nach oben

Clinical Orthopaedics and Related Research®

Erschienen in:

01.07.2008 | Symposium: Molecular and Clinical Developments in Tendinopathy

Movin and Bonar Scores Assess the Same Characteristics of Tendon Histology

verfasst von: Nicola Maffulli, MD, MS, PhD, FRCS (Orth), Umile Giuseppe Longo, MD, Francesco Franceschi, MD, Carla Rabitti, MD, Vincenzo Denaro, MD

Erschienen in: Clinical Orthopaedics and Related Research® | Ausgabe 7/2008

Einloggen, um Zugang zu erhalten

Abstract

The Movin scoring system and its validated modifications and the Bonar scoring system are used to classify the histopathological findings of tendinopathy. We compared the reliability of these two different histopathological evaluation scores of tendon tissue. Tendon samples were harvested from 88 individuals (49 men, 39 women; mean age, 58.2 years) who underwent arthroscopic repair of a rotator cuff tear, and from five male patients who died of cardiovascular events (mean age, 69.6 years). A piece of supraspinatus tendon that was not directly involved in the tear was harvested en bloc within the intact middle portion of the tendon. Using hematoxylin and eosin staining and Alcian blue, slides were assessed using Bonar and Movin scores. The intraclass correlation was 0.921 (confidence interval 95% 0.790–0.963). Movin’s and Bonar’s scores have a high correlation and assess similar characteristics and variables of tendon abnormalities.

Astrom M, Rausing A. Chronic Achilles tendinopathy: a survey of surgical and histopathologic findings. Clin Orthop Relat Res. 1995;316:151–164.PubMed

Coleman BD, Khan KM, Maffulli N, Cook JL, Wark JD. Studies of surgical outcome after patellar tendinopathy: clinical significance of methodological deficiencies and guidelines for future studies. Victorian Institute of Sport Tendon Study Group. Scand J Med Sci Sports. 2000;10:2–11.PubMedCrossRef

Cook J, Feller J, Bonar S, Khan K. Abnormal tenocyte morphology is more prevalent than collagen disruption in asymptomatic athletes’ patellar tendons. J Orthop Res. 2004;22:334–338.PubMedCrossRef

Franceschi F, Longo UG, Ruzzini L, Denaro V. Isolated tuberculosis of the patellar tendon. J Bone Joint Surg Br. 2007;89:1525–1526.PubMedCrossRef

Franceschi F, Longo UG, Ruzzini L, Papalia R, Rizzello G, Denaro V. To detach the long head of the biceps tendon after tenodesis or not: outcome analysis at the 4-year follow-up of two different techniques. Int Orthop. 2007;31:537–545.PubMedCrossRef

Franceschi F, Longo UG, Ruzzini L, Rizzello G, Denaro V. Arthroscopic management of calcific tendinitis of the subscapularis tendon. Knee Surg Sports Traumatol Arthrosc. 2007;15:1482–485.PubMedCrossRef

Franceschi F, Longo UG, Ruzzini L, Rizzello G, Maffulli N, Denaro V. No advantages in repairing a type II superior labrum anterior and posterior (SLAP) lesion when associated with rotator cuff repair in patients over age 50: a randomized controlled trial. Am J Sports Med. 2008;36:247–253.PubMedCrossRef

Franceschi F, Longo UG, Ruzzini L, Rizzello G, Maffulli N, Denaro V. The Roman Bridge: a “double pulley - suture bridges” technique for rotator cuff repair. BMC Musculoskelet Disord. 2007;8:123.PubMedCrossRef

Franceschi F, Ruzzini L, Longo UG, Martina FM, Beomonte Zobel B, Maffulli N, Denaro V. Equivalent clinical results of arthroscopic single-row and double-row suture anchor repair for rotator cuff tears: a randomized controlled trial. Am J Sports Med. 2007;35:1254–1260.PubMedCrossRef

10.

