WordNet
- a cord or band of inelastic tissue connecting a muscle with its bony attachment (同)sinew
- stack in cords; "cord firewood"
- a unit of amount of wood cut for burning; 128 cubic feet
- a cut pile fabric with vertical ribs; usually made of cotton (同)corduroy
- a light insulated conductor for household use (同)electric cord
- a line made of twisted fibers or threads; "the bundle was tied with a cord"
- bind or tie with a cord
- relating to or consisting of or emphasizing chords; "chordal assonance in modern music"; "chordal rather than contrapuntal music"
- manage or run; "tend a store"
- have a tendency or disposition to do or be something; be inclined; "She tends to be nervous before her lectures"; "These dresses run small"; "He inclined to corpulence" (同)be given, lean, incline, run
- have care of or look after; "She tends to the children"
PrepTutorEJDIC
- 腱(けん)
- 〈U〉〈C〉『綱,ひも』(stringより太くropeより細い) / 〈U〉〈C〉束縛,きずな / 〈C〉〈U〉(電気の)『コード』,線 / (またchord)〈C〉(動物体の)索状組織,腱(けん) / 〈C〉うね織り,(特に)コールテン;(うね織りの)うね;《複数形で》コールテンのズボン / 〈C〉コード(材木の容積の単位で約6.25m) / …'を'綱(ひも)で縛る
- 〈人が〉(…の)『傾向がある』,(…)しがちである / 〈物事が〉(ある方向に)向かう,(ある状態に)向かう
- 〈人・動植物など〉‘の'『世話をする』,めんどうをみる / 《米》〈店〉‘の'番をする / 《tend to+名》…に気をつける,心を配る
Wikipedia preview
出典(authority):フリー百科事典『ウィキペディア（Wikipedia）』「2016/11/05 03:43:12」(JST)
wiki en
For other uses, see Tendon (disambiguation).
| Tendon | |
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The Achilles tendon, one of the tendons in the human body.
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Micrograph of a piece of tendon. H&E stain.
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| Details | |
| Identifiers | |
| Latin | tendo |
| Code | TH H3.03.00.0.00020 |
| FMA | 9721 |
| Anatomical terminology
[edit on Wikidata]
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A tendon or sinew is a tough band of fibrous connective tissue that usually connects muscle to bone and is capable of withstanding tension.
Tendons are similar to ligaments; both are made of collagen. Ligaments join one bone to another bone, while tendons connect muscle to bone.
Contents
- 1 Structure
- 2 Functions
- 2.1 Mechanics
- 2.2 Healing
- 2.2.1 Effects of activity on healing
- 3 Society and culture
- 3.1 Culinary uses
- 4 Clinical significance
- 4.1 Injury
- 5 Other animals
- 6 See also
- 7 References
Structure
Histologically, tendons consist of dense regular connective tissue fascicles encased in dense irregular connective tissue sheaths. Normal healthy tendons are composed mostly of parallel arrays of collagen fibers closely packed together. The dry mass of normal tendons, which makes up about 30% of their total mass, is composed of about 86% collagen, 2% elastin, 1–5% proteoglycans, and 0.2% inorganic components such as copper, manganese, and calcium.[1][2] The collagen portion is made up of 97–98% type I collagen, with small amounts of other types of collagen. These include type II collagen in the cartilaginous zones, type III collagen in the reticulin fibres of the vascular walls, type IX collagen, type IV collagen in the basement membranes of the capillaries, type V collagen in the vascular walls, and type X collagen in the mineralized fibrocartilage near the interface with the bone.[1][3] Collagen fibres coalesce into macroaggregates. After secretion from the cell, the terminal peptides are cleaved by procollagen N- and C-proteinases, and the tropocollagen molecules spontaneously assemble into insoluble fibrils. A collagen molecule is about 300 nm long and 1–2 nm wide, and the diameter of the fibrils that are formed can range from 50–500 nm. In tendons, the fibrils then assemble further to form fascicles, which are about 10 mm in length with a diameter of 50–300 μm, and finally into a tendon fibre with a diameter of 100–500 μm.[4] Fascicles are bound by the endotendineum, which is a delicate loose connective tissue containing thin collagen fibrils.[5][6] and elastic fibres.[7] Groups of fascicles are bounded by the epitenon. Filling the interstitia within the fascia where the tendon is located is the paratenon a fatty areolar tissue.[8]
