Overuse Tendinosis, Not Tendinitis

@article{Khan2000OveruseTN,
  title={Overuse Tendinosis, Not Tendinitis},
  author={Karim M. Khan and Jill L. Cook and Jack E. Taunton and Fiona Bonar},
  journal={The Physician and Sportsmedicine},
  year={2000},
  volume={28},
  pages={38 - 48}
}
IN BRIEF: Overuse tendinopathies are common in primary care. Numerous investigators worldwide have shown that the pathology underlying these conditions is tendinosis or collagen degeneration. This applies equally in the Achilles, patellar, medial and lateral elbow, and rotator cuff tendons. If physicians acknowledge that overuse tendinopathies are due to tendinosis, as distinct from tendinitis, they must modify patient management in at least eight areas. These include adaptation of advice given… 
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TLDR
There is great controversy regarding the tendinopathies, that this article has like objective bibliographic review rising regarding the alterations histopathologics, physiotherapy treatment, mechanism.
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References

SHOWING 1-10 OF 45 REFERENCES
A classification of achilles tendon disease
TLDR
It is the opinion is that a precise difference exists between the structures of these two types of coverings.
Partial rupture in chronic achilles tendinopathy. A retrospective analysis of 342 cases.
TLDR
In partial ruptures, as compared with non-ruptured tendons, the lesion was commoner in the distal part of the tendon and more frequent in physically active men slightly below middle age who had received local steroid injections before surgery.
Achilles tendinitis and peritendinitis: Etiology and treatment
TLDR
The authors speculate that runners are susceptible to Achilles tendinitis with peritendinitis due to micro- trauma produced by the eccentric loading of fatigued muscle, excess pronation producing whipping action of the Achilles tendon, and/or vascular blanching.
Histopathology of Common Tendinopathies
TLDR
The histopathological findings in athletes with overuse tendinopathies are consistent with those in tendinosis — a degenerative condition of unknown aetiology, which may have implications for the prognosis and timing of a return to sport after experiencing tendon symptoms.
Chronic Achilles Tendinopathy: A Survey of Surgical and Histopathologic Findings Mats
TLDR
Tendinosis appears to be the major lesion in chronic Achilles tendinopathy; the paratenon is rarely involved and important features are a lack of inflammatory cells and a poor healing response.
Achilles Tendonitis: Are Corticosteroid Injections Useful or Harmful?
  • Ian Shrier, G. Matheson, H. Kohl
  • Medicine
    Clinical journal of sport medicine : official journal of the Canadian Academy of Sport Medicine
  • 1996
TLDR
There are insufficient published data to determine the comparative risks and benefits of corticosteroid injections in Achilles tendonitis and the decreased tendon strength with intratendinous injections in animal studies suggests that rupture may be a potential complication for several weeks following injection.
Current Concepts Review - Tendinosis of the Elbow (Tennis Elbow). Clinical Features and Findings of Histological, Immunohistochemical, and Electron Microscopy Studies*
TLDR
The examination of specimens from patients who have tennis elbow can serve as a model for the investigation of pain in other regions in which tendinosis has been reported, such as the rotator cuff, the Achilles tendon, the patellar ligament, the adductors of the hip, the triceps, the flexors and extensor of the elbow, and the plantar fascia.
Surgical Management of Chronic Achilles Tendinitis
TLDR
It is concluded that surgery for chronic Achilles tendinitis is efficacious in recalcitrant cases but the choice of surgical procedure affects the time to recovery.
Pathology of failure of the rotator cuff tendon.
Tendinitis: Its etiology and treatment
Introduction Normal tendon Tendinitis Exercise and the muscle-tendon unit Achilles tendinitis Jumper's knee Tennis elbow Other tendinitides Clinical results References
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5
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