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 Joints Orthopedic
 
Flexor Tendon Repair
 

The common flexor tendon is a tendon shared by a number of superficial flexor muscles in the forearm. It attaches to the medial epicondyle of the humerus.

It serves as the origin (in part) for a number of muscles (the superficial muscles of the anterior compartment of the forearm)

  • Pronator teres
  • Flexor carpi radialis
  • Palmaris longus
  • Flexor digitorum superficialis
  • Flexor carpi ulnaris

A tendon (or sinew) is a tough band of fibrous connective tissue that connects muscle to bone and is built to withstand tension. Tendons are similar to ligaments except that ligaments join one bone to another. Tendons and muscles work together and can only exert a pulling force.

Anatomy

The origin of a tendon is where it joins to a muscle. Collagen fibers from within the muscle organ are continuous with those of the tendon. A tendon inserts into bone at an enthesis where the collagen fibers are mineralized and integrated into bone tissue. While they exert no pulling force of their own, tendons transfer the contractions of muscles and can exert an elastic force if forcibly stretched.

Tenocytes produce collagen molecules which aggregate end-to-end and side-to-side to produce collagen fibrils. Fibril bundles are organized by tenocytes to form fibers. Collagen fibers coalesce into macroaggregates. Groups of macroaggregates are bounded by connective tissue endotendon and are termed fascicles. Groups of fascicles are bounded by the epitendon and peritendon to form the tendon organ.

Blood vessels may be visualized within the endotendon running parallel to collagen fibers, with occasional branching transverse anastomoses.

The internal tendon bulk is thought to contain no nerve fibers, but the epi- and peritendon contain nerve endings, while Golgi tendon organs are present at the junction between tendon and muscle.

Tendon length varies in all major groups and from person to person. Tendon length is practically the discerning factor where muscle size and potential muscle size is concerned. For example, should all other relevant biological factors be equal, a man with a shorter tendons and a longer biceps muscle will have greater potential for muscle mass than a man with a longer tendon and a shorter muscle. Cases in point: successful bodybuilders will generally have short tendons and are said to have 'great genetics.' Examples of people with short tendons (in particular the upper arms) are Casey Viator and Arnold Schwarzenegger[citation needed]. Conversely, in sports requiring athletes to excel in actions such as running or jumping, it is beneficial to have longer than average Achilles tendon and a shorter calf muscle.[1]

Some of the many professional athletes with long achilles tendons include Allen Iverson, Justin Gatlin and Hicham El Guerrouj. Tendon length is determined by genes, and has not been shown to either increase or decrease in response to environment, unlike muscles which can be shortened by trauma, use imbalances and a lack of recovery and stretching.[citation needed]

Pathology

Tendonitis refers to inflammation of a tendon.

Tendinosis refers to non-inflammatory injury to the tendon at the cellular level.

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Dr. Rodrigo Sequeira San Jose, Costa Rica.
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Orthopedic
Dr. Rodrigo Sequeira
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Health & Tourism Riga, Latvia.
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Our medical tourism company is working with all major public hospitals and private clinics in Latvia, thus providing a very wide range of procedures to our clients from all over the world. Latvia is considered to be one of the safest destinations.
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Mr. Denis Vasiljev
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