nach oben

Knee Surgery, Sports Traumatology, Arthroscopy

Erschienen in:

01.09.2012 | Ankle

Non-uniform displacement within the Achilles tendon during passive ankle joint motion

verfasst von: Anton Arndt, Ann-Sophie Bengtsson, Michael Peolsson, Alf Thorstensson, Tomas Movin

Erschienen in: Knee Surgery, Sports Traumatology, Arthroscopy | Ausgabe 9/2012

Einloggen, um Zugang zu erhalten

Abstract

Purpose

An initial step in the understanding of Achilles tendon dynamics is to investigate the effects of passive motion, thereby minimising muscle activation and reducing internal joint forces. Internal tendon dynamics during passive ankle joint motion have direct implications for clinical rehabilitation protocols after Achilles tendon surgery. The aim of this study was to test the hypothesis that tendon tissue displacement is different in different layers of the Achilles tendon during controlled passive ankle joint movements.

Methods

Ultrasound imaging was conducted on the right Achilles tendon of nine healthy recreationally active males. Standardised isokinetic passive dorsi-plantar-flexion movements were performed with a total range of motion of 35°. The tendon was divided into superficial, central and deep layers in the resulting B-mode ultrasound images viewed in the sagittal plane. A block-matching speckle tracking algorithm was applied post-process, with kernels for the measurement of displacement placed in each of the layers.

Results

The mean (SD) displacement of the Achilles tendon during passive dorsiflexion was 8.4 (1.9) mm in the superficial layer, 9.4 (1.9) mm in the central portion and 10.4 (2.1) mm in the deep layer, respectively. In all cases, the movement of the deep layer of the tendon was greater than that of the superficial one (P < 0.01).

Conclusions

These results, achieved in vivo with ultrasonographic speckle tracking, indicated complex dynamic differences in different layers of the Achilles tendon, which could have implications for the understanding of healing processes of tendon pathologies and also of normal tendon function.

Amundsen B, Helle-Valle T, Edvardsen T, Torp H, Crosby J, Lyseggen E, Stoylen A, Ihlen H, Lima J, Smiseth O, Slordahl S (2006) Noninvasive myocardial strain measurement by speckle tracking echocardiography: validation against sonomicrometry and tagged magnetic resonance imaging. J Am Coll Cardiol 47:789–793PubMedCrossRef

Arndt A (1997) Entstehung und Auswirkungen assymmetrischer Belastung der menschlichen Achillessehne unter besonderer Berücksichtigung ihrer Morphologie. PhD thesis, [German] Deutsche Sporthochschule Köln, Germany

Arndt A, Notermans H-P, Koebke J, Brüggemann G-P (1997) Zur Fasertextur der menschlischen Achillessehne—Eine Analyse durch Mazeration. Der Preparator 43:63–70

Arndt A, Komi P, Brüggemann G, Lukkariniemi J (1998) Individual muscle contributions to the in vivo Achilles tendon force. Clin Biomech 13:532–541CrossRef

Arndt A, Brüggemann GP, Koebke J, Segesser B (1999) Asymmetrical loading of the human triceps surae: I. Mediolateral force differences in the Achilles tendon. Foot Ankle Int 20:444–449PubMed

Arnoczky S, Lavagnino M, Egerbacher M (2007) The mechanobiological etiopathogenesis of tendinopathy: is it the over-stimulation or the under-stimulation of tendon cells? Int J Exp Pathol 88:217–226PubMedCrossRef

Bohs L, Trahey G (1991) A novel method for angle independent ultrasonic imaging of blood flow and tissue motion. IEEE Trans Biomed Eng 38:280–286PubMedCrossRef

Bojsen-Møller J, Hansen P, Aagaard P, Svantesson U, Kjaer M, Magnusson S (2004) Differential displacement of the human soleus and medial gastrocnemius aponeuroses during isometric plantar flexor contractions in vivo. J App Physiol 97:1908–1914CrossRef

Christensen B, Dyrberg E, Aagaard P, Enehjelm S, Krogsgaard M, Kjaer M, Langberg H (2008) Effects of long-term immobilization and recovery on human triceps surae and collagen turnover in the Achilles tendon in patients with healing ankle fracture. J Appl Physiol 105:420–426PubMedCrossRef

10.

Cummins E, Anson B, Carr B, Wright R, Hauser E (1946) The structure of calcaneal tendon of Achilles in relation to orthopedic surgery. Surg Gynaecol Obst 83:107–116

11.

de Boer M, Selby A, Atherton P, Smith K, Seynnes O, Maganaris C, Maffulli N, Movin T, Narici M, Rennie M (2007) The temporal responses of protein synthesis, gene expression and cell signalling in human quadriceps muscle and patellar tendon to disuse. J Physiol 15:241–251CrossRef

12.

Egerbacher M, Arnoczky S, Caballero O, Lavagnino M, Gardner K (2008) Loss of homeostatic tension induces apoptosis in tendon cells: an in vitro study. Clin Orthop Relat Res 466:1562–1568PubMedCrossRef

13.

Finni T, Komi P, Lukkariniemi J (1998) Achilles tendon loading during walking: application of a novel optic fiber technique. Eur J Appl Physiol Occup Physiol 77:289–291PubMedCrossRef

14.

Finni T, Hodgson J, Lai A, Edgerton R, Sinha S (2003) Nonuniform strain of human soleus aponeurosis-tendon complex during submaximal voluntary contractions in vivo. J App Physiol 95:829–837

15.

Fratzl P, Misof K, Zizak I, Rapp G, Amenitsch H, Bernstorff S (1998) Fibrillar structure and mechanical properties of collagen. J Struct Biol 122:119–122PubMedCrossRef

16.

