STRUCTURAL CHANGES AND PATOLOGY OF TENDONS IN THE ELDERLY
Journal Title: INTERNATIONAL JOURNAL OF ADVANCES IN ORTHOPAEDICS - Year 2018, Vol 1, Issue 3
Abstract
Tendons are fundamental structures for maintaining posture and achieving movements. Tendons consist of compact connective tissue, they are slightly vascularized, receiving their blood supply primarily from the surrounding vessels. In sarcopenic patients we can see a reduction in strength, power and resistance. Muscle's performance is also affected by the lifestyle, environment, epigenetic mutations, editable factors and unchangeable factors such as age. In vitro studies have shown that age is associated with a reduction in the number of collagen bers, an increase in elastin content, a reduction in extracellular water, a reduction of nutritive substances and reduction in diameter of collagen brils. Therapy can be divided in: conservative, inltrative and surgical. There are also innovative inltrative therapies like PRP, mesenchymal stem cells, autologous peripheral blood progenitor cells. In our experience we use, with ultrasound control, a multiple injections with a centrifugation of PRP on the Achilles tendon and early rehabilitation.
Authors and Affiliations
Scaglione M, Citarelli C, Lazzerini I, Agostini G. , Angelini I, Casella F
Keywords
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