Evidence map›Paper›PMID 22244066›Full record

ReviewJournal of shoulder and elbow surgery2012

The role of mechanobiology in tendon healing.

Megan L Killian, Leonardo Cavinatto, Leesa M Galatz, Stavros Thomopoulos

Abstract readReview
In one paragraph

Review in Journal of shoulder and elbow surgery, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 125 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
125citing papers in PubMed, 2 pooled it
15.4field-weighted citation impact, top 1% of its field
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

125 citing papers in PubMed, 2 syntheses or guidelines pooled it, 324 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. BiomimeticBioactive materials · 2026
    Article
  5. Article
  6. Review
  7. [Expert consensus on reconstruction treatment for irreparable posterosuperior massive rotator cuff tears].Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2026
    Article
  8. Article
  9. Collagen III Deficiency Following Injury in Female Murine Tendons Alters Matrix Composition, Structure, Organization and Function.Journal of orthopaedic research : official publication of the Orthopaedic Research Society · 2026
    Article
  10. Review
  11. Article
  12. Review
  13. Review
  14. Article
  15. Article
  16. The Secretome From Mechanically Loaded Myoblasts Enhances Tenocyte-Mediated Wound Healing in a 3D In Vitro Tendon Model.FASEB journal : official publication of the Federation of American Societies for Experimental Biology · 2026
    Article
  17. Article
  18. Article
  19. Review
  20. Cyclic mechanical stimulation of TDCs improves tendon tissue maturationFrontiers in bioengineering and biotechnology · 2026
    Article

65 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

4 authors at 1 institution in 1 country.

Megan L KillianDepartment of Orthopaedic Surgery, Washington University, St. Louis, MO 63110, USA.
Leonardo Cavinatto
Leesa M Galatz
Stavros Thomopoulos
Washington University in St. Louis · US

Funding

Tendon Enthesis Development and RegenerationR01AR055580 · NIAMS · WASHINGTON UNIVERSITY · PI THOMOPOULOS, STAVROS · 2009 to 2019
$4.0M
Rotator Cuff Degeneration and RepairR01AR057836 · NIAMS · WASHINGTON UNIVERSITY · PI GALATZ, LEESA M, THOMOPOULOS, STAVROS · 2010 to 2020
$3.1M
Rotator Cuff Degeneration and RepairR56AR057836 · NIAMS · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI GALATZ, LEESA M, THOMOPOULOS, STAVROS · 2015 to 2015
$345k
NIAMS NIH HHS AR055580NIAMS NIH HHS AR057836NIAMS NIH HHS R01 AR055580NIAMS NIH HHS R01 AR057836NIAMS NIH HHS R56 AR057836
6 · The paper itself

Abstract

Mechanical cues affect tendon healing, homeostasis, and development in a variety of settings. Alterations in the mechanical environment are known to result in changes in the expression of extracellular matrix proteins, growth factors, transcription factors, and cytokines that can alter tendon structure and cell viability. Loss of muscle force in utero or in the immediate postnatal period delays tendon and enthesis development. The response of healing tendons to mechanical load varies depending on anatomic location. Flexor tendons require motion to prevent adhesion formation, yet excessive force results in gap formation and subsequent weakening of the repair. Excessive motion in the setting of anterior cruciate ligament reconstruction causes accumulation of macrophages, which are detrimental to tendon graft healing. Complete removal of load is detrimental to rotator cuff healing; yet, large forces are also harmful. Controlled loading can enhance healing in most settings; however, a fine balance must be reached between loads that are too low (leading to a catabolic state) and too high (leading to microdamage). This review will summarize existing knowledge of the mechanobiology of tendon development, homeostasis, and healing.

Indexed as

Stress, MechanicalBiomechanical PhenomenaHumansPostoperative CareTendon InjuriesTendonsTensile StrengthWeight-BearingWound Healing

Identifiers

PMID22244066
PMCPMC3259533
OpenAlexW2134851421

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

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.