Este artículo es publicado originalmente en:
http://www.ncbi.nlm.nih.gov/pubmed/25489552
De:
The integration of tendon into bone occurs at a specialized interface known as the enthesis. The fibrous tendon to bone enthesis is established through a structurally continuous gradient from uncalcified tendon to calcified bone. The enthesis exhibits gradients in tissue organization classified into four distinct zones with varying cellular compositions, mechanical properties, and functions in order to facilitate joint movement. Damage to tendinous insertions is common in the field of orthopaedic medicine and often involves surgical intervention that requires the attempted recreation of the natural organization of tendon into bone. The difficulty associated with recreating the distinct organization may account for the surgicalchallenges associated with reconstruction of damaged insertion sites. These procedures are often associated with high failure rates and consequently require revision procedures. Management of tendinous injuries and reconstruction of the insertion site is becoming a popular topic in the field of orthopaedic medicine.
KEYWORDS: bone; enthesi
http://www.ncbi.nlm.nih.gov/pubmed/25489552
De:
Muscles Ligaments Tendons J. 2014 Nov 17;4(3):333-42. eCollection 2014.
The enthesis: a review of the tendon-to-bone insertion.
Apostolakos J1, Durant TJ1, Dwyer CR1, Russell RP1, Weinreb JH1, Alaee F1, Beitzel K2, McCarthy MB1, Cote MP1, Mazzocca AD1.
Abstract
The integration of tendon into bone occurs at a specialized interface known as the enthesis. The fibrous tendon to bone enthesis is established through a structurally continuous gradient from uncalcified tendon to calcified bone. The enthesis exhibits gradients in tissue organization classified into four distinct zones with varying cellular compositions, mechanical properties, and functions in order to facilitate joint movement. Damage to tendinous insertions is common in the field of orthopaedic medicine and often involves surgical intervention that requires the attempted recreation of the natural organization of tendon into bone. The difficulty associated with recreating the distinct organization may account for the surgicalchallenges associated with reconstruction of damaged insertion sites. These procedures are often associated with high failure rates and consequently require revision procedures. Management of tendinous injuries and reconstruction of the insertion site is becoming a popular topic in the field of orthopaedic medicine.
KEYWORDS: bone; enthesi
La integración de tendón en el hueso se produce a una interfaz especializada conocida como la entesis. El tendón fibroso a entesis hueso se establece a través de un gradienteestructuralmente continuo desde tendón al hueso calcificado no calcificada. La entesispresenta gradientes en la organización del tejido clasificado en cuatro zonas distintascon diferentes composiciones celulares, propiedades mecánicas, y funciones a fin de facilitar el movimiento articular. El daño a las inserciones tendinosas es común en elcampo de la medicina ortopédica y a menudo implica la intervención quirúrgica que requiere el intento de recreación de la organización natural del tendón en el hueso. La dificultad asociada con la recreación de la organización distinta puede dar cuenta de lossurgicalchallenges asociados con la reconstrucción de los sitios de inserción dañadas.Estos procedimientos son a menudo asociados con altas tasas de fracaso y en consecuencia requieren procedimientos de revisión. Tratamiento de las lesionestendinosas y reconstrucción de la zona de inserción se está convirtiendo en un tema popular en el campo de la medicina ortopédica.s; reconstruction; tendon
- PMID:
- 25489552
- [PubMed]
- PMCID:
- PMC4241425
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