Is tendon pathology a continuum? A pathology model to explain the clinical presentation of load-induced tendinopathy - PubMed (original) (raw)

Review

Is tendon pathology a continuum? A pathology model to explain the clinical presentation of load-induced tendinopathy

J L Cook et al. Br J Sports Med. 2009 Jun.

Abstract

Overuse tendinopathy is problematic to manage clinically. People of different ages with tendons under diverse loads present with varying degrees of pain, irritability, and capacity to function. Recovery is similarly variable; some tendons recover with simple interventions, some remain resistant to all treatments. The pathology of tendinopathy has been described as degenerative or failed healing. Neither of these descriptions fully explains the heterogeneity of presentation. This review proposes, and provides evidence for, a continuum of pathology. This model of pathology allows rational placement of treatments along the continuum. A new model of tendinopathy and thoughtful treatment implementation may improve outcomes for those with tendinopathy. This model is presented for evaluation by clinicians and researchers.

PubMed Disclaimer

Comment in

Fasciitis first before tendinopathy: does the anatomy hold the key?
Franklyn-Miller A, Falvey E, McCrory P. Franklyn-Miller A, et al. Br J Sports Med. 2009 Dec;43(12):887-9. doi: 10.1136/bjsm.2008.054577. Epub 2009 Jan 9. Br J Sports Med. 2009. PMID: 19136505 No abstract available.

Cited by

The Correlation between the Elastic Modulus of the Achilles Tendon Enthesis and Bone Microstructure in the Calcaneal Crescent.
Doi K, Moazamian D, Namiranian B, Statum S, Afsahi AM, Yamamoto T, Cheng KY, Chung CB, Jerban S. Doi K, et al. Tomography. 2024 Oct 10;10(10):1665-1675. doi: 10.3390/tomography10100122. Tomography. 2024. PMID: 39453039 Free PMC article.
Continuum model of tendon pathology - where are we now?
McCreesh K, Lewis J. McCreesh K, et al. Int J Exp Pathol. 2013 Aug;94(4):242-7. doi: 10.1111/iep.12029. Int J Exp Pathol. 2013. PMID: 23837792 Free PMC article. Review.
Treatment of Achilles Tendinopathy in Recreational Runners with Peritendinous Hyaluronic Acid Injections: A Viscoelastometric, Functional, and Biochemical Pilot Study.
Gervasi M, Barbieri E, Capparucci I, Annibalini G, Sisti D, Amatori S, Carrabs V, Valli G, Donati Zeppa S, Rocchi MBL, Stocchi V, Sestili P. Gervasi M, et al. J Clin Med. 2021 Mar 31;10(7):1397. doi: 10.3390/jcm10071397. J Clin Med. 2021. PMID: 33807327 Free PMC article.
Relationship between ultrasound detected tendon abnormalities, and sensory and clinical characteristics in people with chronic lateral epicondylalgia.
Palaniswamy V, Ng SK, Manickaraj N, Ryan M, Yelland M, Rabago D, Bisset L. Palaniswamy V, et al. PLoS One. 2018 Oct 24;13(10):e0205171. doi: 10.1371/journal.pone.0205171. eCollection 2018. PLoS One. 2018. PMID: 30356266 Free PMC article.
The roles of inflammatory mediators and immunocytes in tendinopathy.
Tang C, Chen Y, Huang J, Zhao K, Chen X, Yin Z, Heng BC, Chen W, Shen W. Tang C, et al. J Orthop Translat. 2018 Apr 14;14:23-33. doi: 10.1016/j.jot.2018.03.003. eCollection 2018 Jul. J Orthop Translat. 2018. PMID: 30035030 Free PMC article. Review.

Publication types

MeSH terms

LinkOut - more resources

Full Text Sources
- HighWire
- Ovid Technologies, Inc.
Other Literature Sources
- The Lens - Patent Citations Database
Medical
- MedlinePlus Consumer Health Information
- MedlinePlus Health Information

Is tendon pathology a continuum? A pathology model to explain the clinical presentation of load-induced tendinopathy - PubMed (original) (raw)