Vascular Density of the Posterior Tibial Tendon: A Cadaver Study

Prado, Marcelo Pires; Carvalho, Antônio Egydio de; Rodrigues, Consuelo Junqueira; Fernandes, Túlio Diniz; Mendes, Alberto Abussamra Morreira; Salomão, Osny

doi:10.1177/107110070602700811

Cited by 28 publications

(13 citation statements)

References 23 publications

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“…the Achilles tendon, tibialis posterior and supraspinatus (Rees et al 2006). Nevertheless, this view is by no means universally accepted (Prado et al 2006). Studies using Doppler ultrasonography suggest that the vascularity of tendons in a given individual can vary from day to day and according to exercise levels (Cook et al 2005).…”

Section: Neurovascular Supply Of Tendonsmentioning

confidence: 99%

Structure‐function relationships in tendons: a review

2008

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The purpose of the current review is to highlight the structure-function relationship of tendons and related structures to provide an overview for readers whose interest in tendons needs to be underpinned by anatomy. Because of the availability of several recent reviews on tendon development and entheses, the focus of the current work is primarily directed towards what can best be described as the 'tendon proper' or the 'mid-substance' of tendons. The review covers all levels of tendon structure from the molecular to the gross and deals both with the extracellular matrix and with tendon cells. The latter are often called 'tenocytes' and are increasingly recognized as a defined cell population that is functionally and phenotypically distinct from other fibroblast-like cells. This is illustrated by their response to different types of mechanical stress. However, it is not only tendon cells, but tendons as a whole that exhibit distinct structure-function relationships geared to the changing mechanical stresses to which they are subject. This aspect of tendon biology is considered in some detail. Attention is briefly directed to the blood and nerve supply of tendons, for this is an important issue that relates to the intrinsic healing capacity of tendons. Structures closely related to tendons (joint capsules, tendon sheaths, pulleys, retinacula, fat pads and bursae) are also covered and the concept of a 'supertendon' is introduced to describe a collection of tendons in which the function of the whole complex exceeds that of its individual members. Finally, attention is drawn to the important relationship between tendons and fascia, highlighted by Wood Jones in his concept of an 'ectoskeleton' over half a century ago -work that is often forgotten today.

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Section: Neurovascular Supply Of Tendonsmentioning

confidence: 99%

Structure‐function relationships in tendons: a review

2008

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“…No entanto estudos mais recentes, utilizando cadáveres para verificar a vascularização deste tendão, demonstraram que nenhuma área de hipovascularização foi detectada no local onde são apontadas as lesões degenerativas causadas por este fator. A partir deste fato, esse estudo concluiu que a lesão degenerativa pode ser decorrente de estresse mecânico ao invés de isquemia [30].…”

Section: Resultsunclassified

Abordagem cinesioterapêutica na disfunção do músculo tibial posterior

Silva¹

2016

Fisioter Bras

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ResumoIntrodução: O músculo tibial posterior é responsável pelos movimentos de inversão e flexão plantar do pé. Durante a marcha executa a função de posicionamento do pé e sua acomodação. Sua disfunção acarreta um desequilíbrio muscular, alteração no comportamento do arco longitudinal medial do pé. Atualmente, esta patologia é classificada em quatro fases, com início de quadro álgico e edema que progride para rigidez e alterações estruturais. Objetivo: Este trabalho visou analisar as estratégias cinesioterapêuticas para o tratamento da disfunção do músculo tibial posterior (DMTP). Material e métodos: Esta pesquisa foi uma revisão bibliográfica que utilizou as bases de dados Lilacs, Medline e Scielo com os seguintes descritores: disfunção do tibial posterior, fisioterapia, cinesioterapia e tratamento. O período de busca abordou desde 1992 até 2012. Resultados: Os dados apontaram para uma redução dos sintomas através da utilização de órteses associada à intervenção de anti-inflamatórios. Discussão: As abordagens cinesioterapêuticas apresentam sua fundamentação em alongamentos da região posterior e fortalecimento da musculatura acometida. Conclusão: Não há um consenso na literatura sobre o programa de exercícios que apresentem resultados benéficos mais substanciais. Portanto, há uma necessidade de novos estudos sobre o tema para que possamos elucidar a real contribuição das abordagens cinesioterapêuticas no tratamento da DMTP.

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“…Frey et al 39 43 found an increase in vascular density in the more distal segments but no decreased vascularization around the medial malleolus. Frey et al 39 43 found an increase in vascular density in the more distal segments but no decreased vascularization around the medial malleolus.…”

Section: Radiculopathy 52mentioning

confidence: 97%

Posterior Tibial Tendinopathy

Beeson

2014

Journal of the American Podiatric Medical Association

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To date, studies have examined various intrinsic and extrinsic risk factors implicated in the etiology of PTT. The interaction of these factors with an individual's genetic background may provide valuable data and help offer a more complete risk profile for PTT. A properly constructed genetic association study to determine the genetic basis of PTT would provide a novel and alternative approach to understanding this condition.

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Vascular Density of the Posterior Tibial Tendon: A Cadaver Study

Abstract: These results indicate that an area of decreased vascularity is not a factor in degeneration of the posterior tibial tendon at the medial malleolus.

Cited by 28 publications

References 23 publications

Structure‐function relationships in tendons: a review

Structure‐function relationships in tendons: a review

Abordagem cinesioterapêutica na disfunção do músculo tibial posterior

Posterior Tibial Tendinopathy

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