanisms of joint pain. Ann Acad Med Singapore 22:646-650