Publication:
The Effects of Corticosteroid Injection in the Healthy and Damaged Achilles Tendon Model: Histopathological and Biomechanical Experimental Study in Rats

dc.contributor.authorIstemi YÜCEL
dc.contributor.authorTurhan Beyza ÖZTÜRK
dc.contributor.authorNazım KARAHAN
dc.contributor.authorMehmet Müfit Orak
dc.contributor.authorAhmet Midi
dc.contributor.authorilyas arslan
dc.contributor.institutionT.C. SAĞLIK BAKANLIĞI
dc.contributor.institutionTanımlanmamış Kurum
dc.contributor.institutionT.C. SAĞLIK BAKANLIĞI
dc.contributor.institutionBAHÇEŞEHİR ÜNİVERSİTESİ
dc.contributor.institutionBAHÇEŞEHİR ÜNİVERSİTESİ
dc.contributor.institutionT.C. SAĞLIK BAKANLIĞI
dc.date.accessioned2025-09-20T19:59:21Z
dc.date.issued2020
dc.date.submitted10.11.2020
dc.description.abstractObjective: To show the effects of corticosteroids on inflammatory reactions in the injured Achilles tendon in rats.Material and Method: Thirty-two adult Wistar Albino rats were used in the study. The rats were divided into 4 groups. In the first group (IntactSaline), saline solution was injected to the intact Achilles tendon. In the second group (Intact Corticosteroid), corticosteroid was injected tothe intact tendon. In the third group (Injured Saline), saline solution was injected to the injured Achilles tendon. In the fourth group (InjuredCorticosteroid), corticosteroid was injected to the injured tendon. All groups were sacrificed on day 30 and Achilles tendons were taken andprepared for histological and biomechanical evaluation.Results: According to the biomechanical test, mean load-to-failure of the Intact Saline group was significantly lower than the Intact Corticosteroid(p=0.016), Injured Saline (p=0.001) and Injured Corticosteroid) (p=0.012) groups. According to the histopathological evaluation, tenocytemean of the Intact Saline group was statistically lower than the Injured Saline and Injured Corticosteroid groups. Tenocyte mean of the IntactCorticosteroid group was statistically significantly lower than the Injured Saline and Injured Corticosteroid groups. The ground substancemean of the Intact Saline group was significantly lower than the Injured Saline and Injured Corticosteroid groups. The ground substance meanof the Intact Corticosteroid group was significantly lower than the Injured Saline and Injured Corticosteroid groups. There was no statisticallysignificant difference between the groups in terms of calcification.Conclusion: It has been found that there is biomechanical and histopathological significant benefit of intra-tendon corticosteroid administrationin the experimentally generated Achilles tendon injury model.
dc.identifier.doi10.5146/tjpath.2019.01468
dc.identifier.endpage47
dc.identifier.issn1018-5615
dc.identifier.issn1309-5730
dc.identifier.issue1
dc.identifier.startpage39
dc.identifier.urihttps://hdl.handle.net/20.500.14719/5156
dc.identifier.volume36
dc.language.isoen
dc.relation.journalTürk Patoloji Dergisi
dc.subjectPatoloji
dc.titleThe Effects of Corticosteroid Injection in the Healthy and Damaged Achilles Tendon Model: Histopathological and Biomechanical Experimental Study in Rats
dc.typeResearch Article
dcterms.references1. Pingel J, Lu Y, Starborg T, Fredberg U, Langberg H, Nedergaard A, Weis M, Eyre D, Kjaer M, Kadler KE. 3-D ultrastructure and collagen composition of healthy and overloaded human tendon: Evidence of tenocyte and matrix buckling. J Anat. 2014, 224:548- 55.,2. Singh D. Acute Achilles tendon rupture. BMJ. 2015,351:h4722.,3. Frederick M. Azar. Traumatic Disorders, in campbell’s operative orthopaedics e-book, 9th ed. Elsevier Health Sciences, 2016, 1413-28.,4. Yang G, Rothrauff BB, Tuan RS. Tendon and ligament regeneration and repair: Clinical relevance and developmental paradigm. Birth Defects Res C Embryo Today. 2013,99:203-22.,5. Clanton TO, Haytmanek CT, Williams BT, Civitarese DM, Turnbull TL, Massey MB, Wijdicks CA, LaPrade RF. A biomechanical comparison of an open repair and 3 minimally invasive percutaneous achilles tendon repair techniques during a simulated, progressive rehabilitation protocol. Am J Sports Med. 2015,43:1957-64.,6. Svensson RB, Mulder H, Kovanen V, Magnusson SP. Fracture mechanics of collagen fibrils: Influence of natural cross-links. Biophys J. 2013,104:2476-84.,7. Meier Bürgisser G, Calcagni M, Bachmann E, Fessel G, Snedeker JG, Giovanoli P, Buschmann J. Rabbit achilles tendon full transection model - wound healing, adhesion formation and biomechanics at 3, 6- and 12-weeks post-surgery. Biol Open. 2016,5:1324-33.,8. Longo UG, Ronga M, Maffulli N. Achilles tendinopathy. Sports Med Arthrosc Rev. 2018,26:16-30.,9. Oliva F, Gatti S, Porcellini G, Forsyth NR, Maffulli N. Growth factors and tendon healing. Med Sport Sci. 2012, 57:53-64.,10. Curzi D, Salucci S, Marini M, Esposito F, Agnello L, Veicsteinas A, Burattini S, Falcieri E. How physical exercise changes rat myotendinous junctions: An ultrastructural study. Eur J Histochem. 