Tendon injury and repair - A perspective on the basic mechanisms of tendon disease and future clinical therapy

J.G. Snedeker, J. Foolen

Research output: Contribution to journalArticleAcademicpeer-review

102 Citations (Scopus)
482 Downloads (Pure)

Abstract

Tendon is an intricately organized connective tissue that efficiently transfers muscle force to the bony skeleton. Its structure, function, and physiology reflect the extreme, repetitive mechanical stresses that tendon tissues bear. These mechanical demands also lie beneath high clinical rates of tendon disorders, and present daunting challenges for clinical treatment of these ailments. This article aims to provide perspective on the most urgent frontiers of tendon research and therapeutic development. We start by broadly introducing essential elements of current understanding about tendon structure, function, physiology, damage, and repair. We then introduce and describe a novel paradigm explaining tendon disease progression from initial accumulation of damage in the tendon core to eventual vascular recruitment from the surrounding synovial tissues. We conclude with a perspective on the important role that biomaterials will play in translating research discoveries to the patient.

STATEMENT OF SIGNIFICANE: Tendon and ligament problems represent the most frequent musculoskeletal complaints for which patients seek medical attention. Current therapeutic options for addressing tendon disorders are often ineffective, and the need for improved understanding of tendon physiology is urgent. This perspective article summarizes essential elements of our current knowledge on tendon structure, function, physiology, damage, and repair. It also describes a novel framework to understand tendon physiology and pathophysiology that may be useful in pushing the field forward.

Original languageEnglish
Pages (from-to)18-36
Number of pages19
JournalActa Biomaterialia
Volume63
Early online date31 Aug 2017
DOIs
Publication statusPublished - 1 Nov 2017

Keywords

  • Angiogenesis
  • Degeneration
  • Inflammation
  • Regeneration
  • Tendon
  • Therapy

Fingerprint

Dive into the research topics of 'Tendon injury and repair - A perspective on the basic mechanisms of tendon disease and future clinical therapy'. Together they form a unique fingerprint.

Cite this