Tendons
Tendon Injuries
Tendon Transfer
Patellar Ligament
Tendinopathy
Rotator Cuff
Biomechanical Phenomena
Tensile Strength
Ligaments
Tenosynovitis
Posterior Tibial Tendon Dysfunction
Tenotomy
Stress, Mechanical
Suture Techniques
Weight-Bearing
Bursa, Synovial
Collagen
Elastic Modulus
Fibrillar Collagens
Ankle Joint
Orthopedic Procedures
Reflex, Stretch
Cumulative Trauma Disorders
Range of Motion, Articular
Reconstructive Surgical Procedures
Muscle, Skeletal
Ligaments, Articular
Connective Tissue
Anterior Cruciate Ligament
Joint Capsule
Shoulder Joint
Friction
Suture Anchors
Calcaneus
Tail
Wrist Joint
Specific and innervation-regulated expression of the intermediate filament protein nestin at neuromuscular and myotendinous junctions in skeletal muscle. (1/2015)
The intermediate filament proteins nestin, vimentin, and desmin show a specific temporal expression pattern during the development of myofibers from myogenic precursor cells. Nestin and vimentin are actively expressed during early developmental stages to be later down-regulated, vimentin completely and nestin to minimal levels, whereas desmin expression begins later and is maintained in mature myofibers, in which desmin participates in maintaining structural integrity. In this study we have analyzed the expression levels and distribution pattern of nestin in intact and denervated muscle in rat and in human. Nestin immunoreactivity was specifically and focally localized in the sarcoplasm underneath neuromuscular junctions (NMJs) and in the vicinity of the myotendinous junctions (MTJs), ie, in regions associated with acetylcholine receptors (AChRs). This association prompted us to analyze nestin in neurogenically and myogenically denervated muscle. Immunoblot analysis disclosed a marked overall increase of accumulated nestin protein. Similar to the extrajunctional redistribution of AChRs in denervated myofibers, nestin immunoreactivity extended widely beyond the NMJ region. Re-innervation caused complete reversion of these changes. Our study demonstrates that the expression levels and distribution pattern of nestin are regulated by innervation, ie, signal transduction into myofibers. (+info)Fibrocartilage in tendons and ligaments--an adaptation to compressive load. (2/2015)
Where tendons and ligaments are subject to compression, they are frequently fibrocartilaginous. This occurs at 2 principal sites: where tendons (and sometimes ligaments) wrap around bony or fibrous pulleys, and in the region where they attach to bone, i.e. at their entheses. Wrap-around tendons are most characteristic of the limbs and are commonly wider at their point of bony contact so that the pressure is reduced. The most fibrocartilaginous tendons are heavily loaded and permanently bent around their pulleys. There is often pronounced interweaving of collagen fibres that prevents the tendons from splaying apart under compression. The fibrocartilage can be located within fascicles, or in endo- or epitenon (where it may protect blood vessels from compression or allow fascicles to slide). Fibrocartilage cells are commonly packed with intermediate filaments which could be involved in transducing mechanical load. The ECM often contains aggrecan which allows the tendon to imbibe water and withstand compression. Type II collagen may also be present, particularly in tendons that are heavily loaded. Fibrocartilage is a dynamic tissue that disappears when the tendons are rerouted surgically and can be maintained in vitro when discs of tendon are compressed. Finite element analyses provide a good correlation between its distribution and levels of compressive stress, but at some locations fibrocartilage is a sign of pathology. Enthesis fibrocartilage is most typical of tendons or ligaments that attach to the epiphyses of long bones where it may also be accompanied by sesamoid and periosteal fibrocartilages. It is characteristic of sites where the angle of attachment changes throughout the range of joint movement and it reduces wear and tear by dissipating stress concentration at the bony interface. There is a good correlation between the distribution of fibrocartilage within an enthesis and the levels of compressive stress. The complex interlocking between calcified fibrocartilage and bone contributes to the mechanical strength of the enthesis and cartilage-like molecules (e.g. aggrecan and type II collagen) in the ECM contribute to its ability to withstand compression. Pathological changes are common and are known as enthesopathies. (+info)Extensive post-traumatic ossification of the patellar tendon. A report of two cases. (3/2015)
Two men, aged 21 and 50 years, were seen with ossification of the patellar tendon after injury to the knee in adolescence. They complained of pain and had patella alta. Large bony masses were excised from below the affected patellae. The patellar tendon was then reconstructed using a Leeds-Keio ligament. The results at six and ten years, respectively, were good, with neither patient having pain or an extension lag. (+info)Fibromodulin-null mice have abnormal collagen fibrils, tissue organization, and altered lumican deposition in tendon. (4/2015)
Fibromodulin is a member of a family of connective tissue glycoproteins/proteoglycans containing leucine-rich repeat motifs. Several members of this gene family bind to fibrillar collagens and are believed to function in the assembly of the collagen network in connective tissues. Here we show that mice lacking a functional fibromodulin gene exhibit an altered morphological phenotype in tail tendon with fewer and abnormal collagen fiber bundles. In fibromodulin-null animals virtually all collagen fiber bundles are disorganized and have an abnormal morphology. Also 10-20% of the bundles in heterozygous mice are similar to the abnormal bundles in fibromodulin-null tail tendon. Ultrastructural analysis of Achilles tendon from fibromodulin-null mice show collagen fibrils with irregular and rough outlines in cross-section. Morphometric analysis show that fibromodulin-null mice have on the average thinner fibrils than wild type animals as a result of a larger preponderance of very thin fibrils in an overall similar range of fibril diameters. Protein and RNA analyses show an approximately 4-fold increase in the content of lumican in fibromodulin-null as compared with wild type tail tendon, despite a decrease in lumican mRNA. These results demonstrate a role for fibromodulin in collagen fibrillogenesis and suggest that the orchestrated action of several leucine-rich repeat glycoproteins/proteoglycans influence the architecture of collagen matrices. (+info)Predicting the outcome of adductor tenotomy. (5/2015)