The collagen in tendons are held together with proteoglycan components including decorin and, in compressed regions of tendon, aggrecan, which are capable of binding to the collagen fibrils at specific locations.[9] The proteoglycans are interwoven with the collagen fibrils – their glycosaminoglycan (GAG) side chains have multiple interactions with the surface of the fibrils – showing that the proteoglycans are important structurally in the interconnection of the fibrils.[10] The major GAG components of the tendon are dermatan sulfate and chondroitin sulfate, which associate with collagen and are involved in the fibril assembly process during tendon development. Dermatan sulfate is thought to be responsible for forming associations between fibrils, while chondroitin sulfate is thought to be more involved with occupying volume between the fibrils to keep them separated and help withstand deformation.[11] The dermatan sulfate side chains of decorin aggregate in solution, and this behavior can assist with the assembly of the collagen fibrils. When decorin molecules are bound to a collagen fibril, their dermatan sulfate chains may extend and associate with other dermatan sulfate chains on decorin that is bound to separate fibrils, therefore creating interfibrillar bridges and eventually causing parallel alignment of the fibrils.[12]
The tenocytes produce the collagen molecules, which aggregate end-to-end and side-to-side to produce collagen fibrils. Fibril bundles are organized to form fibres with the elongated tenocytes closely packed between them. There is a three-dimensional network of cell processes associated with collagen in the tendon. The cells communicate with each other through gap junctions, and this signalling gives them the ability to detect and respond to mechanical loading.[13]
Blood vessels may be visualized within the endotendon running parallel to collagen fibres, with occasional branching transverse anastomoses.
The internal tendon bulk is thought to contain no nerve fibres, but the epitenon and paratenon contain nerve endings, while Golgi tendon organs are present at the junction between tendon and muscle.
Tendon length varies in all major groups and from person to person. Tendon length is, in practice, the deciding factor regarding actual and potential muscle size. For example, all other relevant biological factors being equal, a man with a shorter tendons and a longer biceps muscle will have greater potential for muscle mass than a man with a longer tendon and a shorter muscle. Successful bodybuilders will generally have shorter tendons. Conversely, in sports requiring athletes to excel in actions such as running or jumping, it is beneficial to have longer than average Achilles tendon and a shorter calf muscle.[14]
Tendon length is determined by genetic predisposition, and has not been shown to either increase or decrease in response to environment, unlike muscles, which can be shortened by trauma, use imbalances and a lack of recovery and stretching.[15]
Functions
Traditionally, tendons have been considered to be a mechanism by which muscles connect to bone, functioning to transmit forces. This connection allows tendons to passively modulate forces during locomotion, providing additional stability with no active work. However, over the past two decades, much research focused on the elastic properties of some tendons and their ability to function as springs. Not all tendons are required to perform the same functional role, with some predominantly positioning limbs, such as the fingers when writing (positional tendons) and others acting as springs to make locomotion more efficient (energy storing tendons).[16] Energy storing tendons can store and recover energy at high efficiency. For example, during a human stride, the Achilles tendon stretches as the ankle joint dorsiflexes. During the last portion of the stride, as the foot plantar-flexes (pointing the toes down), the stored elastic energy is released. Furthermore, because the tendon stretches, the muscle is able to function with less or even no change in length, allowing the muscle to generate greater force.