2012,56: e19.,11. Frairia R, Berta L. Biological effects of extracorporeal shock waves on fibroblasts. A review. Muscles Ligaments Tendons J. 2012,1:138-47.,12. Burns PR, Lowery N. Etiology, pathophysiology, and most common injuries of the lower extremity in the athlete. Clin Podiatr Med Surg. 2011,28:1-18.,13. Müller SA, Quirk NP, Müller-Lebschi JA, Heisterbach PE, Dürselen L, Majewski M, Evans CH. Response of the injured tendon to growth factors in the presence or absence of the paratenon. Am J Sports Med. 2019,47:462-7.,14. Kaya Mutlu E, Celik D, Kılıçoğlu Ö, Ozdincler AR, Nilsson- Helander K. The Turkish version of the Achilles tendon Total Rupture Score: Cross-cultural adaptation, reliability and validity. Knee Surg Sports Traumatol Arthrosc. 2015,23:2427-32.,15. Macklin K, Healy A, Chockalingam N. The effect of calf muscle stretching exercises on ankle joint dorsiflexion and dynamic foot pressures, force and related temporal parameters. Foot (Edinb). 2012,22:10-7.,16. McCormack R, Bovard J. Early functional rehabilitation or cast immobilisation for the postoperative management of acute Achilles tendon rupture? A systematic review and meta-analysis of randomised controlled trials. Br J Sports Med. 2015,49:1329- 35.,17. Brown CD, Lauber CA, Cappaert T. The Effect of Dexamethasone Iontophoresis on decreasing pain and improving function in patients with musculoskeletal conditions. J Sport Rehabil. 2015,24:327-31.,18. Srivastava P, Aggarwal A. Ultrasound-guided retro-calcaneal bursa corticosteroid injection for refractory Achilles tendinitis in patients with seronegative spondyloarthropathy: Efficacy and follow-up study. Rheumatol Int. 2016,36:875-80.,19. Marqueti RC, Paulino MG, Fernandes MN, de Oliveira EM, Selistre-de-Araujo HS. Tendon structural adaptations to load exercise are inhibited by anabolic androgenic steroids. Scand J Med Sci Sports. 2014,24: e39-51.,20. Ng GY, Fung DT. The effect of therapeutic ultrasound intensity on the ultrastructural morphology of tendon repair. Ultrasound Med Biol. 2007,33:1750-4.,21. Itoi E, Yamamoto N, Minagawa H, Tomioka T, Kijima H, Shimada Y. Healing processes of the glenoid labral lesion in a rabbit model of shoulder dislocation. Tohoku J Exp Med. 2012,228:103-8.,22. Zhang J, Keenan C, Wang JH. The effects of dexamethasone on human patellar tendon stem cells: Implications for dexamethasone treatment of tendon injury. J Orthop Res. 2013,31:105-10.,23. Gerber C, Meyer DC, Flück M, Benn MC, von Rechenberg B, Wieser K. Anabolic steroids reduce muscle degeneration associated with rotator cuff tendon release in sheep. Am J Sports Med. 2015,43:2393-400.,24. Yang TH, Thoreson AR, Gingery A, Larson DR, Passe SM, An KN, Zhao C, Amadio PC. Collagen gel contraction as a measure of fibroblast function in an animal model of subsynovial connective tissue fibrosis. J Orthop Res. 2015,33:668-74.,25. Andarawis-Puri N, Flatow EL, Soslowsky LJ. Tendon basic science: Development, repair, regeneration, and healing. J Orthop Res. 2015,33:780-4.,26. Akamatsu FE, Saleh SO, Teodoro WR, Silva AQ, Martinez CA, Duarte RJ, Andrade MF, Jacomo AL. Experimental model of Achilles tendon injury in rats. Acta Cir Bras. 2014,29:417-22.,27. Aydın BK, Altan E, Acar MA, Erkoçak ÖF, Ugraş S. Effect of Ankaferd blood stopper® on tendon healing: An experimental study in a rat model of Achilles tendon injury. Eklem Hastalik Cerrahisi. 2015,26:31-7.,28. Backman C, Boquist L, Friden J, Lorentzon R, Toolanen G. Chronic achilles paratenonitis with tendinosis: An experimental model in the rabbit. J Orthop Res. 1990,8:541-7.,29. Gigliotti D, Xu MC, Davidson MJ, Macdonald PB, Leiter JR, Anderson JE. Fibrosis, low vascularity, and fewer slow fibers after rotator‐cuff injury. Muscle Nerve. 2017,55:715-26.,30. O’Brien EJ, Shrive NG, Rosvold JM, Thornton GM, Frank CB, Hart DA. Tendon mineralization is accelerated bilaterally and creep of contralateral tendons is increased after unilateral needle injury of murine achilles tendons. J Orthop Res. 2013,31:1520-8.
dspace.entity.typePublication
local.indexed.atTRDizin

Files

Original bundle

Now showing 1 - 1 of 1
No Thumbnail Available
Name:
The Effects of Corticosteroid Injection in the Healthy and Damaged Achilles Tendon Model Histopathological and Biomechanical Experimental Study in Rats.pdf
Size:
340.07 KB
Format:
Adobe Portable Document Format