Evidence map›Paper›PMID 20190378›Full record

ReviewJournal of musculoskeletal & neuronal interactions2010

The development and morphogenesis of the tendon-to-bone insertion - what development can teach us about healing -.

S Thomopoulos, G M Genin, L M Galatz

Abstract readReview
In one paragraph

Review in Journal of musculoskeletal & neuronal interactions, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 150 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
150citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

150 citing papers in PubMed, 1 synthesis or guideline pooled it.

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  4. Denosumab therapy is associated with a reduced risk of clinically diagnosed rotator cuff tears: a multi-institutional real-world cohort study.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2026
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90 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

S ThomopoulosWashington University, Department of Orthopaedic Surgery, St Louis, MO 63110, USA. thomopouloss@wudosis.wustl.edu
G M Genin
L M Galatz

Funding

Tendon Enthesis Development and RegenerationR01AR055580 · NIAMS · WASHINGTON UNIVERSITY · PI THOMOPOULOS, STAVROS · 2009 to 2019
$4.0M
Mechanics Characterization of Cellular Force RegulationK25HL079165 · NHLBI · WASHINGTON UNIVERSITY · PI GENIN, GUY M · 2006 to 2010
$701k
Enhanced tendon to bone healingK01EB004347 · NIBIB · WASHINGTON UNIVERSITY · PI THOMOPOULOS, STAVROS · 2006 to 2010
$635k
NHLBI NIH HHS K25 HL079165NIAMS NIH HHS AR055580NIAMS NIH HHS R01 AR055580NIBIB NIH HHS EB004347NIBIB NIH HHS K01 EB004347
6 · The paper itself

Abstract

The attachment of dissimilar materials is a major challenge because of the high levels of stress that develop at such interfaces. An effective solution to this problem develops at the attachment of tendon (a compliant "soft tissue") to bone (a stiff "hard tissue"). This tissue, the "enthesis", transitions from tendon to bone through gradations in structure, composition, and mechanical properties. These gradations are not regenerated during tendon-to-bone healing, leading to a high incidence of failure after surgical repair. Understanding the development of the enthesis may allow scientists to develop treatments that regenerate the natural tendon-to-bone insertion. Recent work has demonstrated that both biologic and mechanical factors drive the development and morphogenesis of the enthesis. A cascade of biologic signals similar to those seen in the growth plate promotes mineralization of cartilage on the bony end of the enthesis and the formation of fibrocartilage on the tendon end of the enthesis. Mechanical loading is also necessary for the development of the enthesis. Removal of muscle load impairs the formation of bone, fibrocartilage, and tendon at the developing enthesis. This paper reviews recent work on the development of the enthesis, with an emphasis on the roles of biologic and mechanical factors.

Indexed as

Musculoskeletal Physiological PhenomenaAnimalsBone and BonesCollagenElasticityExtracellular Matrix ProteinsFibrocartilageHumansMuscle, SkeletalStress, MechanicalTendonsWeight-BearingCollagenExtracellular Matrix Proteins

Identifiers

PMID20190378
PMCPMC3605736

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.