The mechanical properties of the tendon are dependent on the collagen fiber diameter and orientation. The collagen fibrils are parallel to each other and closely packed, but show a wave-like appearance due to planar undulations, or crimps, on a scale of several micrometers.[17] In tendons, the collagen fibres have some flexibility due to the absence of hydroxyproline and proline residues at specific locations in the amino acid sequence, which allows the formation of other conformations such as bends or internal loops in the triple helix and results in the development of crimps.[18] The crimps in the collagen fibrils allow the tendons to have some flexibility as well as a low compressive stiffness. In addition, because the tendon is a multi-stranded structure made up of many partially independent fibrils and fascicles, it does not behave as a single rod, and this property also contributes to its flexibility.[19]
The proteoglycan components of tendons also are important to the mechanical properties. While the collagen fibrils allow tendons to resist tensile stress, the proteoglycans allow them to resist compressive stress. These molecules are very hydrophilic, meaning that they can absorb a large amount of water and therefore have a high swelling ratio. Since they are noncovalently bound to the fibrils, they may reversibly associate and disassociate so that the bridges between fibrils can be broken and reformed. This process may be involved in allowing the fibril to elongate and decrease in diameter under tension.[20] However, the proteoglycans may also have a role in the tensile properties of tendon. The structure of tendon is effectively a fibre composite material, built as a series of hierarchical levels. At each level of the hierarchy, the collagen units are bound together by either collagen crosslinks, or the proteoglycans, to create a structure highly resistant to tensile load.[21] The elongation and the strain of the collagen fibrils alone have been shown to be much lower than the total elongation and strain of the entire tendon under the same amount of stress, demonstrating that the proteoglycan-rich matrix must also undergo deformation, and stiffening of the matrix occurs at high strain rates.[22] This deformation of the non-collagenous matrix occurs at all levels of the tendon hierarchy, and by modulating the organisation and structure of this matrix, the different mechanical properties required by different tendons can be achieved.[23] Energy storing tendons have been shown to utilise significant amounts of sliding between fascicles to enable the high strain characteristics they require, whilst positional tendons rely more heavily on sliding between collagen fibres and fibrils.[24] However, recent data suggests that energy storing tendons may also contain fascicles which are twisted, or helical, in nature - an arrangement that would be highly beneficial for providing the spring-like behaviour required in these tendons.[25]
Mechanics
Main article: Soft tissue
Tendons are viscoelastic structures which means they exhibit both elastic and viscous behaviour. When stretched, tendons exhibit typical "soft tissue" behavior. The force-extension, or stress-strain curve starts with a very low stiffness region, as the crimp structure straightens and the collagen fibres align suggesting negative Poisson's ratio in the fibres of the tendon.[26] More recently, tests carried out in vivo (through MRI) and ex vivo (through mechanical testing of various cadaveric tendon tissue) have shown that healthy tendons are highly anisotropic and exhibit a negative Poisson's ratio (auxetic) in some planes when stretched up to 2% along their length, i.e. within their normal range of motion.[27] After this 'toe' region, the structure becomes significantly stiffer, and has a linear stress-strain curve until it begins to fail. The mechanical properties of tendons vary widely, as they are matched to the functional requirements of the tendon. The energy storing tendons tend to be more elastic, or less stiff, so they can more easily store energy, whilst the stiffer positional tendons tend to be a little more viscoelastic, and less elastic, so they can provide finer control of movement. A typical energy storing tendon will fail at around 12-15% strain, and a stress in the region of 100-150 MPa, although some tendons are notably more extensible than this, for example the superficial digital flexor in the horse, which stretches in excess of 20% when galloping.[28] Positional tendons can fail at strains as low as 6-8%, but can have moduli in the region of 700-1000 MPa.[29]
Several studies have demonstrated that tendons respond to changes in mechanical loading with growth and remodeling processes, much like bones. In particular, a study showed that disuse of the Achilles tendon in rats resulted in a decrease in the average thickness of the collagen fiber bundles comprising the tendon.[30] In humans, an experiment in which people were subjected to a simulated micro-gravity environment found that tendon stiffness decreased significantly, even when subjects were required to perform restiveness exercises.[31] These effects have implications in areas ranging from treatment of bedridden patients to the design of more effective exercises for astronauts.
Healing
The tendons in the foot are highly complex and intricate. Therefore, the healing process for a broken tendon is long and painful. Most people who do not receive medical attention within the first 48 hours of the injury will suffer from severe swelling, pain, and a burning sensation where the injury occurred.