This study reviewed 57 hips in 30 children (18 girls and 12 boys) with cerebral palsy who had undergone an adductor tenotomy alone or in combination with an anterior obturator neurectomy (23 hips). Results were evaluated by the Reimers migration percentage (MP). The hips were split into three groups: group A (12 hips) a preoperative MP of less than 20%, group B (25 hips) between 20 and 40%, and group C (20 hips) more than 40%. The mean age at the time of surgery was 6 years and 1 month (range: 2.5-13 years). The mean period of review was 6 years and 3 months (2-20 years). The results were considered as "good" when radiographs at the longest follow-up showed a decrease of > 10% of the MP, as "bad" when they showed an increase of > 10%, and as "stable" when the MPs varied less than 10%. At the latest review of group A, 11 were stable (92%) and 1 was bad. In group B, 12 were stable (48%), 7 were good (28%), and 6 were bad (24%). In group C, 7 were stable (35%), and 13 were bad (65%). The preoperative migration percentage provided to be the only predictor of outcome. Age at the time of surgery had no constant significant effect on the outcome, neither had the addition of an anterior neurectomy. (+info)Insertion of the abductor hallucis muscle in feet with and without hallux valgus. (6/2015)
Textbooks of human anatomy present different opinions on the insertion of the abductor hallucis muscle which is concerned in etiology as well as in therapy of hallux valgus. In plastic and reconstructive surgery the muscle is taken as a graft for flap-surgery. In this study 109 feet (58 right, 51 left) were examined, 18 of these with clinical hallux valgus. The tendon of the muscle may attach to the tendon of the medial head of the short flexor hallucis muscle where a subtendineous bursa can be found. At the head of the first metatarsal bone the joint capsule is reinforced by fibres arising from the medial sesamoid bone which may be called "medial sesamoidal ligament." The tendon passes the first metatarsophalangeal joint plantarily to its transverse axis. Three types of insertion could be distinguished: type A, insertion at the proximal phalanx (N = 42); type B, insertion at the medial sesamoid ligament and at the medial sesamoid bone (N = 65); type C, insertion at the medial sesamoid bone (N = 2). In all types superficial fibres of the tendon extended to the medial and plantar sides of the base of the proximal phalanx, running in a plantar to dorsal direction. Statistical analysis exposed neither significant differences between both sides nor significant difference between normal feet and feet with hallux valgus. Therefore, a specific pattern of insertion of the abductor hallucis muscle in hallux valgus cannot be stated. (+info)Effect of L-azetidine-2-carboxylic acid on glycosylations of collagen in chick-embryo tendon cells. (7/2015)
The glycosylations of hydroxylysine during collagen biosynthesis in isolated chick-embryo tendon cells were studied by using pulse-chase labelling experiments with [14C]-lysine. The hydroxylation of lysine and the glycosylations of hydroxylysine continued after a 5 min pulse label for up to about 10 min during the chase period. These data differ from those obtained previously in isolated chick-embryo cartilage cells, in which, after a similar 5 min pulse label, these reactions continued during the chase period for up to about 20 min. The collagen synthesized by the isolated chick-embryo tendon cells differed markedly from the type I collagen of adult tissues in its degree of hydroxylation of lysine residues and glycosylations of hydroxylysine residues. When the isolated tendon cells were incubated in the presence of L-azetidine-2-carboxylic acid, the degree of glycosylations of hydroxylysine during the first 10 min of the chase period was identical with that in cells incubated without thcarboxylic acid for at least 60 min, whereas no additional glycosylations took place in the control cells after the 10 min time-point. As a consequence, the collagen synthesized in the presence of this compound contained more carbohydrate than did the collagen synthesized by the control cells. Additional experiments indicated that azetidine-2-carboxylic acid did not increase the collagen glycosyltransferase activities in the tendon cells or the rate of glycosylation reactions when added directly to the enzyme incubation mixture. Control experiments with colchicine indicated that the delay in the rate of collagen secretion, which was observed in the presence of azetidine-2-carboxylic acid, did not in itself affect the degree of glycosylations of collagen. The results thus suggest that the increased glycosylations were due to inhibition of the collagen triple-helix formation, which is known to occur in the presence of azetidine-2-carboxylic acid. (+info)Plantar aponeurosis and internal architecture of the ball of the foot. (8/2015)
On the basis of its internal structure, the ball of the foot can be divided into three transverse areas, each with a different mechanical function: (1) an area proximal to the heads of the metatarsals in which the retinacula cutis are developed into a series of transverse bands, and in which the deep fibres of the plantar aponeurosis form ten sagittal septa connected to the deep transverse metatarsal ligament and through this the proximal phalanges of the toes, (2) an area below the heads of the metatarsals in which vertical fibres from the joint capsules and the sides of the fibrous flexor sheaths form a cushion below each metatarsal head, and in which fat bodies cover the digital nerves and vessels in their passage between the cushions, and (3) a distal area which comprises the interdigital web. The superficial fibres of the plantar aponeurosis are inserted into the skin of this distal area, and deep to them the plantar interdigital ligament forms a series of transverse lamellae connected to the proximal phalanges by a mooring ligament which arches from one fibrous flexor sheath to the next. When the metatarsophalangeal joints are extended, the fibres of the three areas are tensed and the skin is anchored firmly to the skeleton. The direction of the fibres in the distal and proximal area promotes the transfer of forces exerted on the skin during push-off and braking respectively, while the intermediate area is adapted to bear the weight of the body. A concentration of Pacinian corpuscles is found along the digital nerves in the weight-bearing area below the transverse metatarsal ligament. The nerves for the second, and especially for the third, interstice are close to or in contact with the sharp proximal edges of the sagittal septa. (+info)A tendon is the strong, flexible band of tissue that connects muscle to bone. It helps transfer the force produced by the muscle to allow various movements of our body parts. Tendons are made up of collagen fibers arranged in parallel bundles and have a poor blood supply, making them prone to injuries and slow to heal. Examples include the Achilles tendon, which connects the calf muscle to the heel bone, and the patellar tendon, which connects the kneecap to the shinbone.