Kader D, Saxena A, Movin T, Maffulli N. Achilles tendinopathy: some aspects of basic science and clinical management. Br J Sports Med. 2002;36:239–249.PubMedCrossRef

11.

Khan K, Cook J. The painful nonruptured tendon: clinical aspects. Clin Sports Med. 2003;22:711–725.PubMedCrossRef

12.

Khan KM, Cook JL, Bonar F, Harcourt P, Astrom M. Histopathology of common tendinopathies: update and implications for clinical management. Sports Med. 1999;27:393–408.PubMedCrossRef

13.

Khan KM, Cook JL, Kannus P, Maffulli N, Bonar SF. Time to abandon the “tendinitis” myth. BMJ. 2002;324:626–627.PubMedCrossRef

14.

Khan KM, Cook JL, Maffulli N, Kannus P. Where is the pain coming from in tendinopathy? It may be biochemical, not only structural, in origin. Br J Sports Med. 2000;34:81–83.PubMedCrossRef

15.

Longo G, Ripalda P, Denaro V, Forriol F. Morphologic comparison of cervical, thoracic, lumbar intervertebral discs of cynomolgus monkey (Macaca fascicularis). Eur Spine J. 2006;15:1845–1851.PubMedCrossRef

16.

Longo UG, Franceschi F, Ruzzini L, Rabitti C, Morini S, Maffulli N, Denaro V. Characteristics at Haematoxylin and Eosin staining of ruptures of the long head of the biceps tendon. Br J Sports Med. 2007; Dec 10; [Epub ahead of print].

17.

Longo UG, Franceschi F, Ruzzini L, Rabitti C, Morini S, Maffulli N, Denaro V. Histopathology of the supraspinatus tendon in rotator cuff tears. Am J Sports Med. 2008;36:533–538.PubMedCrossRef

18.

Longo UG, Franceschi F, Ruzzini L, Rabitti C, Morini S, Maffulli N, Forriol F, Denaro V. Light microscopic histology of supraspinatus tendon ruptures. Knee Surg Sports Traumatol Arthrosc. 2007;15:1390–1394.PubMedCrossRef

19.

Maffulli N, Ajis A, Longo UG, Denaro V. Chronic rupture of tendo achillis. Foot Ankle Clin. 2007;12:583–596.PubMedCrossRef

20.

Maffulli N, Barrass V, Ewen SW. Light microscopic histology of achilles tendon ruptures. A comparison with unruptured tendons. Am J Sports Med. 2000;28:857–863.PubMed

21.

Maffulli N, Ewen SW, Waterston SW, Reaper J, Barrass V. Tenocytes from ruptured and tendinopathic achilles tendons produce greater quantities of type III collagen than tenocytes from normal achilles tendons. An in vitro model of human tendon healing. Am J Sports Med. 200;28:499–505.

22.

Maffulli N, Reaper J, Ewen SW, Waterston SW, Barrass V. Chondral metaplasia in calcific insertional tendinopathy of the Achilles tendon. Clin J Sport Med. 2006;16:329–334.PubMedCrossRef

23.

Maffulli N, Sharma P, Luscombe KL. Achilles tendinopathy: aetiology and management. J R Soc Med. 2004;97:472–476.PubMedCrossRef

24.

Maffulli N, Testa V, Capasso G, Bifulco G, Binfield PM. Results of percutaneous longitudinal tenotomy for Achilles tendinopathy in middle- and long-distance runners. Am J Sports Med. 1997;25:835–840.PubMedCrossRef

25.

Maffulli N, Testa V, Capasso G, Ewen SW, Sullo A, Benazzo F, King JB. Similar histopathological picture in males with Achilles and patellar tendinopathy. Med Sci Sports Exerc. 2004;36:1470–1475.PubMedCrossRef

26.

Maffulli N, Wong J, Almekinders LC. Types and epidemiology of tendinopathy. Clin Sports Med. 2003;22:675–692.PubMedCrossRef

27.