It was believed previously that tendons could not undergo matrix turnover and that tenocytes were not capable of repair. However, it has been shown more recently that, throughout the lifetime of a person, tenocytes in the tendon actively synthesize ECM components as well as enzymes such as matrix metalloproteinases (MMPs) can degrade the matrix.[32] Tendons are capable of healing and recovering from injuries in a process that is controlled by the tenocytes and their surrounding extracellular matrix.
The three main stages of tendon healing are inflammation, repair or proliferation, and remodeling, which can be further divided into consolidation and maturation. These stages can overlap with each other. In the first stage, inflammatory cells such as neutrophils are recruited to the injury site, along with erythrocytes. Monocytes and macrophages are recruited within the first 24 hours, and phagocytosis of necrotic materials at the injury site occurs. After the release of vasoactive and chemotactic factors, angiogenesis and the proliferation of tenocytes are initiated. Tenocytes then move into the site and start to synthesize collagen III.[33][34] After a few days, the repair or proliferation stage begins. In this stage, the tenocytes are involved in the synthesis of large amounts of collagen and proteoglycans at the site of injury, and the levels of GAG and water are high.[35] After about six weeks, the remodeling stage begins. The first part of this stage is consolidation, which lasts from about six to ten weeks after the injury. During this time, the synthesis of collagen and GAGs is decreased, and the cellularity is also decreased as the tissue becomes more fibrous as a result of increased production of collagen I and the fibrils become aligned in the direction of mechanical stress.[34] The final maturation stage occurs after ten weeks, and during this time there is an increase in crosslinking of the collagen fibrils, which causes the tissue to become stiffer. Gradually, over about one year, the tissue will turn from fibrous to scar-like.[35]
Matrix metalloproteinases or MMPs have a very important role in the degradation and remodeling of the ECM during the healing process after a tendon injury. Certain MMPs including MMP-1, MMP-2, MMP-8, MMP-13, and MMP-14 have collagenase activity, meaning that, unlike many other enzymes, they are capable of degrading collagen I fibrils. The degradation of the collagen fibrils by MMP-1 along with the presence of denatured collagen are factors that are believed to cause weakening of the tendon ECM and an increase in the potential for another rupture to occur.[36] In response to repeated mechanical loading or injury, cytokines may be released by tenocytes and can induce the release of MMPs, causing degradation of the ECM and leading to recurring injury and chronic tendinopathies.[34]
A variety of other molecules are involved in tendon repair and regeneration. There are five growth factors that have been shown to be significantly upregulated and active during tendon healing: insulin-like growth factor 1 (IGF-I), platelet-derived growth factor (PDGF), vascular endothelial growth factor (VEGF), basic fibroblast growth factor (bFGF), and transforming growth factor beta (TGF-β).[35] These growth factors all have different roles during the healing process. IGF-1 increases collagen and proteoglycan production during the first stage of inflammation, and PDGF is also present during the early stages after injury and promotes the synthesis of other growth factors along with the synthesis of DNA and the proliferation of tendon cells.[35] The three isoforms of TGF-β (TGF-β1, TGF-β2, TGF-β3) are known to play a role in wound healing and scar formation.[37] VEGF is well known to promote angiogenesis and to induce endothelial cell proliferation and migration, and VEGF mRNA has been shown to be expressed at the site of tendon injuries along with collagen I mRNA.[38] Bone morphogenetic proteins (BMPs) are a subgroup of TGF-β superfamily that can induce bone and cartilage formation as well as tissue differentiation, and BMP-12 specifically has been shown to influence formation and differentiation of tendon tissue and to promote fibrogenesis.