Tendon injuries, also known as tendinopathies, refer to the damage or injury of tendons, which are strong bands of tissue that connect muscles to bones. Tendon injuries typically occur due to overuse or repetitive motion, causing micro-tears in the tendon fibers. The most common types of tendon injuries include tendinitis, which is inflammation of the tendon, and tendinosis, which is degeneration of the tendon's collagen.
Tendon injuries can cause pain, swelling, stiffness, and limited mobility in the affected area. The severity of the injury can vary from mild discomfort to severe pain that makes it difficult to move the affected joint. Treatment for tendon injuries may include rest, ice, compression, elevation (RICE) therapy, physical therapy, medication, or in some cases, surgery. Preventing tendon injuries involves warming up properly before exercise, using proper form and technique during physical activity, gradually increasing the intensity and duration of workouts, and taking regular breaks to rest and recover.
The Achilles tendon, also known as the calcaneal tendon, is a strong band of tissue that connects the calf muscles to the heel bone (calcaneus). It plays a crucial role in enabling activities such as walking, running, and jumping by facilitating the movement of the foot downward, which is called plantar flexion. Injuries to the Achilles tendon, such as tendinitis or ruptures, can be quite painful and impact mobility.
A tendon transfer is a surgical procedure where a healthy tendon is moved to rebalance or reinforce a muscle that has become weak or paralyzed due to injury, disease, or nerve damage. The transferred tendon attaches to the bone in a new position, allowing it to power a different movement or stabilize a joint. This procedure helps restore function and improve mobility in the affected area.
The patellar ligament, also known as the patellar tendon, is a strong band of tissue that connects the bottom part of the kneecap (patella) to the top part of the shinbone (tibia). This ligament plays a crucial role in enabling the extension and straightening of the leg during activities such as walking, running, and jumping. Injuries to the patellar ligament, such as tendonitis or tears, can cause pain and difficulty with mobility.
Tendinopathy is a general term referring to the degeneration or dysrepair of a tendon, which can result in pain and impaired function. It was previously referred to as tendinitis or tendinosis, but tendinopathy is now preferred because it describes various pathological conditions within the tendon, rather than a specific diagnosis.
Tendinopathy often develops due to overuse, repetitive strain, or age-related wear and tear. The condition typically involves collagen breakdown in the tendon, along with an increase in disorganized tenocytes (tendon cells) and vascular changes. This process can lead to thickening of the tendon, loss of elasticity, and the formation of calcium deposits or nodules.
Commonly affected tendons include the Achilles tendon, patellar tendon, rotator cuff tendons in the shoulder, and the extensor carpi radialis brevis tendon in the elbow (also known as tennis elbow). Treatment for tendinopathy often includes rest, physical therapy, exercise, pain management, and occasionally, surgical intervention.
A rupture, in medical terms, refers to the breaking or tearing of an organ, tissue, or structure in the body. This can occur due to various reasons such as trauma, injury, increased pressure, or degeneration. A ruptured organ or structure can lead to serious complications, including internal bleeding, infection, and even death, if not treated promptly and appropriately. Examples of ruptures include a ruptured appendix, ruptured eardrum, or a ruptured disc in the spine.
The rotator cuff is a group of four muscles and their tendons that attach to the shoulder blade (scapula) and help stabilize and move the shoulder joint. These muscles are the supraspinatus, infraspinatus, teres minor, and subscapularis. The rotator cuff helps to keep the head of the humerus (upper arm bone) centered in the glenoid fossa (shoulder socket), providing stability during shoulder movements. It also allows for rotation and elevation of the arm. Rotator cuff injuries or conditions, such as tears or tendinitis, can cause pain and limit shoulder function.
Biomechanics is the application of mechanical laws to living structures and systems, particularly in the field of medicine and healthcare. A biomechanical phenomenon refers to a observable event or occurrence that involves the interaction of biological tissues or systems with mechanical forces. These phenomena can be studied at various levels, from the molecular and cellular level to the tissue, organ, and whole-body level.
Examples of biomechanical phenomena include:
1. The way that bones and muscles work together to produce movement (known as joint kinematics).
2. The mechanical behavior of biological tissues such as bone, cartilage, tendons, and ligaments under various loads and stresses.
3. The response of cells and tissues to mechanical stimuli, such as the way that bone tissue adapts to changes in loading conditions (known as Wolff's law).
4. The biomechanics of injury and disease processes, such as the mechanisms of joint injury or the development of osteoarthritis.
5. The use of mechanical devices and interventions to treat medical conditions, such as orthopedic implants or assistive devices for mobility impairments.
Understanding biomechanical phenomena is essential for developing effective treatments and prevention strategies for a wide range of medical conditions, from musculoskeletal injuries to neurological disorders.
Tensile strength is a material property that measures the maximum amount of tensile (pulling) stress that a material can withstand before failure, such as breaking or fracturing. It is usually measured in units of force per unit area, such as pounds per square inch (psi) or pascals (Pa). In the context of medical devices or biomaterials, tensile strength may be used to describe the mechanical properties of materials used in implants, surgical tools, or other medical equipment. High tensile strength is often desirable in these applications to ensure that the material can withstand the stresses and forces it will encounter during use.
Ligaments are bands of dense, fibrous connective tissue that surround joints and provide support, stability, and limits the range of motion. They are made up primarily of collagen fibers arranged in a parallel pattern to withstand tension and stress. Ligaments attach bone to bone, and their function is to prevent excessive movement that could cause injury or dislocation.
There are two main types of ligaments: extracapsular and intracapsular. Extracapsular ligaments are located outside the joint capsule and provide stability to the joint by limiting its range of motion. Intracapsular ligaments, on the other hand, are found inside the joint capsule and help maintain the alignment of the joint surfaces.
