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At least 289 records · Page 16Linked to original sources
PubMed1992

Radiologic evaluation of tendon injuries.

This article reviews the imaging choices available to assess the tendons of the shoulder, knee, ankle, and wrist. Principles of tendon imaging and fundamental considerations of computer-derived image techniques are briefly discussed, with particular reference to magnetic resonance imaging. Although the criteria used to classify various tendon abnormalities are provided, the clinical role of imaging is emphasized.

Ankle Injuries↗
PubMed1979

[Treatment of Achilles tendon injuries in athletes].

165 athletes with injuries to the Achilles tendon were under observation of the authors; 4 of them had sustained open traumas and 161 -- subcutanous ones. Surgical intervention was the main method of treatment. The G. D. Nikitin's method of autoplasty is indicated in fresh injuries, a combined autoalloplasty, according to the authors' method, -- in old ones. Late results were followed up in 141 patients, all of them showed good outcome. Primary surgical treatment of the wound and suture of the Achilles tendon are indicated in open injuries to the Achilles tendon.

Achilles Tendon↗
PubMed1986

Flexor tendon injuries. Part 1. Anatomy, physiology, biomechanics, healing, and adhesion formation around a repaired tendon.

A review of the advances that have been made in recent years toward a better understanding of flexor tendon anatomy, physiology, biomechanics, healing and the development of adhesions around a repaired tendon. Despite the advances that have been made, results of flexor tendon repairs, particularly in the area of Zone 2, have been less than satisfactory. Adhesions also seem to be a biologic inevitability. A need for continued investigation.

Finger Joint↗
PubMedDate not supplied

Distal biceps tendon injuries: diagnosis and management.

Rupture of the distal biceps tendon occurs most commonly in the dominant extremity of men between 40 and 60 years of age when an unexpected extension force is applied to the flexed arm. Although previously thought to be an uncommon injury, distal biceps tendon ruptures are being reported with increasing frequency. The rupture typically occurs at the tendon insertion into the radial tuberosity in an area of preexisting tendon degeneration. The diagnosis is made on the basis of a history of a painful, tearing sensation in the antecubital region. Physical examination demonstrates a palpable and visible deformity of the distal biceps muscle belly with weakness in flexion and supination. The ability to palpate the tendon in the antecubital fossa may indicate partial tearing of the biceps tendon. Plain radiographs may show hypertrophic bone formation at the radial tuberosity. Magnetic resonance imaging is generally not required to diagnose a complete rupture but may be useful in the case of a partial rupture. Early surgical reattachment to the radial tuberosity is recommended for optimal results. A modified two-incision technique is the most widely used method of repair, but anterior single-incision techniques may be equally effective provided the radial nerve is protected. The patient with a chronic rupture may benefit from surgical reattachment, but proximal retraction and scarring of the muscle belly can make tendon mobilization difficult, and inadequate length of the distal biceps tendon may necessitate tendon augmentation. Postoperative rehabilitation must emphasize protected return of motion for the first 8 weeks after repair. Formal strengthening may begin as early as 8 weeks, with a return to unrestricted activities, including lifting, by 5 months.

Activities of Daily Living↗
PubMedDate not supplied

Management of flexor hallucis longus tendon injuries.

Acute trauma is being seen with increasing frequency by the podiatric surgeon. Tendon pathology may be obvious, as noted through impaired function of a part, or it may be more subtle, suggesting merely localized tenderness. Lack of appropriate management of such injuries can result in major biomechanical alterations. This author describes flexor hallucis longus tendon injuries and their follow-up care.

Adult↗
PubMed1985

Extensor tendon injuries. Presentation of a series of ninety-nine cases.

A series of 99 cases of injuries of the extensor system, followed in the 3 Traumatology and Orthopedics Ward (Dijon, France) is presented. Results were analyzed according to Verdan's classification. In most cases, a Jenning "barb-wire" type repair, introduced in France by Y. Allieu, was made. Early mobilization and skin tension problems are emphasized; two cases of degloving on the dorsum of the hand are presented with details. As well, a special place concerning the results of repair in the proximal interphalangeal joint must be reserved, because of the very frequent association of articular destruction and the very difficult problem s of surgical management which arise in these cases.

Early Ambulation↗
PubMed1981

Achilles tendon injury. 4. Structure of rabbit calf muscles after tendon repair with removable traction suture.

Immobilization after surgical treatment of Achilles tendon rupture with calf-muscles in a slackened position induces extensive degeneration of the tonic muscle fibres. The optimal treatment in view of maintained muscle structure should be immobilization with kept tone in the muscles. This may be possible to achieve by using a traction suture. In this investigation such a method has been applied on rabbits. It was found that in spite of the occurrence of degenerative morphologic changes the total relative fibre area was numerically larger and separation of tendon ends was significantly smaller than when the routine method had been performed. It was concluded that the investigated technique offers some advantages with regard to the muscle fibre structure.

Achilles Tendon↗
PubMed1999

Morphological and histochemical analysis of a case of superficial digital flexor tendon injury in the horse.

This report compares the morphology and the concentrations of glycos-aminoglycans (GAGs) in an injured superficial digital flexor tendon (SDFT) of a horse with those of a normal tendon. An injured 6-year-old male Thoroughbred exhibited heat and swelling around the SDFT of the right forelimb. On histopathological examination, exuberant granulation was observed in the affected tendon, with activated tenocytes, angiogenesis, haemorrhage, and infiltration of small numbers of leucocytes. The collagen fibres were loosely packed and irregularly arranged. The diameter of control collagen fibrils was 20-360 nm and that of affected collagen fibrils 20-240 nm. In the analysis of GAGs in the matrix, hyaluronic acid (HA), dermatan sulphate (DS), and chondroitin sulphate (CS) were found to be major components in both control and affected tendons. Increases in DS in the affected tendon were striking. Our observations suggest that fibrillogenesis was activated by increases in DS and decreases in HA and CS. It is also assumed that absence of collagen fibrils of normal thickness and in a parallel arrangement reflected the morphological and biochemical characteristics of fibrillogenesis in the injured tendon. If the inflammatory features of an injured tendon could be altered, it might return eventually to its normal structure.

Animals↗
PubMed2003

[Rehabilitation of extensor tendon injuries].

The extensor mechanism of the hand consists of different tendons, originating from extrinsic and intrinsic muscles of the hand and forearm. Because of their course near to skin and bone separated only by a thin layer of paratenon, they are very sensitive to injuries and adhesions. Treatment protocols have to be adapted according to the different zones. This paper explains the basic principles of rehabilitation in extensor tendon injuries.

Aftercare↗
PubMed1997

MR imaging of muscle and tendon injury.

The nature and MRI appearance of injuries to the muscle including delayed onset muscle soreness, muscle contusion, muscle strain, and compartment syndromes are described and examples shown. The nature of degenerative disease of tendon (tendinosis) is discussed and representative examples of the MRI appearance of various stages are illustrated. The role of MR in the clinical management of these disorders is discussed where appropriate.

Humans↗