Effects of activity on healing
In animal models, extensive studies have been conducted to investigate the effects of mechanical strain in the form of activity level on tendon injury and healing. While stretching can disrupt healing during the initial inflammatory phase, it has been shown that controlled movement of the tendons after about one week following an acute injury can help to promote the synthesis of collagen by the tenocytes, leading to increased tensile strength and diameter of the healed tendons and fewer adhesions than tendons that are immobilized. In chronic tendon injuries, mechanical loading has also been shown to stimulate fibroblast proliferation and collagen synthesis along with collagen realignment, all of which promote repair and remodeling.[35] To further support the theory that movement and activity assist in tendon healing, it has been shown that immobilization of the tendons after injury often has a negative effect on healing. In rabbits, collagen fascicles that are immobilized have shown decreased tensile strength, and immobilization also results in lower amounts of water, proteoglycans, and collagen crosslinks in the tendons.[33]
Several mechanotransduction mechanisms have been proposed as reasons for the response of tenocytes to mechanical force that enable them to alter their gene expression, protein synthesis, and cell phenotype, and eventually cause changes in tendon structure. A major factor is mechanical deformation of the extracellular matrix, which can affect the actin cytoskeleton and therefore affect cell shape, motility, and function. Mechanical forces can be transmitted by focal adhesion sites, integrins, and cell-cell junctions. Changes in the actin cytoskeleton can activate integrins, which mediate “outside-in” and “inside-out” signaling between the cell and the matrix. G-proteins, which induce intracellular signaling cascades, may also be important, and ion channels are activated by stretching to allow ions such as calcium, sodium, or potassium to enter the cell.[35]
Society and culture
Sinew was widely used throughout pre-industrial eras as a tough, durable fiber. Some specific uses include using sinew as thread for sewing, attaching feathers to arrows (see fletch), lashing tool blades to shafts, etc. It is also recommended in survival guides as a material from which strong cordage can be made for items like traps or living structures. Tendon must be treated in specific ways to function usefully for these purposes. Inuit and other circumpolar people utilized sinew as the only cordage for all domestic purposes due to the lack of other suitable fiber sources in their ecological habitats. The elastic properties of particular sinews were also used in composite recurved bows favoured by the steppe nomads of Eurasia. The first stone throwing artillery also used the elastic properties of sinew.
Sinew makes for an excellent cordage material for three reasons: It is extremely strong, it contains natural glues, and it shrinks as it dries, doing away with the need for knots.
Culinary uses
Main article: Tendon (meal)
Tendon (in particular, beef tendon) is used as a food in some Asian cuisines (often served at yum cha or dim sum restaurants). One popular dish is suan bao niu jin, in which the tendon is marinated in garlic. It is also sometimes found in the Vietnamese noodle dish phở.
Clinical significance
Injury
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Tendons are subject to many types of injuries. There are various forms of tendinopathies or tendon injuries due to overuse. These types of injuries generally result in inflammation and degeneration or weakening of the tendons, which may eventually lead to tendon rupture.[33] Tendinopathies can be caused by a number of factors relating to the tendon extracellular matrix (ECM), and their classification has been difficult because their symptoms and histopathology often are similar.
The first category of tendinopathy is paratenonitis, which refers to inflammation of the paratenon, or paratendinous sheet located between the tendon and its sheath. Tendinosis refers to non-inflammatory injury to the tendon at the cellular level. The degradation is caused by damage to collagen, cells, and the vascular components of the tendon, and is known to lead to rupture.[39] Observations of tendons that have undergone spontaneous rupture have shown the presence of collagen fibrils that are not in the correct parallel orientation or are not uniform in length or diameter, along with rounded tenocytes, other cell abnormalities, and the ingrowth of blood vessels.[33] Other forms of tendinosis that have not led to rupture have also shown the degeneration, disorientation, and thinning of the collagen fibrils, along with an increase in the amount of glycosaminoglycans between the fibrils.[34] The third is paratenonitis with tendinosis, in which combinations of paratenon inflammation and tendon degeneration are both present. The last is tendinitis, which refers to degeneration with inflammation of the tendon as well as vascular disruption.[1]
Tendinopathies may be caused by several intrinsic factors including age, body weight, and nutrition. The extrinsic factors are often related to sports and include excessive forces or loading, poor training techniques, and environmental conditions.[32]
Other animals
Ossified tendon from an Edmontosaurus bone bed in Wyoming (Lance Formation)
In some organisms, notable ones being birds[40] and ornithischian dinosaurs,[41] portions of the tendon can become ossified. In this process, osteocytes infiltrate the tendon and lay down bone as they would in sesamoid bone such as the patella. In birds, tendon ossification primarily occurs in the hindlimb, while in ornithischian dinosaurs, ossified axial muscle tendons form a latticework along the neural and haemal spines on the tail, presumably for support.