Examples of common ligaments in the body include the anterior cruciate ligament (ACL) and posterior cruciate ligament (PCL) in the knee, the medial collateral ligament (MCL) and lateral collateral ligament (LCL) in the elbow, and the coracoacromial ligament in the shoulder.
Injuries to ligaments can occur due to sudden trauma or overuse, leading to sprains, strains, or tears. These injuries can cause pain, swelling, bruising, and limited mobility, and may require medical treatment such as immobilization, physical therapy, or surgery.
Tenosynovitis is a medical condition characterized by inflammation of the lining (synovium) surrounding a tendon, which is a cord-like structure that attaches muscle to bone. This inflammation can cause pain, swelling, and difficulty moving the affected joint. Tenosynovitis often affects the hands, wrists, feet, and ankles, and it can result from various causes, including infection, injury, overuse, or autoimmune disorders like rheumatoid arthritis. Prompt diagnosis and treatment of tenosynovitis are essential to prevent complications such as tendon rupture or chronic pain.
Posterior Tibial Tendon Dysfunction (PTTD) is a condition that affects the posterior tibial tendon, which runs along the inside of the ankle and helps to support the arch of the foot. In PTTD, the tendon becomes inflamed, stretched or torn, leading to instability and sometimes flatfoot deformity.
The medical definition of PTTD is:
A progressive degenerative condition of the posterior tibial tendon, resulting in loss of its function as a stabilizer and support for the arch of the foot. This can lead to acquired flatfoot deformity, characterized by pain, swelling, and weakness along the inside of the ankle and foot. In advanced stages, the condition may cause difficulty walking or standing for prolonged periods, and may require surgical intervention.
Tenotomy is a surgical procedure where a tight or contracted tendon is cut to help relieve tension, improve mobility, and treat various musculoskeletal conditions. Tendons are strong bands of tissue that connect muscles to bones. In some cases, tendons can become shortened, thickened, or stiff due to injury, disease, or overuse, leading to limited movement, pain, or deformity.
During a tenotomy, the surgeon locates the affected tendon and carefully incises it, allowing the attached muscle to lengthen gradually. This procedure can be performed on different tendons throughout the body, depending on the specific condition being addressed. Tenotomy is often used in conjunction with other treatments, such as physical therapy or casting, to ensure optimal recovery and functional improvement.
Common indications for tenotomy include:
1. Contractures in children with cerebral palsy or other neurological disorders
2. Shortening of the Achilles tendon (equinus deformity) in adults with foot drop or spasticity
3. Dupuytren's contracture, a thickening and shortening of the palmar fascia in the hand
4. Trigger finger, a condition where the flexor tendon in the finger becomes stuck due to nodule formation
5. Certain types of tendon injuries or tears that do not respond to non-surgical treatment.
Mechanical stress, in the context of physiology and medicine, refers to any type of force that is applied to body tissues or organs, which can cause deformation or displacement of those structures. Mechanical stress can be either external, such as forces exerted on the body during physical activity or trauma, or internal, such as the pressure changes that occur within blood vessels or other hollow organs.
Mechanical stress can have a variety of effects on the body, depending on the type, duration, and magnitude of the force applied. For example, prolonged exposure to mechanical stress can lead to tissue damage, inflammation, and chronic pain. Additionally, abnormal or excessive mechanical stress can contribute to the development of various musculoskeletal disorders, such as tendinitis, osteoarthritis, and herniated discs.
In order to mitigate the negative effects of mechanical stress, the body has a number of adaptive responses that help to distribute forces more evenly across tissues and maintain structural integrity. These responses include changes in muscle tone, joint positioning, and connective tissue stiffness, as well as the remodeling of bone and other tissues over time. However, when these adaptive mechanisms are overwhelmed or impaired, mechanical stress can become a significant factor in the development of various pathological conditions.
Finger injuries refer to any damage or trauma caused to the fingers, which can include cuts, bruises, dislocations, fractures, and sprains. These injuries can occur due to various reasons such as accidents, sports activities, falls, or direct blows to the finger. Symptoms of finger injuries may include pain, swelling, stiffness, deformity, numbness, or inability to move the finger. The treatment for finger injuries varies depending on the type and severity of the injury, but may include rest, immobilization, ice, compression, elevation, physical therapy, medication, or surgery. It is essential to seek medical attention promptly for proper diagnosis and treatment of finger injuries to prevent further complications and ensure optimal recovery.
Suture techniques refer to the various methods used by surgeons to sew or stitch together tissues in the body after an injury, trauma, or surgical incision. The main goal of suturing is to approximate and hold the edges of the wound together, allowing for proper healing and minimizing scar formation.
There are several types of suture techniques, including:
1. Simple Interrupted Suture: This is one of the most basic suture techniques where the needle is passed through the tissue at a right angle, creating a loop that is then tightened to approximate the wound edges. Multiple stitches are placed along the length of the incision or wound.
2. Continuous Locking Suture: In this technique, the needle is passed continuously through the tissue in a zigzag pattern, with each stitch locking into the previous one. This creates a continuous line of sutures that provides strong tension and support to the wound edges.
3. Running Suture: Similar to the continuous locking suture, this technique involves passing the needle continuously through the tissue in a straight line. However, instead of locking each stitch, the needle is simply passed through the previous loop before being tightened. This creates a smooth and uninterrupted line of sutures that can be easily removed after healing.
4. Horizontal Mattress Suture: In this technique, two parallel stitches are placed horizontally across the wound edges, creating a "mattress" effect that provides additional support and tension to the wound. This is particularly useful in deep or irregularly shaped wounds.
5. Vertical Mattress Suture: Similar to the horizontal mattress suture, this technique involves placing two parallel stitches vertically across the wound edges. This creates a more pronounced "mattress" effect that can help reduce tension and minimize scarring.
6. Subcuticular Suture: In this technique, the needle is passed just below the surface of the skin, creating a smooth and barely visible line of sutures. This is particularly useful in cosmetic surgery or areas where minimizing scarring is important.
