Subcutaneous rupture of the tibialis anterior tendon: review of the literature and a case report

Kausch, T.; Rütt, J.

doi:10.1007/s004020050250

Cited by 52 publications

(47 citation statements)

References 12 publications

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“…It is not entirely surprising that energy-storing flexor tendons are injured far more than positional tendons as they are exposed to very high strains during normal loading conditions [7,46,47]. However, factors that predispose certain tendons to tendinopathy are yet to be identified.…”

Section: (A)mentioning

confidence: 99%

Specialization of tendon mechanical properties results from interfascicular differences

Thorpe

Udeze

Birch

et al. 2012

J. R. Soc. Interface.

193

265

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Tendons transfer force from muscle to bone. Specific tendons, including the equine superficial digital flexor tendon (SDFT), also store and return energy. For efficient function, energystoring tendons need to be more extensible than positional tendons such as the common digital extensor tendon (CDET), and when tested in vitro have a lower modulus and failure stress, but a higher failure strain. It is not known how differences in matrix organization contribute to distinct mechanical properties in functionally different tendons. We investigated the properties of whole tendons, tendon fascicles and the fascicular interface in the highstrain energy-storing SDFT and low-strain positional CDET. Fascicles failed at lower stresses and strains than tendons. The SDFT was more extensible than the CDET, but SDFT fascicles failed at lower strains than CDET fascicles, resulting in large differences between tendon and fascicle failure strain in the SDFT. At physiological loads, the stiffness at the fascicular interface was lower in the SDFT samples, enabling a greater fascicle sliding that could account for differences in tendon and fascicle failure strain. Sliding between fascicles prior to fascicle extension in the SDFT may allow the large extensions required in energy-storing tendons while protecting fascicles from damage.

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Section: (A)mentioning

confidence: 99%

Specialization of tendon mechanical properties results from interfascicular differences

Thorpe

Udeze

Birch

et al. 2012

J. R. Soc. Interface.

193

265

View full text Add to dashboard Cite

show abstract

“…Kausch e Rutt (4) revisaram 33 casos compilados da literatura contemporânea. A maioria dos trabalhos diz respeito a relatos de casos com a maior série de Bernstein apud Velan e Hendel (6) , citando 24 casos.…”

Section: Discussionunclassified

“…As roturas completas devidamente estadiadas têm no tratamento cirúrgico o méto-do de eleição na preferência dos autores (1,3,4) . Entretanto, Markarian et al (5) , Burman (1934) e Moskowitz (1971) apud Kashyap e Prince (2) relatam bons resultados com tratamento conservador de tendinopatias e afirmam que o tratamento não cruento pode ser uma boa alternativa para os pacientes idosos de baixa demanda funcional.…”

Section: Introductionunclassified

Tendinopatia do compartimento anterior do tornozelo

Carvalho¹,

Bittar²,

Salomão

et al. 2010

Rev. bras. ortop.

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“…11 Most often the rupture occurs as a consequence of a sudden plantar flexion of the ankle and pre-existing degenerative changes of the tendon tissue due to systemic disease or iatrogenic local corticoid injections. 6,7,8,10 As stated by Bunnell and by McMaster, normal musculotendinous mechanisms may rupture in one of four locations. 2,3,4 Its order of frequency these are: (1) the insertion (by rupture of the tendons fibers or avulsion of a fragment of bone); (2) the musculotendinous juncture; 5 (3) the muscle belly; (4) the origin (in which rupture is rare).…”

mentioning

confidence: 95%

“…11 Moberg suggests that in chronic cases, when a marked degree of muscle contracture has developed as a result of prolonged retraction, the diastasis can be bridged by use of the tendon of the extensor hallucis longus or tendon grafts or augmentoplasty. 5,7,10,12,15 The stump of the proximal portion of the tibialis anterior is sutured to this tendon, which is sectioned with sufficient length to allow it to be brought through the annular ligament and attached to the distal fragment of the tibialis anterior or its insertion. The distal portion of the extensor hallucis tendon is then inserted to the long extensor-of the second toe.…”

mentioning

confidence: 99%