See also
This article uses anatomical terminology; for an overview, see Anatomical terminology.
| Wikimedia Commons has media related to Tendons. |
- Aponeurosis
- Cartilage
- Chordae tendineae
- List of muscles of the human body
- Tendon sheath
References
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- ^ Fukuta, S.; Oyama, M.; Kavalkovich, K.; Fu, F. H.; Niyibizi, C. (1998). "Identification of types II, IX and X collagens at the insertion site of the bovine achilles tendon.". Matrix Biology. 17 (1): 65–73. doi:10.1016/S0945-053X(98)90125-1. PMID 9628253.
- ^ Fratzl, P. (2009). "Cellulose and collagen: from fibres to tissues.". Current Opinion in Colloid & Interface Science. 8 (1): 32–39. doi:10.1016/S1359-0294(03)00011-6.
- ^ Dorlands Medicl Dictionary. page 602
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- ^ Dorlands Medical Dictionary 2012.Page 1382
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- ^ Scott, J. E., (2003). "Elasticity in extracellular matrix 'shape modules' of tendon, cartilage, etc. A sliding proteoglycan-filament model". Journal of Physiology. 553 (2): 335–343. doi:10.1113/jphysiol.2003.050179. PMC 2343561. PMID 12923209. CS1 maint: Multiple names: authors list (link)
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- ^ "Having a short Achilles tendon may be an athlete's Achilles heel". Retrieved 2007-10-26.
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- ^ Nakagawa, Y. (1989). "Effect of disuse on the ultra structure of the Achilles tendon in rats". European Journal of Applied Physiology. 59: 239–242. doi:10.1007/bf02386194.
- ^ Reeves, N. D. (2005). "Influence of 90-day simulated micro-gravity on human tendon mechanical properties and the effect of restiveness countermeasures". Applied Physiology. 98 (6): 2278–2286. doi:10.1152/japplphysiol.01266.2004. PMID 15705722.
- ^ a b Riley, G. (2004). "The pathogenesis of tendinopathy. A molecular perspective". Rheumatology. 43 (2): 131–142. doi:10.1093/rheumatology/keg448. PMID 12867575.
- ^ a b c d Sharma, P. M., N., (2006). "Biology of tendon injury: healing, modeling and remodeling". Journal of Musculoskeletal and Neuronal Interactions. 6 (2): 181–190. PMID 16849830. CS1 maint: Multiple names: authors list (link)
- ^ a b c d Sharma, P.; Maffulli, N. (2005). "Tendon injury and tendinopathy: Healing and repair". Journal of Bone and Joint Surgery-American Volume. 87A (1): 187–202. doi:10.2106/JBJS.D.01850. PMID 15634833.
- ^ a b c d e f Wang, J. H. C., (2006). "Mechanobiology of tendon". Journal of Biomechanics. 39 (9): 1563–1582. doi:10.1016/j.jbiomech.2005.05.011. PMID 16000201. CS1 maint: Multiple names: authors list (link)
- ^ Riley, G. P.; Curry, V.; DeGroot, J.; van El, B.; Verzijl, N.; Hazleman, B. L.; Bank, R. A. (2002). "Matrix metalloproteinase activities and their relationship with collagen remodelling in tendon pathology". Matrix Biology. 21 (2): 185–195. doi:10.1016/S0945-053X(01)00196-2. PMID 11852234.
- ^ Moulin, V.; Tam, B. Y. Y.; Castilloux, G.; Auger, F. A.; O'Connor-McCourt, M. D.; Philip, A.; Germain, L. (2001). "Fetal and adult human skin fibroblasts display intrinsic differences in contractile capacity". Journal of Cellular Physiology. 188 (2): 211–222. doi:10.1002/jcp.1110. PMID 11424088.