The choice of suture technique depends on various factors such as the location and size of the wound, the type of tissue involved, and the patient's individual needs and preferences. Proper suture placement and tension are crucial for optimal healing and aesthetic outcomes.
The patella, also known as the kneecap, is a sesamoid bone located at the front of the knee joint. It is embedded in the tendon of the quadriceps muscle and serves to protect the knee joint and increase the leverage of the extensor mechanism, allowing for greater extension force of the lower leg. The patella moves within a groove on the femur called the trochlea during flexion and extension of the knee.
"Weight-bearing" is a term used in the medical field to describe the ability of a body part or limb to support the weight or pressure exerted upon it, typically while standing, walking, or performing other physical activities. In a clinical setting, healthcare professionals often use the term "weight-bearing exercise" to refer to physical activities that involve supporting one's own body weight, such as walking, jogging, or climbing stairs. These exercises can help improve bone density, muscle strength, and overall physical function, particularly in individuals with conditions affecting the bones, joints, or muscles.
In addition, "weight-bearing" is also used to describe the positioning of a body part during medical imaging studies, such as X-rays or MRIs. For example, a weight-bearing X-ray of the foot or ankle involves taking an image while the patient stands on the affected limb, allowing healthcare providers to assess any alignment or stability issues that may not be apparent in a non-weight-bearing position.
A cadaver is a deceased body that is used for medical research or education. In the field of medicine, cadavers are often used in anatomy lessons, surgical training, and other forms of medical research. The use of cadavers allows medical professionals to gain a deeper understanding of the human body and its various systems without causing harm to living subjects. Cadavers may be donated to medical schools or obtained through other means, such as through consent of the deceased or their next of kin. It is important to handle and treat cadavers with respect and dignity, as they were once living individuals who deserve to be treated with care even in death.
A bursa is a small fluid-filled sac that provides a cushion between bones and other moving parts, such as muscles, tendons, or skin. A synovial bursa is a type of bursa that contains synovial fluid, which is produced by the synovial membrane that lines the inside of the bursa. Synovial bursae are found in various locations throughout the body, particularly near joints that experience a lot of movement or friction. They help to reduce wear and tear on the bones and other tissues, and can become inflamed or irritated due to overuse, injury, or infection, leading to a condition called bursitis.
Collagen is the most abundant protein in the human body, and it is a major component of connective tissues such as tendons, ligaments, skin, and bones. Collagen provides structure and strength to these tissues and helps them to withstand stretching and tension. It is made up of long chains of amino acids, primarily glycine, proline, and hydroxyproline, which are arranged in a triple helix structure. There are at least 16 different types of collagen found in the body, each with slightly different structures and functions. Collagen is important for maintaining the integrity and health of tissues throughout the body, and it has been studied for its potential therapeutic uses in various medical conditions.
Tissue adhesions, also known as scar tissue adhesions, are abnormal bands of fibrous tissue that form between two or more internal organs, or between organs and the walls of the chest or abdominal cavity. These adhesions can develop after surgery, infection, injury, radiation, or prolonged inflammation. The fibrous bands can cause pain, restrict movement of the organs, and potentially lead to complications such as bowel obstruction. Treatment options for tissue adhesions may include medication, physical therapy, or surgical intervention to remove the adhesions.
The Elastic Modulus, also known as Young's modulus, is a measure of the stiffness of a material. It is defined as the ratio of stress (force per unit area) to strain (partial deformation or change in length per unit length) in the elastic range of deformation of a material. In other words, it measures how much a material will deform (change in length or size) when subjected to a given amount of force. A higher elastic modulus indicates that a material is stiffer and less likely to deform, while a lower elastic modulus indicates that a material is more flexible and will deform more easily. The elastic modulus is typically expressed in units of Pascals (Pa) or Gigapascals (GPa).
Fibrillar collagens are a type of collagen that form rope-like fibrils in the extracellular matrix of connective tissues. They are composed of three polypeptide chains, called alpha chains, which are coiled together in a triple helix structure. The most common types of fibrillar collagens are Type I, II, III, V, and XI. These collagens provide strength and support to tissues such as tendons, ligaments, skin, and bones. They also play important roles in the regulation of cell behavior and tissue development. Mutations in genes encoding fibrillar collagens can lead to a variety of connective tissue disorders, including osteogenesis imperfecta, Ehlers-Danlos syndrome, and Marfan syndrome.
The ankle joint, also known as the talocrural joint, is the articulation between the bones of the lower leg (tibia and fibula) and the talus bone in the foot. It is a synovial hinge joint that allows for dorsiflexion and plantarflexion movements, which are essential for walking, running, and jumping. The ankle joint is reinforced by strong ligaments on both sides to provide stability during these movements.
Orthopedic procedures are surgical or nonsurgical methods used to treat musculoskeletal conditions, including injuries, deformities, or diseases of the bones, joints, muscles, ligaments, and tendons. These procedures can range from simple splinting or casting to complex surgeries such as joint replacements, spinal fusions, or osteotomies (cutting and repositioning bones). The primary goal of orthopedic procedures is to restore function, reduce pain, and improve the quality of life for patients.
Wound healing is a complex and dynamic process that occurs after tissue injury, aiming to restore the integrity and functionality of the damaged tissue. It involves a series of overlapping phases: hemostasis, inflammation, proliferation, and remodeling.
1. Hemostasis: This initial phase begins immediately after injury and involves the activation of the coagulation cascade to form a clot, which stabilizes the wound and prevents excessive blood loss.
2. Inflammation: Activated inflammatory cells, such as neutrophils and monocytes/macrophages, infiltrate the wound site to eliminate pathogens, remove debris, and release growth factors that promote healing. This phase typically lasts for 2-5 days post-injury.
