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      The interfascicular matrix enables fascicle sliding and recovery in tendon, and behaves more elastically in energy storing tendons

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          Abstract

          While the predominant function of all tendons is to transfer force from muscle to bone and position the limbs, some tendons additionally function as energy stores, reducing the cost of locomotion. Energy storing tendons experience extremely high strains and need to be able to recoil efficiently for maximum energy storage and return. In the equine forelimb, the energy storing superficial digital flexor tendon (SDFT) has much higher failure strains than the positional common digital extensor tendon (CDET). However, we have previously shown that this is not due to differences in the properties of the SDFT and CDET fascicles (the largest tendon subunits). Instead, there is a greater capacity for interfascicular sliding in the SDFT which facilitates the greater extensions in this particular tendon ( Thorpe et al., 2012). In the current study, we exposed fascicles and interfascicular matrix (IFM) from the SDFT and CDET to cyclic loading followed by a test to failure. The results show that IFM mechanical behaviour is not a result of irreversible deformation, but the IFM is able to withstand cyclic loading, and is more elastic in the SDFT than in the CDET. We also assessed the effect of ageing on IFM properties, demonstrating that the IFM is less able to resist repetitive loading as it ages, becoming stiffer with increasing age in the SDFT. These results provide further indications that the IFM is important for efficient function in energy storing tendons, and age-related alterations to the IFM may compromise function and predispose older tendons to injury.

          Highlights

          • Fascicle sliding enables high levels of extension in energy storing tendons.

          • Sliding mechanics are governed by the interfascicular matrix (IFM).

          • We assessed IFM extension and recovery.

          • IFM elasticity and recovery are greater in energy storing tendons.

          • The IFM plays an important role in the function of energy storing tendons.

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          Most cited references45

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          In vivo mechanical properties of the human Achilles tendon during one-legged hopping.

          Compliant tendons act as energy stores, which benefit the energetics and power output of a muscle-tendon unit. However the compliance of tendon and the material properties may vary between individuals and hence alter the energy storing capacity of the tendon. We aimed to determine the in vivo Achilles tendon (AT) stress and strain during one-legged hopping and hence the contribution of elastic recoil to mechanical energy changes. We simultaneously measured the length of the Achilles tendon from the muscle-tendon junction to the insertion on the calcaneous and the approximate AT force in ten male participants. The position of the muscle-tendon junction was determined using ultrasound images that were projected into three-dimensional space. Achilles tendon force was measured using inverse dynamics. The results demonstrated that one-legged hopping elicited high tendon strains and that the force-length relationship of the whole tendon is relatively linear, particularly at high strains. The stiffness, elastic modulus and hysteresis varied across the population (inter-quartile range of 145-231 N mm-1, 0.67-1.07 GPa and 17-35%, respectively). These values are within the reported biological range. An average of 38 J of energy was recovered from the elastic recoil of the tendon, which contributes 16% of the total average mechanical work of the hop (254 J). The high strains measured here (average peak strain was 8.3%) and in other studies may be possible due to the complex architecture of the Achilles tendon; however, prolonged hopping may well cause tendon damage. In conclusion, the properties of the elastic Achilles tendon can contribute significantly to the total mechanical work of the body during one-legged hopping; however, individual variation in the properties of the tendon vary the energy storing capacity of this structure.
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            Achilles tendon rupture: a review of etiology, population, anatomy, risk factors, and injury prevention.

