Tendon response to pharmaco-mechanical stimulation of the chronically retracted rotator cuff in sheep

Verfasser / Beitragende:
[Karl Wieser, Mazda Farshad, Dominik Meyer, Philipp Conze, Brigitte von Rechenberg, Christian Gerber]
Ort, Verlag, Jahr:
2015
Enthalten in:
Knee Surgery, Sports Traumatology, Arthroscopy, 23/2(2015-02-01), 577-584
Format:
Artikel (online)
ID: 605460418
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024 7 0 |a 10.1007/s00167-014-3037-y  |2 doi 
035 |a (NATIONALLICENCE)springer-10.1007/s00167-014-3037-y 
245 0 0 |a Tendon response to pharmaco-mechanical stimulation of the chronically retracted rotator cuff in sheep  |h [Elektronische Daten]  |c [Karl Wieser, Mazda Farshad, Dominik Meyer, Philipp Conze, Brigitte von Rechenberg, Christian Gerber] 
520 3 |a Purpose: Chronic tearing of tendons is associated with molecular and structural alterations causing biomechanical changes, which compromise musculotendinous function and become limiting factors for tendon repair. This study investigated the histological response of chronically retracted sheep rotator cuff tendons to mechanical and pharmacological stimulation in view of tendon repair. Methods: Sixteen weeks after experimental release of the infraspinatus tendon in 20 sheep, the retracted musculotendinous unit was subjected to continuous traction either with [anabolic steroids (nandrolone) group/insulin-like growth factor (IGF) group] or without (control group) additional pharmacological treatment during 6weeks. A new degeneration score for tendinous tissues (DSTT), based on established knowledge on histological changes associated with tendon degeneration, was used for histological analysis at the time of tendon release, at the beginning of continuous re-lengthening and at repair in all animals. Results: The DSTT score (inter-observer correlation: r=0.83), quantifiably representing tendon degeneration, improved from 15.5 (SD 1.3) points before to 9.8 (SD 3.8) points after re-lengthening. It improved in a qualitatively and quantitatively similar fashion if pharmacological stimulation was added. The nandrolone group improved from 13.7 (SD 1.6) to 9.8 (SD 1.9) and the IGF group from 13.3 (SD 3.6) to 8.8 (SD 1.8) points. Conclusion: Mechanical stimulation significantly reduced tissue degeneration. However, the addition of a pharmacological stimulation with anabolic steroids or IGF had neither a measurable positive nor negative effect on the degenerative process. Therefore, this investigation does neither support the additional pharmacological use of the anabolic steroid nandrolone or of IGF decanoate for restoration of tendon degeneration, nor otherwise provide evidence for additional tendon damage, if those substances are used to alter the muscular metabolism. 
540 |a Springer-Verlag Berlin Heidelberg, 2014 
690 7 |a Tendon degeneration  |2 nationallicence 
690 7 |a Rotator cuff  |2 nationallicence 
690 7 |a Sheep rotator cuff model  |2 nationallicence 
690 7 |a Pharmaco-mechanical stimulation  |2 nationallicence 
690 7 |a Tendon re-lengthening  |2 nationallicence 
690 7 |a Anabolic steroids  |2 nationallicence 
690 7 |a Nandrolone  |2 nationallicence 
690 7 |a IGF  |2 nationallicence 
700 1 |a Wieser  |D Karl  |u Department of Orthopaedics, Balgrist University Hospital, University of Zurich, Forchstrasse 340, 8008, Zurich, Switzerland  |4 aut 
700 1 |a Farshad  |D Mazda  |u Department of Orthopaedics, Balgrist University Hospital, University of Zurich, Forchstrasse 340, 8008, Zurich, Switzerland  |4 aut 
700 1 |a Meyer  |D Dominik  |u Department of Orthopaedics, Balgrist University Hospital, University of Zurich, Forchstrasse 340, 8008, Zurich, Switzerland  |4 aut 
700 1 |a Conze  |D Philipp  |u Musculoskeletal Research Unit, Equine Department, Center for Applied Biotechnology and Molecular Medicine, Vetsuisse Faculty, University of Zurich, Zurich, Switzerland  |4 aut 
700 1 |a von Rechenberg  |D Brigitte  |u Musculoskeletal Research Unit, Equine Department, Center for Applied Biotechnology and Molecular Medicine, Vetsuisse Faculty, University of Zurich, Zurich, Switzerland  |4 aut 
700 1 |a Gerber  |D Christian  |u Department of Orthopaedics, Balgrist University Hospital, University of Zurich, Forchstrasse 340, 8008, Zurich, Switzerland  |4 aut 
773 0 |t Knee Surgery, Sports Traumatology, Arthroscopy  |d Springer Berlin Heidelberg  |g 23/2(2015-02-01), 577-584  |x 0942-2056  |q 23:2<577  |1 2015  |2 23  |o 167 
856 4 0 |u https://doi.org/10.1007/s00167-014-3037-y  |q text/html  |z Onlinezugriff via DOI 
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900 7 |a Metadata rights reserved  |b Springer special CC-BY-NC licence  |2 nationallicence 
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950 |B NATIONALLICENCE  |P 856  |E 40  |u https://doi.org/10.1007/s00167-014-3037-y  |q text/html  |z Onlinezugriff via DOI 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Wieser  |D Karl  |u Department of Orthopaedics, Balgrist University Hospital, University of Zurich, Forchstrasse 340, 8008, Zurich, Switzerland  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Farshad  |D Mazda  |u Department of Orthopaedics, Balgrist University Hospital, University of Zurich, Forchstrasse 340, 8008, Zurich, Switzerland  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Meyer  |D Dominik  |u Department of Orthopaedics, Balgrist University Hospital, University of Zurich, Forchstrasse 340, 8008, Zurich, Switzerland  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Conze  |D Philipp  |u Musculoskeletal Research Unit, Equine Department, Center for Applied Biotechnology and Molecular Medicine, Vetsuisse Faculty, University of Zurich, Zurich, Switzerland  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a von Rechenberg  |D Brigitte  |u Musculoskeletal Research Unit, Equine Department, Center for Applied Biotechnology and Molecular Medicine, Vetsuisse Faculty, University of Zurich, Zurich, Switzerland  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Gerber  |D Christian  |u Department of Orthopaedics, Balgrist University Hospital, University of Zurich, Forchstrasse 340, 8008, Zurich, Switzerland  |4 aut 
950 |B NATIONALLICENCE  |P 773  |E 0-  |t Knee Surgery, Sports Traumatology, Arthroscopy  |d Springer Berlin Heidelberg  |g 23/2(2015-02-01), 577-584  |x 0942-2056  |q 23:2<577  |1 2015  |2 23  |o 167