Stress-shielding as a cause of insertional tendinopathy: the operative technique of limited adductor tenotomy supports this theory

Orchard, J. W., Cook, Jill and Halpin, N. 2004, Stress-shielding as a cause of insertional tendinopathy: the operative technique of limited adductor tenotomy supports this theory, Journal of science and medicine in sport, vol. 7, no. 4, pp. 424-428.

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Title Stress-shielding as a cause of insertional tendinopathy: the operative technique of limited adductor tenotomy supports this theory
Author(s) Orchard, J. W.
Cook, Jill
Halpin, N.
Journal name Journal of science and medicine in sport
Volume number 7
Issue number 4
Start page 424
End page 428
Publisher Sports Medicine Australia
Place of publication Belconnen, A.C.T.
Publication date 2004-12
ISSN 1440-2440
1878-1861
Summary The aetiology of tendinopathy is poorly understood. A new hypothesis proposed argues that tendinopathy may not be purely a tensile injury, rather that altered mechanics such as compression or stress-shielding may be important. Both tendon compression and a decrease in tendon load (stress-shielding) will induce change in a tendon similar to that seen in an insertional tendinopathy.

Stress-shielding as a cause of tendinopathy is supported by the clinical success of operative release of adductor longus. This surgery releases the superficial section of the normal adductor longus tendon at a point distal to the insertion. This may have the effect of transferring stress from the superficial section of the tendon to the stress-shielded deeper portion, and the induction of normal loads in both the deeper and superficial portions of the tendon may assist in tendon recovery. This interesting hypothesis and clinical intervention require further investigation
Notes Available online 16 December 2005.
Language eng
Field of Research 110314 Orthopaedics
HERDC Research category C1.1 Refereed article in a scholarly journal
Copyright notice ©2004, Published by Elsevier
Persistent URL http://hdl.handle.net/10536/DRO/DU:30009229

Document type: Journal Article
Collection: School of Exercise and Nutrition Sciences
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