SUMMARY Human extensor tendons of the hand were pulled to rupture, and the torn ends, when observed in the scanning electron microscope, appeared to be knotted, possibly owing to the denaturation of the collagen. This was confirmed by fluorimetry assays of both the ruptured ends and the middle unbroken sections of the same tendons. The use of a proteolytic enzyme, trypsin, to remove the denatured material and enhance the repair of organised collagen fibres from both ends is suggested if the ruptured ends have the denatured knotted appearance commonly observed clinically.Tendons that have become ruptured in vivo have usually failed because of 2 conditions: because an unusually large force has been applied through the tendon before muscular control has resisted the load, or because the tendon, in particular the collagen fibre network, which resists tensile loads transmitted through the tendon, has undergone biochemical attack substantially weakening the collagen. Tendons that have become divided as a result of trauma show a lesion at the rupture in which the ends have become atrophic and rounded producing a blunt amputation stump. After several months of repair histological evidence shows the junction of the new and old tendon and no regeneration from the proximal stump (Peacock, 1977).Clinical evidence and our interests in degeneration of collagenous tissue led to us conduct a preliminary study on the morphology of tendon ends after mechanical rupture (Steven et al., 1975). A hypothesis we put forward during that study was that the appearance of the ruptured end was a result of denaturation at the fibre ends, so the ends of the distal portions were exposed to trypsin for 24 hours. The tapered and knotted ends were not evident on the trypsin-exposed preparations, suggesting that the ruptured ends contained a substantial amount of denatured collagen.