- ^ Boyer, M. I. W., J. T.; Lou, J.; Manske, P. R.; Gelberman, R. H.; Cai, S. R., (2001). "Quantitative variation in vascular endothelial growth factor mRNA expression during early flexor tendon healing: an investigation in a canine model". Journal of Orthopaedic Research. 19 (5): 869–872. doi:10.1016/S0736-0266(01)00017-1. PMID 11562135. CS1 maint: Multiple names: authors list (link)
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- ^ Berge, James C. Vanden; Storer, Robert W. (1995). "Intratendinous ossification in birds: A review". Journal of Morphology. 226: 47–77. doi:10.1002/jmor.1052260105.
- ^ Organ, Chris L. (2006). "Biomechanics of ossified tendons in ornithopod dinosaurs". Paleobiology. 32 (4): 652–665. doi:10.1666/05039.1.
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UpToDate Contents
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- 1. アキレス腱障害および腱断裂 achilles tendinopathy and tendon rupture
- 2. 遠位指節間関節の屈筋腱の損傷 （ジャージー指） flexor tendon injury of the distal interphalangeal joint jersey finger
- 3. 二頭筋腱障害および腱断裂 biceps tendinopathy and tendon rupture
- 4. 内転筋および腱の損傷 adductor muscle and tendon injury
- 5. 後十字靱帯損傷 posterior cruciate ligament injury
English Journal
- Biomechanical cadaveric comparison of patellar ligament suture protected by a steel cable versus a synthetic cable.
- Bouget P1, Breque C2, Beranger JS3, Faure JP2,4, Khiami F5, Vendeuvre T6.
- Journal of experimental orthopaedics.J Exp Orthop.2017 Dec;4(1):9. doi: 10.1186/s40634-017-0084-6. Epub 2017 Mar 23.
- PMID 28332149
- Different culture conditions affect the growth of human tendon stem/progenitor cells (TSPCs) within a mixed tendon cells (TCs) population.
- Viganò M1,2, Perucca Orfei C1,3, Colombini A1, Stanco D1, Randelli P4,5, Sansone V6,7, de Girolamo L8.
- Journal of experimental orthopaedics.J Exp Orthop.2017 Dec;4(1):8. doi: 10.1186/s40634-017-0082-8. Epub 2017 Feb 28.
- PMID 28244027
- Biomedical Risk Factors of Achilles Tendinopathy in Physically Active People: a Systematic Review.
- Kozlovskaia M1,2, Vlahovich N3, Ashton KJ4, Hughes DC3.
- Sports medicine - open.Sports Med Open.2017 Dec;3(1):20. doi: 10.1186/s40798-017-0087-y. Epub 2017 May 18.
- PMID 28523640
Japanese Journal
- 専門医試験をめざす症例問題トレーニング 肩甲帯・肩・肘関節疾患
- 整形外科 = Orthopedic surgery 67(5), 486-490, 2016-05
- NAID 40020828597
- 創意と工夫 リバース人工肩関節における手術アプローチ : 肩甲下筋を温存したdelt-pectral approach
- 整形外科 = Orthopedic surgery 67(4), 339-342, 2016-04
- NAID 40020776105
- 腱電気刺激を用いたハプティックインタフェースにおける刺激パラメータと生起力覚量の関係 (知覚情報研究会・手,力触覚の計算,一般)
- 電気学会研究会資料. PI = The papers of Technical Meeting on "Perception Information", IEE Japan, 2016(28-34・37-39), 49-54, 2016-03-18
- NAID 40020804358
Related Links
- tendon 【名】《解剖》腱 筋肉を骨に結び付ける働きをする、繊維性結合組織から... - アルクがお届けする進化するオンライン英和・和英辞書データベース。一般的な単語や連語から、イディオム、専門用語、スラングまで幅広く収録。
- tendon 関西で活動しているパーソナルスタイリストL（エル）のお買い物同行サービス 主に大阪梅田、神戸三宮、京都河原町にてメンズ、レディース10代～60代まで年齢問わず活動しています
Related Pictures
★リンクテーブル★
| リンク元 | 「cord」「chordae」「chordal」「chorda」「paraarticular tendon」 |
| 関連記事 | 「tend」 |
「cord」
- n.
「chordae」
- n.
「chordal」
- 腱の
「chorda」
- n.
「paraarticular tendon」
「tend」