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New aspects of the etiology of tendon rupture

✍ Scribed by E. Knörzer; W. Folkhard; W. Geercken; C. Boschert; M. H. J. Koch; B. Hilbert; H. Krahl; E. Mosler; H. Nemetschek-Gansler; T. Nemetschek


Publisher
Springer
Year
1986
Tongue
English
Weight
728 KB
Volume
105
Category
Article
ISSN
1434-3916

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✦ Synopsis


Native collagen fibers were exposed to different dynamic loads to simulate damage to tendons and ligaments relevant clinically and for sports medicine The results suggest that the rupture of a tendon is caused at the submicroscopic fibrillar level Not only slow or very fast elongation, but also very fast unloading of stretched fibers seems to be responsible for disseminated damage, which reduces the stability of a fiber This damage is induced by intrafibrillar sliding processes, which occur only a few seconds before macroscopic slippage takes place The significance of these events for the beginning and progress of repair in vivo is discussed The conclusions are supported by simultaneous mechanical and radiological measurements, as well as by light and electronmicroscopic results.

Zusammenfassung Zur Simulierung klinisch bzw. sportmedizinisch relevanter Schaden an Sehnen und Bandern wurden native Kollagenfasern unterschiedlichen dynamischen Belastungen ausgesetzt Die erzielten Ergebnisse sprechen dafiir, die Ursachen einer Sehnenruptur im submikroskopischen fibrillaren Bereich zu suchen Sowohl eine langsame oder ruckartige Dehnung als auch eine ruckartige Entlastung zugbelasteter Fasern scheinen fiir das Auftreten disseminierter, die Faserstabilitat reduzierender Geffigest 6 rungen verantwortlich zu sein Diese Gefiigest 6 rungen werden durch intrafibrillare Gleitvorgange eingeleitet, die an den noch voll belastba-


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