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首页> 外文期刊>Medicine and science in sports and exercise >Similar histopathological picture in males with Achilles and patellar tendinopathy.
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Similar histopathological picture in males with Achilles and patellar tendinopathy.

机译：男性跟腱和tend肌腱病的组织病理学图片相似。

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PURPOSE: To ascertain whether there are differences in the histopathological appearance of tendinopathic Achilles and patellar tendons. METHODS: In males, we studied biopsies from tendinopathic Achilles (N = 28; average age 34.1 yr) and patellar tendons (N = 28; average age 32.1), Achilles tendons (N = 21; average age 61.8 yr) from deceased patients with no known tendon pathology, and patellar tendons (N = 15; average age 28.3) from patients undergoing anterior cruciate ligament reconstruction. Hematoxylineosin stained slides were interpreted using a semiquantitative grading scale (0: normal to 3: maximally abnormal) for fiber structure, fiber arrangement, rounding of the nuclei, regional variations in cellularity, increased vascularity, decreased collagen stainability, and hyalinization. All slides were assessed blindly twice, the agreement between two readings ranging from 0.170 to 0.750 (kappa statistics). RESULTS: The highest mean score of tendinopathic Achilles tendons was not significantly different from that of tendinopathic patellar tendons (11.6 +/- 5 and 10.4 +/- 3, respectively). The ability to differentiate between an Achilles tendon and a patellar tendon was low. CONCLUSIONS: Tendinopathic Achilles and patellar tendons show a similar histological picture. It was not possible to identify whether a specimen had been harvested from an Achilles or a patellar tendon on the basis of histological examination. The general pattern of degeneration was common to both tendinopathic Achilles and patellar tendons. A common, as yet unidentified, etiopathological mechanism may have acted on both these tendon populations.
机译：目的：确定肌腱性跟腱和pa腱的组织病理学外观是否存在差异。方法：在男性中，我们研究了来自已死患者的腱鞘跟腱（N = 28;平均年龄34.1岁）和pa腱（N = 28;平均年龄32.1），跟腱（N = 21;平均年龄61.8岁）的活组织检查。没有已知的肌腱病理学，并且前交叉韧带重建患者的pa腱（N = 15;平均年龄28.3）。用半定量等级量表（0：正常至3：最大异常）解释苏木精染色的玻片的纤维结构，纤维排列，细胞核圆形，细胞分布区域变化，血管增多，胶原染色性降低和透明化。所有幻灯片均进行了两次盲法评估，两次读数之间的一致性介于0.170至0.750之间（kappa统计）。结果：腱鞘跟腱的最高平均得分与腱path骨腱的平均得分没有显着差异（分别为11.6 +/- 5和10.4 +/- 3）。跟腱和a腱之间的区别能力很低。结论：腱鞘跟腱和pa腱表现出相似的组织学图像。根据组织学检查无法鉴定是从跟腱还是从tell腱中采集的标本。肌腱性跟腱和pa腱均具有普遍的变性模式。常见的病因病理机制可能已经作用于这两个肌腱群体。

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