Renewal of Tendon Insertion
A special issue of Applied Sciences (ISSN 2076-3417). This special issue belongs to the section "Applied Biosciences and Bioengineering".
Deadline for manuscript submissions: closed (22 April 2022) | Viewed by 264
Special Issue Editors
Interests: shoulder; rotator cuff tear; biology
Special Issue Information
Dear Colleagues,
Tendon insertion pathology is one of the major tendon problems today. Influences of the modern world as extrinsic (overweight, discontinued or lack of physical activity) and intrinsic factors (age, comorbidities) are leading tendons to unexpected and unprepared-for overloading and micro-trauma. Different tendons express pathology on the tendon–bone interface. Usually, their insertions are on the convex, outside part of the body (shoulder rotator cuff insertion, patellar tendon insertion, Achilles tendon insertion) where the eccentric forces are dominant. Why? These tendons are prone to internal structural changes that generate change in collagen structure, chondroid metaplasia, and eventually ossification on tendon insertion. Why and how is the bone–tendon interface distorted? Treatment modalities differ, but a period of at least 6 months of nonoperative treatment before surgery is generally accepted. Can we renew tendon insertion with a conservative approach? Removal of degenerative tendon tissue and tendon reconstruction are the mainstream of surgical treatment. What is, then, the best approach? How can we fix the tendon, and should we respect the original tendon footprint? What is the rehabilitation procedure, and when can we expect a full recovery? These are the main questions that this Special Issue will address. This Issue should discuss all aspects of tendon–bone pathology and current research guidelines such as biological approaches of molecular and tissue mediators’ activity level and tendon–bone healing updates, biomechanical approaches, surgical reconstruction approaches, and physotherapy or rehabilitation support. Thank you for joining us as a reader or a contributor presenting your research and ideas in this exciting zone of the tendon–bone interface and attempting to find answers to these questions.
Kind regards,
Dr. Masafumi Gotoh
Dr. Hrvoje Klobučar
Guest Editors
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