Tendon Injuries: Basic Science and Clinical Medicine

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Nicola Maffulli, Per Renstrom, Wayne B. Leadbetter
Springer Science & Business Media, Jan 4, 2005 - Medical - 332 pages
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Tendon ailments are a significant cause of morbidity among athletes of all levels and are increasing in prevalence. Their management is often empirical, and para-scientific, only looking at the biological aspects of tendon ailments. This book conveys a comprehensive and concise body of knowledge on the management of tendon problems in sportspeople with practical details of clinical protocols.

Tendon Injuries: Basic Science and Clinical Medicine is specifically dedicated to the clinical aspects of tendinopathy and provides the required knowledge and scientific basis for the sports medicine practitioner, orthopedic specialist and student facing upper and lower limb tendon ailments in athletes. A comprehensive review of tendon disorders is given and modern criteria of management outlined to form the basis of effective clinical management of this group of patients.

  

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Contents

Anatomy of Tendons
3
Mechanical Properties of Tendons
14
Growth and Development of Tendons
22
Aging and Degeneration of Tendons
25
Epidemiology of Tendon Problems in Sport
32
Neurogenic Mast Cell and Gender Variables in Tendon Biology Potential Role in Chronic Tendinopathy
40
Imaging of Tendon Ailments
49
Anatomical Sites and Presentation
61
Patellar Tendinopathy and Patellar Tendon Rupture
166
Hindfoot Tendinopathies in Athletes
178
Achilles Tendon Rupture
187
Achilles Tendinopathy
201
Management of Tendon Injuries
209
AntiInflammatory Therapy in Tendinopathy The Role of Nonsteroidal Drugs and Corticosteroid Injections
211
The Effect of Therapeutic Modalities on Tendinopathy
233
Rehabilitation After Tendon Injuries
242

Injury of the Musculotendinous Junction
63
Insertional Tendinopathy in Sports
70
Tendon Avulsions in Children and Adolescents
86
Tendinopathy in the Workplace
90
Rotator Cuff Tendinopathy
101
Rotator Cuff Disorders
119
Tendinopathies Around the Elbow
128
Hand and Wrist Tendinopathies
137
Groin Tendon Injuries
150
Knee and Thigh Overuse Tendinopathy
158
Surgery for Chronic Overuse Tendon Problems in Athletes
267
New Developments
277
Research Methodology and Animal Modeling in Tendinopathy
279
Tendon Innervation and Neuronal Response After Injury
287
The Use of Growth Factors in the Management of Tendinopathies
298
Optimization of Tendon Healing
304
Gene Therapy in Tendon Ailments
307
Tendon Regeneration Using Mesenchymal Stem Cells
313
Index
321
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About the author (2005)

Professor Nicola Maffulli previously published a book with Springer entitled: Tendon Injuries. Nicola Maffulli is a Professor of Trauma and Orthopaedic Surgery at Keele University School of Medicine and Consultant Trauma and Orthopaedic Surgeon at the North Staffordshire Royal Infirmary and City General Hospital, Stoke on Trent in Staffordshire, UK. He is one of the most pre-eminent sports medicine and orthopaedic consultants in the UK. Nicola has had more than 250 articles published in peer reviewed journals on various aspects of trauma and orthopaedic surgery, sports medicine and sports traumatology. He is currently Editor in Chief of 'Continuous Medical Education in Orthopaedics'; and is an Editorial Board Member for 'The British Journal of Sports Medicine'; 'Clinical Journal of Sport Medicine'; and 'Arthroscopy'. He is President of the British Orthopaedic Sports Trauma Association (BOSTA), and serves as an examiner for The Royal College of Surgeons, Edinburgh, and for the Intercollegiate Academic Board of Sports and Exercise Medicine. His areas of particular clinical interest include Tendon problems, ACL injuries and the management of osteoarthritis in young patients.

Dr. Louis C. Almekinders is a native of the Netherlands where he attended Erasmus University (Rotterdam, The Netherlands) for both undergraduate and medical studies. Following the completion of his studies he moved to the USA. While in North Carolina, he completed a residency in Orthopaedic Surgery and a research fellowship at Duke University Medical Center. In 1989 he joined the faculty of the Department of Orthopaedic Surgery of the University of North Carolina at Chapel Hill. In the ensuing 14 years heworked as a team physician for the varsity athletic teams and became a tenured, full professor at UNC. In addition, Dr. Almekinders spent a considerable amount of his time in basic, orthopaedic research focusing on acute and chronic soft tissue injuries. In 2002 he resigned his position to start the North Carolina Orthopaedic Clinic in Durham, NC as part of the Duke University Health System. He is a clinical professor in the Division of Orthopaedic Surgery at Duke University and continues to be active in teaching and clinical research. The focus of his current practice is soft tissue problems in knees, shoulders, ankles and feet. He uses mostly arthroscopic techniques to treat problems in these joints and has a special interest cartilage restoration, including cartilage transplantation.

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