The skeletal attachment of tendons - Tendon 'entheses'

M. Benjamin*, T. Kumai, S. Milz, B. M. Boszczyk, A. A. Boszczyk, J. R. Ralphs

*この研究の対応する著者

研究成果: Article査読

377 被引用数 (Scopus)

抄録

Tendon entheses can be classed as fibrous or fibrocartilaginous according to the tissue present at the skeletal attachment site. The former can be 'bony' or 'periosteal', depending on whether the tendon is directly attached to bone or indirectly to it via the periosteum. At fibrocartilaginous entheses, the uncalcified fibrocartilage dissipates collagen fibre bending and tendon narrowing away from the tidemark; calcified fibrocartilage anchors the tendon to the bone and creates a diffusion barrier between the two. Where there are additional fibrocartilaginous specialisations in the tendon and/or bone next to the enthesis, an 'enthesis organ' is created that reduces wear and tear. Little attention has been paid to bone at entheses, despite the obvious bearing this has on the mechanical properties of the interface and the clinical importance of avulsion fractures. Disorders at entheses (enthesopathies) are common and occur in conditions such as diffuse idiopathic skeletal hyperostosis and the seronegative spondyloarthropathies. They are also commonly seen as sporting injuries such as tennis elbow and jumper's knee.

本文言語English
ページ(範囲)931-945
ページ数15
ジャーナルComparative Biochemistry and Physiology - A Molecular and Integrative Physiology
133
4
DOI
出版ステータスPublished - 2002 12 1
外部発表はい

ASJC Scopus subject areas

  • 生化学
  • 生理学
  • 分子生物学

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