            G Hess (2010)
            Sports participation has undergone an increase in recent decades. Injury due to sporting activity has also recently risen. The Achilles tendon has been one of the most common sports-related injuries. A 2 in 100,000 individual Achilles tendon injury rate increased to a 12 in 100,000 individual injury rate in less than 10 years. The injury is typically observed in men in the fourth to fifth decades of life. Male to female injury ratios range from 2:1 to 12:1. Running, jumping, and agility activities involving eccentric loading and explosive plyometric contractions are usual mechanisms. Natural aging allows predisposing chronic degeneration of the tendon. Blood flow decreases and stiffness increases with aging to decrease the ability to withstand stress. Noninflammatory tendinosis and chronic tendinopathy are 2 separate processes proposed for tendon degeneration and subsequent rupture. Rupture typically occurs 2 to 6 cm proximal to the calcaneal insertion. Predisposing factors are grouped into 2 categories: intrinsic and extrinsic risk factors. Avoidance of degenerative changes within the tendon is the primary method to prevent rupture. Regular physical activity as athletes age also promotes tendon hypertrophy, increases nutrient delivery, and reduces collagen fiber fatigue.
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              Acute and overuse injuries correlated to hours of training in master running athletes.

              The goal of the study was to determine the rate of running-associated tendinopathy in light of the amount of time training and other risk factors. 291 elite runners (average age 42 +/- 9 years) who ran an average of 65.2 +/- 28.3 km/week were included with an overall distance of 9,980,852 km (34,416 km/athlete). Descriptive statistics with Chi2-Test, Fisher-Exact-Test and Mann-Whitney-Test were used to calculate relative risks (RR). The overall injury rate was 0.08/1000 km (2.93/athlete). Overuse injuries (0.07/1000 km) were more frequent than acute injuries (0.01/1000 km). Achilles tendinopathy was the predominant injury (0.02/1000 km) followed by anterior knee pain (0.01/1000 km), and shin splints (0.01/1000 km). Achilles tendon rupture was rarely encountered (0.001/1000 km). At some time, 56.6% of the athletes had an Achilles tendon overuse injury, 46.4% anterior knee pain, 35.7% shin splints, and 12.7% had plantar fasciitis. Mid-portion Achilles tendinopathy was more common (0.01/1000 km) than insertional (0.005/1000 km). An asphalt running surface decreased mid-portion tendinopathy risk (RR 0.47, p = 0.02). In contrast, sand increased the relative risk for mid-portion Achilles tendinopathy tenfold (RR 10, CI 1.12 to 92.8, p = 0.01). Runners with more than 10 years experience had an increased risk (RR 1.6, p = 0.04) for Achilles tendinopathy. Achilles tendinopathy is the most common running-associated tendinopathy followed by runner's knee and shin splints.
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                Author and article information

                Contributors
                Journal
                J Mech Behav Biomed Mater
                J Mech Behav Biomed Mater
                Journal of the Mechanical Behavior of Biomedical Materials
                Elsevier
                1751-6161
                1878-0180
                1 December 2015
                December 2015
                : 52
                : 85-94
                Affiliations
                [a ]Institute of Bioengineering, School of Engineering and Materials Science, Queen Mary University of London, Mile End Road, London E1 4NS UK
                [b ]School of Biological Sciences, University of East Anglia, Norwich Research Park, Norwich NR4 7TJ, UK
                [c ]Institute of Orthopaedics and Musculoskeletal Science, University College London, Royal National Orthopaedic Hospital, Stanmore HA7 4LP, UK
                [d ]Department of Musculoskeletal Biology, Institute of Ageing and Chronic Disease, University of Liverpool, Leahurst Campus, Neston CH64 7TE, UK
                Author notes
                [* ] Corresponding author. Tel.: +44 0 20 7882 5368. c.thorpe@ 123456qmul.ac.uk
                Article
                S1751-6161(15)00129-0
                10.1016/j.jmbbm.2015.04.009
                4655227
                25958330
                77410235-587e-40b0-b074-682a4d89fdd7
                © 2015 The Authors

                This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).

                History
                : 24 October 2014
                : 27 February 2015
                : 7 April 2015
                Categories
                Research Paper

                Biomaterials & Organic materials
                cdet, common digital extensor tendon,csa, cross sectional area,ifm, interfascicular matrix,pbs, phosphate buffered saline,sdft, superficial digital flexor tendon.,viscoelastic,fatigue,mechanics,structure-function,fascicle,endotenon

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