2023
DOI: 10.1155/2023/4387630
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Biological and Mechanical Factors and Epigenetic Regulation Involved in Tendon Healing

Abstract: Tendons are an important part of the musculoskeletal system. Connecting muscles to bones, tendons convert force into movement. Tendon injury can be acute or chronic. Noticeably, tendon healing requires a long time span and includes inflammation, proliferation, and remodeling processes. The mismatch between endogenous and exogenous healing may lead to adhesion causing further negative effects. Management of tendon injuries and complications such as subsequent adhesion formation are still challenges for clinicia… Show more

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Cited by 6 publications
(3 citation statements)
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“…Because of the hypocellular and hypovascular characteristics of the tissue of the tendon, the triphasic normal therapeutic reaction is somewhat sluggish, thereby necessitating surgical intervention ( Long et al, 2022 ). The three steps of the natural healing response are 1) inflammation, 2) propagation/restoration, and 3) remodeling ( Li et al, 2023 ). Throughout the inflammatory process, the blood clot that forms soon after an injury serves as “preliminary scaffolding,” and burst tendon veins produce chemoattractants that attract migratory cells (neutrophils, monocytes, and lymphocytes) from the nearby tissues ( Hafeez et al, 2021 ).…”
Section: Healing Of Tendon Tissue Through Natural Meansmentioning
confidence: 99%
“…Because of the hypocellular and hypovascular characteristics of the tissue of the tendon, the triphasic normal therapeutic reaction is somewhat sluggish, thereby necessitating surgical intervention ( Long et al, 2022 ). The three steps of the natural healing response are 1) inflammation, 2) propagation/restoration, and 3) remodeling ( Li et al, 2023 ). Throughout the inflammatory process, the blood clot that forms soon after an injury serves as “preliminary scaffolding,” and burst tendon veins produce chemoattractants that attract migratory cells (neutrophils, monocytes, and lymphocytes) from the nearby tissues ( Hafeez et al, 2021 ).…”
Section: Healing Of Tendon Tissue Through Natural Meansmentioning
confidence: 99%
“…Platelet-derived biomaterials, like TGF-β2, IGF-I, and VEGF, may mitigate these pathological features by promoting neural regeneration and nNOS upregulation. It has been shown that PDGF-β is a mitogen for Schwann cells with trophic activity on neurons because neuronal cells express PDGF receptors [71]. Higher levels of PDGF-β are found in peripheral neurons with damaged peripheral nerves, suggesting the importance of this protein for peripheral nerve regeneration [72].…”
Section: Platelet-rich Plasma (Prp) In Ed Treatmentmentioning
confidence: 99%
“…However, this process is usually slow and leads to the formation of lower scar tissue, which may take several years to reshape into more functional tissue. More serious injuries, such as acute mechanical loads and other physical factors, usually lead to tendon tears, which usually require surgical treatment [2,3].…”
Section: Introductionmentioning
confidence: 99%