Movin T, Gad A, Reinholt F, Rolf C. Tendon pathology in long-standing achillodynia. Biopsy findings in 40 patients. Acta Orthop Scand. 1997;68:170–175.PubMedCrossRef

28.

Murrell GA. Oxygen free radicals and tendon healing. J Shoulder Elbow Surg. 2007;16:S208–214.PubMedCrossRef

29.

Murrell GA. Using nitric oxide to treat tendinopathy. Br J Sports Med. 2007;41:227–231.PubMedCrossRef

30.

Scott A, Cook JL, Hart DA, Walker DC, Duronio V, Khan KM. Tenocyte responses to mechanical loading in vivo: a role for local insulin-like growth factor 1 signaling in early tendinosis in rats. Arthritis Rheum. 2007;56:871–881.PubMedCrossRef

Titel: Movin and Bonar Scores Assess the Same Characteristics of Tendon Histology
verfasst von: Nicola Maffulli, MD, MS, PhD, FRCS (Orth)
Umile Giuseppe Longo, MD
Francesco Franceschi, MD
Carla Rabitti, MD
Vincenzo Denaro, MD
Publikationsdatum: 01.07.2008
Verlag: Springer-Verlag
Erschienen in: Clinical Orthopaedics and Related Research® / Ausgabe 7/2008
Print ISSN: 0009-921X
Elektronische ISSN: 1528-1132
DOI: https://doi.org/10.1007/s11999-008-0261-0

Arthropedia

Grundlagenwissen der Arthroskopie und Gelenkchirurgie. Erweitert durch Fallbeispiele, Videos und Abbildungen.
» Jetzt entdecken

Neu im Fachgebiet Orthopädie und Unfallchirurgie

Notfall-TEP der Hüfte ist auch bei 90-Jährigen machbar

26.04.2024 Hüft-TEP Nachrichten

Ob bei einer Notfalloperation nach Schenkelhalsfraktur eine Hemiarthroplastik oder eine totale Endoprothese (TEP) eingebaut wird, sollte nicht allein vom Alter der Patientinnen und Patienten abhängen. Auch über 90-Jährige können von der TEP profitieren.

Arthroskopie kann Knieprothese nicht hinauszögern

25.04.2024 Gonarthrose Nachrichten

Ein arthroskopischer Eingriff bei Kniearthrose macht im Hinblick darauf, ob und wann ein Gelenkersatz fällig wird, offenbar keinen Unterschied.

Therapiestart mit Blutdrucksenkern erhöht Frakturrisiko

25.04.2024 Hypertonie Nachrichten

Beginnen ältere Männer im Pflegeheim eine Antihypertensiva-Therapie, dann ist die Frakturrate in den folgenden 30 Tagen mehr als verdoppelt. Besonders häufig stürzen Demenzkranke und Männer, die erstmals Blutdrucksenker nehmen. Dafür spricht eine Analyse unter US-Veteranen.

Ärztliche Empathie hilft gegen Rückenschmerzen

23.04.2024 Leitsymptom Rückenschmerzen Nachrichten

Personen mit chronischen Rückenschmerzen, die von einfühlsamen Ärzten und Ärztinnen betreut werden, berichten über weniger Beschwerden und eine bessere Lebensqualität.

Update Orthopädie und Unfallchirurgie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.

Newsletter bestellen

Springer Medizin

Abstract

Bitte loggen Sie sich ein, um Zugang zu diesem Inhalt zu erhalten

Weitere Artikel der Ausgabe 7/2008

Loss of Homeostatic Strain Alters Mechanostat “Set Point” of Tendon Cells In Vitro

Chitosan-coated Stainless Steel Screws for Fixation in Contaminated Fractures

Surgery for Retrocalcaneal Bursitis: A Tendon-splitting versus a Lateral Approach

Heat Shock Protein and Apoptosis in Supraspinatus Tendinopathy

Surgery Can Reduce the Nonoperative Care Associated with an Equinovarus Foot Deformity

Loss of Homeostatic Tension Induces Apoptosis in Tendon Cells: An In Vitro Study