3. Proliferation: In this phase, various cell types, including fibroblasts, endothelial cells, and keratinocytes, proliferate and migrate to the wound site to synthesize extracellular matrix (ECM) components, form new blood vessels (angiogenesis), and re-epithelialize the wounded area. This phase can last up to several weeks depending on the size and severity of the wound.
4. Remodeling: The final phase of wound healing involves the maturation and realignment of collagen fibers, leading to the restoration of tensile strength in the healed tissue. This process can continue for months to years after injury, although the tissue may never fully regain its original structure and function.
It is important to note that wound healing can be compromised by several factors, including age, nutrition, comorbidities (e.g., diabetes, vascular disease), and infection, which can result in delayed healing or non-healing chronic wounds.
A stretch reflex, also known as myotatic reflex, is a rapid muscle contraction in response to stretching within the muscle itself. It is a type of reflex that helps to maintain muscle tone, protect muscles and tendons from injury, and assists in coordinating movements.
The stretch reflex is mediated by the stretch (or length) receptors called muscle spindles, which are located within the muscle fibers. When a muscle is stretched suddenly or rapidly, the muscle spindles detect the change in muscle length and activate a rapid motor neuron response, leading to muscle contraction. This reflex helps to stabilize the joint and prevent further stretching or injury.
The most common example of a stretch reflex is the knee-jerk reflex (also known as the patellar reflex), which is elicited by tapping the patellar tendon just below the knee, causing the quadriceps muscle to stretch and contract. This results in a quick extension of the lower leg. Other examples of stretch reflexes include the ankle jerk reflex (Achilles reflex) and the biceps reflex.
Cumulative Trauma Disorders (CTDs) are a group of conditions that result from repeated exposure to biomechanical stressors, often related to work activities. These disorders can affect the muscles, tendons, nerves, and joints, leading to symptoms such as pain, numbness, tingling, weakness, and reduced range of motion.
CTDs are also known as repetitive strain injuries (RSIs) or overuse injuries. They occur when there is a mismatch between the demands placed on the body and its ability to recover from those demands. Over time, this imbalance can lead to tissue damage and inflammation, resulting in chronic pain and functional limitations.
Examples of CTDs include carpal tunnel syndrome, tendonitis, epicondylitis (tennis elbow), rotator cuff injuries, and trigger finger. Prevention strategies for CTDs include proper ergonomics, workstation design, body mechanics, taking regular breaks to stretch and rest, and performing exercises to strengthen and condition the affected muscles and joints.
Articular Range of Motion (AROM) is a term used in physiotherapy and orthopedics to describe the amount of movement available in a joint, measured in degrees of a circle. It refers to the range through which synovial joints can actively move without causing pain or injury. AROM is assessed by measuring the degree of motion achieved by active muscle contraction, as opposed to passive range of motion (PROM), where the movement is generated by an external force.
Assessment of AROM is important in evaluating a patient's functional ability and progress, planning treatment interventions, and determining return to normal activities or sports participation. It is also used to identify any restrictions in joint mobility that may be due to injury, disease, or surgery, and to monitor the effectiveness of rehabilitation programs.
Reconstructive surgical procedures are a type of surgery aimed at restoring the form and function of body parts that are defective or damaged due to various reasons such as congenital abnormalities, trauma, infection, tumors, or disease. These procedures can involve the transfer of tissue from one part of the body to another, manipulation of bones, muscles, and tendons, or use of prosthetic materials to reconstruct the affected area. The goal is to improve both the physical appearance and functionality of the body part, thereby enhancing the patient's quality of life. Examples include breast reconstruction after mastectomy, cleft lip and palate repair, and treatment of severe burns.
Tenodesis is a surgical procedure where a damaged or torn tendon is attached to a nearby bone using sutures, anchors, or screws. The term specifically refers to the surgical fixation of a tendon to a bone. This procedure is often performed to treat injuries of the shoulder or wrist, such as rotator cuff tears or distal biceps tendon ruptures.
The goal of tenodesis is to provide stability and restore function to the affected joint by creating a new, stable attachment point for the tendon. This procedure can help reduce pain, improve strength, and enhance overall joint mobility. It is typically recommended when non-surgical treatments have failed or are not appropriate for the patient's injury.
It is important to note that tenodesis should not be confused with tenotomy, which is a surgical procedure where a tendon is cut to release tension and improve mobility in a joint.
Skeletal muscle, also known as striated or voluntary muscle, is a type of muscle that is attached to bones by tendons or aponeuroses and functions to produce movements and support the posture of the body. It is composed of long, multinucleated fibers that are arranged in parallel bundles and are characterized by alternating light and dark bands, giving them a striped appearance under a microscope. Skeletal muscle is under voluntary control, meaning that it is consciously activated through signals from the nervous system. It is responsible for activities such as walking, running, jumping, and lifting objects.
Articular ligaments, also known as fibrous ligaments, are bands of dense, fibrous connective tissue that connect and stabilize bones to each other at joints. They help to limit the range of motion of a joint and provide support, preventing excessive movement that could cause injury. Articular ligaments are composed mainly of collagen fibers arranged in a parallel pattern, making them strong and flexible. They have limited blood supply and few nerve endings, which makes them less prone to injury but also slower to heal if damaged. Examples of articular ligaments include the anterior cruciate ligament (ACL) and posterior cruciate ligament (PCL) in the knee joint, and the medial collateral ligament (MCL) and lateral collateral ligament (LCL) in the elbow joint.
In medicine, elasticity refers to the ability of a tissue or organ to return to its original shape after being stretched or deformed. This property is due to the presence of elastic fibers in the extracellular matrix of the tissue, which can stretch and recoil like rubber bands.
Elasticity is an important characteristic of many tissues, particularly those that are subjected to repeated stretching or compression, such as blood vessels, lungs, and skin. For example, the elasticity of the lungs allows them to expand and contract during breathing, while the elasticity of blood vessels helps maintain normal blood pressure by allowing them to expand and constrict in response to changes in blood flow.
