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Tendons--time to revisit inflammation.

Rees JD, Stride M, Scott A - Br J Sports Med (2013)

Bottom Line: Current treatment strategies are focused on physical treatments, peritendinous or intratendinous injections of blood or blood products and interruption of painful stimuli.Results have been at best, moderately good and at worst a failure.There is convincing evidence that the inflammatory response is a key component of chronic tendinopathy.

View Article: PubMed Central - PubMed

Affiliation: Department of Rheumatology, Cambridge University Hospitals NHS Foundation Trust, Cambridge, UK.

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Related in: MedlinePlus

Power Doppler ultrasound in ‘overuse’ and ‘inflammatory’ tendon disorders. Sonographically it is often impossible to determine the cause of tendinopathy from Power Doppler signals. The top row of images are all of patients without underlying rheumatological diagnosis and in whom mechanical overload or injury was the cause of the tendinopathy (from left to right insertional Achilles tendinopathy, proximal patellar tendon pathology and mid-peroneal tendon pathology). The bottom row of images is of patients with a known inflammatory rheumatological diagnosis. From left to right tibialis posterior tendinopathy (in RA) and insertional Achilles tendinopathy in a patient with reactive arthritis (longitudinal and transverse sections).
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BJSPORTS2012091957F1: Power Doppler ultrasound in ‘overuse’ and ‘inflammatory’ tendon disorders. Sonographically it is often impossible to determine the cause of tendinopathy from Power Doppler signals. The top row of images are all of patients without underlying rheumatological diagnosis and in whom mechanical overload or injury was the cause of the tendinopathy (from left to right insertional Achilles tendinopathy, proximal patellar tendon pathology and mid-peroneal tendon pathology). The bottom row of images is of patients with a known inflammatory rheumatological diagnosis. From left to right tibialis posterior tendinopathy (in RA) and insertional Achilles tendinopathy in a patient with reactive arthritis (longitudinal and transverse sections).

Mentions: Power Doppler US assessment of, for example, an entheseal lesion or tendon body in a confirmed rheumatological inflammatory arthritis can look indistinguishable from that seen in a ‘degenerative’ tendinopathy (see figure 1).


Tendons--time to revisit inflammation.

Rees JD, Stride M, Scott A - Br J Sports Med (2013)

Power Doppler ultrasound in ‘overuse’ and ‘inflammatory’ tendon disorders. Sonographically it is often impossible to determine the cause of tendinopathy from Power Doppler signals. The top row of images are all of patients without underlying rheumatological diagnosis and in whom mechanical overload or injury was the cause of the tendinopathy (from left to right insertional Achilles tendinopathy, proximal patellar tendon pathology and mid-peroneal tendon pathology). The bottom row of images is of patients with a known inflammatory rheumatological diagnosis. From left to right tibialis posterior tendinopathy (in RA) and insertional Achilles tendinopathy in a patient with reactive arthritis (longitudinal and transverse sections).
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4215290&req=5

BJSPORTS2012091957F1: Power Doppler ultrasound in ‘overuse’ and ‘inflammatory’ tendon disorders. Sonographically it is often impossible to determine the cause of tendinopathy from Power Doppler signals. The top row of images are all of patients without underlying rheumatological diagnosis and in whom mechanical overload or injury was the cause of the tendinopathy (from left to right insertional Achilles tendinopathy, proximal patellar tendon pathology and mid-peroneal tendon pathology). The bottom row of images is of patients with a known inflammatory rheumatological diagnosis. From left to right tibialis posterior tendinopathy (in RA) and insertional Achilles tendinopathy in a patient with reactive arthritis (longitudinal and transverse sections).
Mentions: Power Doppler US assessment of, for example, an entheseal lesion or tendon body in a confirmed rheumatological inflammatory arthritis can look indistinguishable from that seen in a ‘degenerative’ tendinopathy (see figure 1).

Bottom Line: Current treatment strategies are focused on physical treatments, peritendinous or intratendinous injections of blood or blood products and interruption of painful stimuli.Results have been at best, moderately good and at worst a failure.There is convincing evidence that the inflammatory response is a key component of chronic tendinopathy.

View Article: PubMed Central - PubMed

Affiliation: Department of Rheumatology, Cambridge University Hospitals NHS Foundation Trust, Cambridge, UK.

Show MeSH
Related in: MedlinePlus