Froberg A, Komi P, Ishikawa M, Movin T, Arndt A (2009) Force in the Achilles tendon during walking with ankle foot orthosis. Am J Sports Med 37:1200–1207PubMedCrossRef

17.

Fukashiro S, Itoh M, Ichinose Y, Kawakami Y, Fukunaga T (1995) Ultrasonography gives directly but noninvasively elastic characteristic of human tendon in vivo. Eur J Appl Physiol Occup Physiol 71:555–557PubMedCrossRef

18.

Fukunaga T, Kawakami Y, Kubo K, Kanehisa H (2002) Muscle and tendon interaction during human movements. Exercise Sport Sci Rev 30:106–110CrossRef

19.

Haraldsson B, Aagaard P, Qvortrup K, Bojsen-Møller J, Krogsgaard M, Koskinen S, Kjaer M, Magnusson S (2008) Lateral force transmission between human tendon fascicles. Matrix Biol 27:86–95PubMedCrossRef

20.

Kawakami Y, Ichinose Y, Fukunaga T (1998) Architectural and functional features of human triceps surae muscles during contraction. J App Physiol 85:398–404

21.

Kjaer M, Langberg H, Bojsen-Møller J, Koskinen SO, Mackey A, Heinemeier K, Holm L, Skovgaard D, Dossing S, Hansen M, Hansen P, Haraldsson B, Caroe I, Magnusson S (2008) Novel methods for tendon investigations. Disabil Rehab 30:1514–1522CrossRef

22.

Komi PV, Fukashiro S, Jarvinen M (1992) Biomechanical loading of Achilles tendon during normal locomotion. Clin Sports Med 11:521–531PubMed

23.

Korstanje JW, Selles R, Stam H, Hovius S, Bosch J (2010) Development and validation of ultrasound speckle tracking to quantify tendon displacement. J Biomech 43:1373–1379PubMedCrossRef

24.

Loram I, Maganaris C, Lakie M (2006) Use of ultrasound to make noninvasive in vivo measurement of continuous changes in human muscle contractile length. J Appl Physiol 100:1311–1323PubMedCrossRef

25.

Maganaris C, Baltzopoulos V, Sargeant A (2000) In vivo measurement-based estimations of the human Achilles tendon moment arm. Eur J App Physiol 83:363–369CrossRef

26.

Maganaris C, Paul J (1999) In vivo human tendon mechanical properties. J Physiol 521(1):307–313PubMedCrossRef

27.

Magnusson S, Narici M, Maganaris C, Kjaer M (2008) Human tendon behaviour and adaptation, in vivo. J Physiol 586:71–81PubMedCrossRef

28.

Minary-Jolandan M, Yu M (2009) Nanoscale characterization of isolated individual type I collagen fibrils: polarization and piezoelectricity. Nanotechnology 20:85706CrossRef

29.

Ofer N, Akselrod S, Nyska M, Werner M, Glaser E, Shabat S (2004) Motion-based tendon diagnosis using sequence processing of ultrasound images. J Orthop Res 22:1296–1302PubMedCrossRef

30.

Revell J, Mirmehdi M, McNally D (2005) Computer vision elastography: speckle adaptive motion estimation for elastography using ultrasound sequences. IEEE Trans Med Imag 24:755–766CrossRef

31.

Wren TA, Yerby SA, Beaupre GS, Carter DR (2001) Mechanical properties of the human Achilles tendon. Clin Biomech 16:245–251CrossRef

Titel: Non-uniform displacement within the Achilles tendon during passive ankle joint motion
verfasst von: Anton Arndt
Ann-Sophie Bengtsson
Michael Peolsson
Alf Thorstensson
Tomas Movin
Publikationsdatum: 01.09.2012
Verlag: Springer-Verlag
Erschienen in: Knee Surgery, Sports Traumatology, Arthroscopy / Ausgabe 9/2012
Print ISSN: 0942-2056
Elektronische ISSN: 1433-7347
DOI: https://doi.org/10.1007/s00167-011-1801-9

Arthropedia

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

Neu im Fachgebiet Orthopädie und Unfallchirurgie

Proximale Humerusfraktur: Auch 100-Jährige operieren?

01.05.2024 DCK 2024 Kongressbericht

Mit dem demographischen Wandel versorgt auch die Chirurgie immer mehr betagte Menschen. Von Entwicklungen wie Fast-Track können auch ältere Menschen profitieren und bei proximaler Humerusfraktur können selbst manche 100-Jährige noch sicher operiert werden.

Sind Frauen die fähigeren Ärzte?

30.04.2024 Gendermedizin Nachrichten

Patienten, die von Ärztinnen behandelt werden, dürfen offenbar auf bessere Therapieergebnisse hoffen als Patienten von Ärzten. Besonders gilt das offenbar für weibliche Kranke, wie eine Studie zeigt.

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.

Update Orthopädie und Unfallchirurgie

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

Newsletter bestellen

Springer Medizin

Abstract

Purpose

Methods

Results

Conclusions

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

Weitere Artikel der Ausgabe 9/2012

The value of preoperative grade of radiographic and histological changes in predicting pain relief after total knee arthroplasty for osteoarthritis

Modular tibial plate for minimally invasive total knee arthroplasty

Miroslav Milankow: Geometric considerations regarding the surface of the tibial insertion of the ACL graft

Increased BMP expression in arthrofibrosis after TKA

The effect of tranexamic acid on blood loss and use of blood products in total knee arthroplasty: a meta-analysis