Multiple Tendon Ruptures of Unknown Etiology

Axibal, Derek P.; Anderson, John G.

doi:10.1177/1938640013501545

Cited by 3 publications

(4 citation statements)

References 17 publications

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“…It takes approximately one year for the fibres of the Achilles tendon to be properly oriented and to achieve over 80% of the strength of healthy tendon [24] . Since we did not directly evaluate the mechanical properties of tendons, but instead performed only histological evaluation, it can be concluded that there were better biomechanical properties owing to more collagen fibres in group A similarly as reported by Axibal and Anderson (2013) [2] . In Group B, reticulin fibres were the dominant type.…”

Section: Discussionsupporting

confidence: 55%

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Extracellular matrix supports healing of transected rabbit Achilles tendon

Lipar

Zdilar

Kreszinger

et al. 2018

Heliyon

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Extracellular matrix (ECM) has been intensively used in cardio surgery. The main goal of this research was to determine if Achilles tendon healing could be promoted by applying extracellular matrix scaffold (CorMatrix®, USA). Sixteen (n = 16) New Zealand white mature rabbits (Oryctolagus cuniculus) were randomly allocated into two groups. Following complete surgical transection, rabbits in group A (ECM applied) (n = 8) had their Achilles tendons reconstructed using both, nylon suture and extracellular matrix scaffold, whereas in group B (without ECM) the tendons were reconstructed using nylon suture only. After four weeks, the rabbits were euthanized and tendon samples harvested and stained with hematoxylin eosin, Mallory, and Gomory and subsequently histologically analyzed according to modified Bonnar scale. Group B had significantly stronger inflammatory response, including abundant cell infiltration and neovascularization. In group A collagen fibers were predominantly found, whereas in group B reticular fibers were more abundant. Extracellular matrix scaffold has been found to have the real potential for promoting tendon healing through accelerating collagen formation, which is crucial for restoring biomechanical properties of a tendon, decreasing peritendineous adhesion formation, and reducing inflammatory edema and subsequently pain.

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Section: Discussionsupporting

confidence: 55%

“…Injuries and subsequent inflammatory response in tendineous tissue are the common cause of pain and movement disorders. The adequate treatment usually includes a long term recovery period [2] . The injured tendon seems to be the most metabolically active during the first six months following surgical reconstruction [3] .…”

Section: Introductionmentioning

confidence: 99%

Extracellular matrix supports healing of transected rabbit Achilles tendon

Lipar

Zdilar

Kreszinger

et al. 2018

Heliyon

View full text Add to dashboard Cite

show abstract

“…Axibal and Anderson 20 described a patient with bilateral peroneus longus and peroneus brevis ruptures, as well as an Achilles tendon rupture on the left side plus a tendinopathy of the Achilles tendon on the right side of uncertain aetiology. We identified more similar cases of patients who had taken medications, especially cortisone and levofloxacine.…”

Section: Discussionmentioning

confidence: 99%

Atraumatic bilateral rupture of the peroneus brevis tendon in recreational sport: A case report

Scheidegger

Weisskopf

Hirschmüller

2017

SAGE Open Medical Case Reports

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Issue:Lower extremity tendon injuries often occur in physically active individuals. Most ruptures not involving great force are diagnosed in patients presenting underlying tendon degenerations. This also applies to patients taking medications because of a disease. We have observed several cases of bilateral Achilles tendon ruptures in patients who have been taking cortisone for a long period. We treated a healthy colleague (neurologist) in our clinic who sustained ruptures of the Achilles tendon on the left side (2012) and the peroneus brevis tendon on left side (2015) and right side (2016) after minimal traumata. Aim of this report is to provide a systematic review of this case and a literature review of similar cases, as few such cases have been published.Methods:We reviewed and analysed this patient’s records containing the sport-specific anamnesis, pre-existing condition, anamnesis of medications and therapy. The three injuries were magnetic resonance imaging–proven. Furthermore, the tendon’s condition was examined histologically in the context of the operative treatment through lace technique of the Achilles tendon and transfer of the peroneus brevis to the peroneus longus. We also researched the literature for bilateral ruptures of the peroneal tendons.Results and conclusion:The anamnesis confirmed no underlying disease. The patient took a macrolide antibiotic about half a year prior to the first peroneal injury for an otitis media. He denied having taken any other antibiotics, especially no quinolone antibiotics. However, the patient reported cortisone intake for 2 days some months before the second peroneal injury to treat an allergic reaction. That involved no local cortisone infiltration in the lower extremity. He underwent surgery within the first 2 weeks after each trauma. Each time, postoperative follow-ups revealed a good healing process. Three months after each operation, the patient was free of complaints. Axibal and Anderson described a patient with bilateral peroneus longus and peroneus brevis ruptures, as well as an Achilles tendon rupture on the left side plus tendinopathy of the Achilles tendon on the right side of uncertain aetiology. We detected additional similar cases in patients who had taken medications, especially cortisone and levofloxacine. Further research should be conducted to clarify other risk factors to help prevent such injuries.

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“…The aetiology of tendon rupture is not completely understood [90]. However, it appears to be multi-factorial, typically involving a combination of excessive loading and intrinsic risk factors [91]. Histologically, degenerative tendinopathy is the most frequent finding in acute tendon ruptures [92].…”

Section: Tendon and Ligament Pathologiesmentioning

confidence: 99%

Tendon and Ligament Injuries in Elite Rugby: The Potential Genetic Influence

Brazier

Antrobus

Stebbings

et al. 2019

Sports

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This article reviews tendon and ligament injury incidence and severity within elite rugby union and rugby league. Furthermore, it discusses the biological makeup of tendons and ligaments and how genetic variation may influence this and predisposition to injury. Elite rugby has one of the highest reported injury incidences of any professional sport. This is likely due to a combination of well-established injury surveillance systems and the characteristics of the game, whereby high-impact body contact frequently occurs, in addition to the high intensity, multispeed and multidirectional nature of play. Some of the most severe of all these injuries are tendon and ligament/joint (non-bone), and therefore, potentially the most debilitating to a player and playing squad across a season or World Cup competition. The aetiology of these injuries is highly multi-factorial, with a growing body of evidence suggesting that some of the inter-individual variability in injury susceptibility may be due to genetic variation. However, little effort has been devoted to the study of genetic injury traits within rugby athletes. Due to a growing understanding of the molecular characteristics underpinning the aetiology of injury, investigating genetic variation within elite rugby is a viable and worthy proposition. Therefore, we propose several single nucleotide polymorphisms within candidate genes of interest; COL1A1, COL3A1, COL5A1, MIR608, MMP3, TIMP2, VEGFA, NID1 and COLGALT1 warrant further study within elite rugby and other invasion sports.

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Multiple Tendon Ruptures of Unknown Etiology

Abstract: Therapeutic, Level IV, Case Study.

Cited by 3 publications

References 17 publications

Extracellular matrix supports healing of transected rabbit Achilles tendon

Extracellular matrix supports healing of transected rabbit Achilles tendon

Atraumatic bilateral rupture of the peroneus brevis tendon in recreational sport: A case report

Tendon and Ligament Injuries in Elite Rugby: The Potential Genetic Influence

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