In addition to its role in normal physiology, elasticity is also an important factor in the diagnosis and treatment of various medical conditions. For example, decreased elasticity in the lungs can be a sign of lung disease, while increased elasticity in the skin can be a sign of aging or certain genetic disorders. Medical professionals may use techniques such as pulmonary function tests or skin biopsies to assess elasticity and help diagnose these conditions.
Connective tissue is a type of biological tissue that provides support, strength, and protection to various structures in the body. It is composed of cells called fibroblasts, which produce extracellular matrix components such as collagen, elastin, and proteoglycans. These components give connective tissue its unique properties, including tensile strength, elasticity, and resistance to compression.
There are several types of connective tissue in the body, each with its own specific functions and characteristics. Some examples include:
1. Loose or Areolar Connective Tissue: This type of connective tissue is found throughout the body and provides cushioning and support to organs and other structures. It contains a large amount of ground substance, which allows for the movement and gliding of adjacent tissues.
2. Dense Connective Tissue: This type of connective tissue has a higher concentration of collagen fibers than loose connective tissue, making it stronger and less flexible. Dense connective tissue can be further divided into two categories: regular (or parallel) and irregular. Regular dense connective tissue, such as tendons and ligaments, has collagen fibers that run parallel to each other, providing great tensile strength. Irregular dense connective tissue, such as the dermis of the skin, has collagen fibers arranged in a more haphazard pattern, providing support and flexibility.
3. Adipose Tissue: This type of connective tissue is primarily composed of fat cells called adipocytes. Adipose tissue serves as an energy storage reservoir and provides insulation and cushioning to the body.
4. Cartilage: A firm, flexible type of connective tissue that contains chondrocytes within a matrix of collagen and proteoglycans. Cartilage is found in various parts of the body, including the joints, nose, ears, and trachea.
5. Bone: A specialized form of connective tissue that consists of an organic matrix (mainly collagen) and an inorganic mineral component (hydroxyapatite). Bone provides structural support to the body and serves as a reservoir for calcium and phosphate ions.
6. Blood: Although not traditionally considered connective tissue, blood does contain elements of connective tissue, such as plasma proteins and leukocytes (white blood cells). Blood transports nutrients, oxygen, hormones, and waste products throughout the body.
The Anterior Cruciate Ligament (ACL) is a major stabilizing ligament in the knee. It is one of the four strong bands of tissue that connect the bones of the knee joint together. The ACL runs diagonally through the middle of the knee and helps to control the back and forth motion of the knee, as well as provide stability to the knee joint. Injuries to the ACL often occur during sports or physical activities that involve sudden stops, changes in direction, or awkward landings.
A joint capsule is the fibrous sac that encloses a synovial joint, which is a type of joint characterized by the presence of a cavity filled with synovial fluid. The joint capsule provides stability and strength to the joint, while also allowing for a range of motion. It consists of two layers: an outer fibrous layer and an inner synovial membrane. The fibrous layer is made up of dense connective tissue that helps to stabilize the joint, while the synovial membrane produces synovial fluid, which lubricates the joint and reduces friction during movement.
A forelimb is a term used in animal anatomy to refer to the upper limbs located in the front of the body, primarily involved in movement and manipulation of the environment. In humans, this would be equivalent to the arms, while in quadrupedal animals (those that move on four legs), it includes the structures that are comparable to both the arms and legs of humans, such as the front legs of dogs or the forepaws of cats. The bones that make up a typical forelimb include the humerus, radius, ulna, carpals, metacarpals, and phalanges.
The shoulder joint, also known as the glenohumeral joint, is the most mobile joint in the human body. It is a ball and socket synovial joint that connects the head of the humerus (upper arm bone) to the glenoid cavity of the scapula (shoulder blade). The shoulder joint allows for a wide range of movements including flexion, extension, abduction, adduction, internal rotation, and external rotation. It is surrounded by a group of muscles and tendons known as the rotator cuff that provide stability and enable smooth movement of the joint.
In medical terms, toes are the digits located at the end of the foot. Humans typically have five toes on each foot, consisting of the big toe (hallux), second toe, third toe, fourth toe, and little toe (fifth toe). The bones of the toes are called phalanges, with the exception of the big toe, which has a different bone structure and is composed of a proximal phalanx, distal phalanx, and sometimes a sesamoid bone.
Toes play an essential role in maintaining balance and assisting in locomotion by helping to push off the ground during walking or running. They also contribute to the overall stability and posture of the body. Various medical conditions can affect toes, such as ingrown toenails, bunions, hammertoes, and neuromas, which may require specific treatments or interventions to alleviate pain, restore function, or improve appearance.
Athletic injuries are damages or injuries to the body that occur while participating in sports, physical activities, or exercise. These injuries can be caused by a variety of factors, including:
1. Trauma: Direct blows, falls, collisions, or crushing injuries can cause fractures, dislocations, contusions, lacerations, or concussions.
2. Overuse: Repetitive motions or stress on a particular body part can lead to injuries such as tendonitis, stress fractures, or muscle strains.
3. Poor technique: Using incorrect form or technique during exercise or sports can put additional stress on muscles, joints, and ligaments, leading to injury.
4. Inadequate warm-up or cool-down: Failing to properly prepare the body for physical activity or neglecting to cool down afterwards can increase the risk of injury.
5. Lack of fitness or flexibility: Insufficient strength, endurance, or flexibility can make individuals more susceptible to injuries during sports and exercise.
6. Environmental factors: Extreme weather conditions, poor field or court surfaces, or inadequate equipment can contribute to the risk of athletic injuries.
Common athletic injuries include ankle sprains, knee injuries, shoulder dislocations, tennis elbow, shin splints, and concussions. Proper training, warm-up and cool-down routines, use of appropriate protective gear, and attention to technique can help prevent many athletic injuries.
I'm sorry for any confusion, but "friction" is not a term that has a specific medical definition. Friction is a physical concept that describes the force that resists the sliding of one surface over another. It is commonly described as the "roughness" between two surfaces. While friction can have effects on various biological processes and medical devices, it does not have a unique medical meaning in and of itself.
A suture anchor is a medical device used in surgical procedures, particularly in orthopedic and cardiovascular surgeries. It is typically made of biocompatible materials such as metal (titanium or absorbable steel) or polymer (absorbable or non-absorbable). The suture anchor serves to attach a suture to bone securely, providing a stable fixation point for soft tissue reattachment or repair.
Suture anchors come in various shapes and sizes, including screws, hooks, or buttons, designed to fit specific surgical needs. Surgeons insert the anchor into a predrilled hole in the bone, and then pass the suture through the eyelet or loop of the anchor. Once the anchor is securely in place, the surgeon can tie the suture to attach tendons, ligaments, or other soft tissues to the bone.
The use of suture anchors has revolutionized many surgical procedures by providing a more reliable and less invasive method for reattaching soft tissues to bones compared to traditional methods such as drill holes and staples.
The calcaneus is the largest tarsal bone in the human foot, and it is commonly known as the heel bone. It articulates with the cuboid bone anteriorly, the talus bone superiorly, and several tendons and ligaments that help to form the posterior portion of the foot's skeletal structure. The calcaneus plays a crucial role in weight-bearing and movement, as it forms the lower part of the leg's ankle joint and helps to absorb shock during walking or running.
In the context of human anatomy, the term "tail" is not used to describe any part of the body. Humans are considered tailless primates, and there is no structure or feature that corresponds directly to the tails found in many other animals.
However, there are some medical terms related to the lower end of the spine that might be confused with a tail:
1. Coccyx (Tailbone): The coccyx is a small triangular bone at the very bottom of the spinal column, formed by the fusion of several rudimentary vertebrae. It's also known as the tailbone because it resembles the end of an animal's tail in its location and appearance.
2. Cauda Equina (Horse's Tail): The cauda equina is a bundle of nerve roots at the lower end of the spinal cord, just above the coccyx. It got its name because it looks like a horse's tail due to the numerous rootlets radiating from the conus medullaris (the tapering end of the spinal cord).
These two structures are not tails in the traditional sense but rather medical terms related to the lower end of the human spine.
The wrist joint, also known as the radiocarpal joint, is a condyloid joint that connects the distal end of the radius bone in the forearm to the proximal row of carpal bones in the hand (scaphoid, lunate, and triquetral bones). It allows for flexion, extension, radial deviation, and ulnar deviation movements of the hand. The wrist joint is surrounded by a capsule and reinforced by several ligaments that provide stability and strength to the joint.
In medical terms, sutures are specialized surgical threads made from various materials such as absorbable synthetic or natural fibers, or non-absorbable materials like nylon or silk. They are used to approximate and hold together the edges of a wound or incision in the skin or other tissues during the healing process. Sutures come in different sizes, types, and shapes, each designed for specific uses and techniques depending on the location and type of tissue being sutured. Properly placed sutures help to promote optimal healing, minimize scarring, and reduce the risk of infection or other complications.
Knee injuries refer to damages or harm caused to the structures surrounding or within the knee joint, which may include the bones (femur, tibia, and patella), cartilage (meniscus and articular cartilage), ligaments (ACL, PCL, MCL, and LCL), tendons (patellar and quadriceps), muscles, bursae, and other soft tissues. These injuries can result from various causes, such as trauma, overuse, degeneration, or sports-related activities. Symptoms may include pain, swelling, stiffness, instability, reduced range of motion, and difficulty walking or bearing weight on the affected knee. Common knee injuries include fractures, dislocations, meniscal tears, ligament sprains or ruptures, and tendonitis. Proper diagnosis and treatment are crucial to ensure optimal recovery and prevent long-term complications.
In medical terms, the thumb is referred to as "pollex" and it's the first digit of the hand, located laterally to the index finger. It's opposable, meaning it can move opposite to the other fingers, allowing for powerful gripping and precise manipulation. The thumb contains two phalanges bones - the distal and proximal - and is connected to the hand by the carpometacarpal joint, which provides a wide range of motion.
Arthroscopy is a minimally invasive surgical procedure where an orthopedic surgeon uses an arthroscope (a thin tube with a light and camera on the end) to diagnose and treat problems inside a joint. The surgeon makes a small incision, inserts the arthroscope into the joint, and then uses the attached camera to view the inside of the joint on a monitor. They can then insert other small instruments through additional incisions to repair or remove damaged tissue.
Arthroscopy is most commonly used for joints such as the knee, shoulder, hip, ankle, and wrist. It offers several advantages over traditional open surgery, including smaller incisions, less pain and bleeding, faster recovery time, and reduced risk of infection. The procedure can be used to diagnose and treat a wide range of conditions, including torn ligaments or cartilage, inflamed synovial tissue, loose bone or cartilage fragments, and joint damage caused by arthritis.
A finger joint, also known as an articulation, is the point where two bones in a finger connect and allow for movement. The majority of finger joints are classified as hinge joints, permitting flexion and extension movements. These joints consist of several components:
1. Articular cartilage: Smooth tissue that covers the ends of the bones, enabling smooth movement and protecting the bones from friction.
2. Joint capsule: A fibrous sac enclosing the joint, providing stability and producing synovial fluid for lubrication.
3. Synovial membrane: Lines the inner surface of the joint capsule and produces synovial fluid to lubricate the joint.
4. Volar plate (palmar ligament): A strong band of tissue located on the palm side of the joint, preventing excessive extension and maintaining alignment.
5. Collateral ligaments: Two bands of tissue located on each side of the joint, providing lateral stability and limiting radial and ulnar deviation.
6. Flexor tendons: Tendons that attach to the bones on the palmar side of the finger joints, facilitating flexion movements.
7. Extensor tendons: Tendons that attach to the bones on the dorsal side of the finger joints, enabling extension movements.
Finger joints are essential for hand function and enable activities such as grasping, holding, writing, and manipulating objects.