Evidence map›Paper›PMID 34935170›Full record

ArticleJournal of orthopaedic research : official publication of the Orthopaedic Research Society2022

Nonsurgical treatment reduces tendon inflammation and elevates tendon markers in early healing.

Benjamin R Freedman, Kwasi Adu-Berchie, Carrie Barnum, George W Fryhofer, Nabeel S Salka, Snehal Shetye, Louis J Soslowsky

Open access · greenAbstract read
In one paragraph

Article in Journal of orthopaedic research : official publication of the Orthopaedic Research Society, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
0.9field-weighted citation impact, top 29% 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

9 citing papers in PubMed, 11 citations in OpenAlex.

  1. Article
  2. Review of Preclinical and Clinical Studies Supporting the Role of Polydeoxyribonucleotide in the Treatment of Tendon Disorders.Medical science monitor : international medical journal of experimental and clinical research · 2025
    Review
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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

7 authors at 2 institutions in 1 country.

Benjamin R FreedmanMcKay Orthopedic Research Laboratory, University of Pennsylvania, Philadelphia, Pennsylvania, USA.ORCID 0000-0001-9406-773X
Kwasi Adu-BerchieJohn A Paulson School of Engineering and Applied Sciences, Harvard University, Cambridge, Massachusetts, USA.ORCID 0000-0002-1959-6794
Carrie BarnumMcKay Orthopedic Research Laboratory, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
George W FryhoferMcKay Orthopedic Research Laboratory, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Nabeel S SalkaMcKay Orthopedic Research Laboratory, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Snehal ShetyeMcKay Orthopedic Research Laboratory, University of Pennsylvania, Philadelphia, Pennsylvania, USA.ORCID 0000-0001-7469-3039
Louis J SoslowskyMcKay Orthopedic Research Laboratory, University of Pennsylvania, Philadelphia, Pennsylvania, USA.ORCID 0000-0001-9325-7662
University of Pennsylvania · USHarvard University · US

Funding

Overall: Resource-based Center for Musculoskeletal Disorders Research (Overall Application)P30AR069619 · NIAMS · UNIVERSITY OF PENNSYLVANIA · PI LOUIS J SOSLOWSKY · 2016 to 2026
$9.1M
Training Program in Musculoskeletal ResearchT32AR007132 · NIAMS · UNIVERSITY OF PENNSYLVANIA · PI Robert L Mauck, LOUIS J SOSLOWSKY · 1986 to 2026
$4.9M
Challenging Treatment Paradigms for Achilles Tendon Ruptures in an Animal ModelR01AR064216 · NIAMS · UNIVERSITY OF PENNSYLVANIA · PI SOSLOWSKY, LOUIS J · 2013 to 2017
$1.9M
Institutional Clinical and Translational Science AwardTL1TR000138 · NCATS · UNIVERSITY OF PENNSYLVANIA · PI FITZGERALD, GARRET A · 2012 to 2015
$877k
Multifunctional tough adhesive hydrogels to recruit, expand, and deliver tendoncells during aging and injuryK99AG065495 · NIA · HARVARD UNIVERSITY · PI FREEDMAN, BENJAMIN ROSS · 2020 to 2022
$341k
NCATS NIH HHS TL1 TR000138NIAMS NIH HHS P30 AR069619NIAMS NIH HHS R01 AR064216NIAMS NIH HHS T32 AR007132NIA NIH HHS K99 AG065495
6 · The paper itself

Abstract

Operative treatment is assumed to provide superior outcomes to nonoperative (conservative) treatment following Achilles tendon rupture, however, this remains controversial. This study explores the effect of surgical repair on Achilles tendon healing. Rat Achilles tendons (n = 101) were bluntly transected and were randomized into groups receiving repair or non-repair treatments. By 1 week after injury, repaired tendons had inferior mechanical properties, which continued to 3- and 6-week post-injury, evidenced by decreased dynamic modulus and failure stress. Transcriptomics analysis revealed >7000 differentially expressed genes between repaired and non-repaired tendons after 1-week post-injury. While repaired tendons showed enriched inflammatory gene signatures, non-repaired tendons showed increased tenogenic, myogenic, and mechanosensitive gene signatures, with >200-fold enrichment in Tnmd expression. Analysis of gastrocnemius muscle revealed elevated MMP activity in tendons receiving repair treatment, despite no differences in muscle fiber morphology. Transcriptional regulation analysis highlighted that the highest expressed transcription factors in repaired tendons were associated with inflammation (Nfκb, SpI1, RelA, and Stat1), whereas non-repaired tendons expressed markers associated with tissue development and mechano-activation (Smarca1, Bnc2, Znf521, Fbn1, and Gli3). Taken together, these data highlight distinct differences in healing mechanism occurring immediately following injury and provide insights for new therapies to further augment tendons receiving repaired and non-repaired treatments.

Indexed as

Achilles TendonTendon InjuriesAnimalsInflammationRatsTranscription FactorsWound HealingTranscription Factorscollagenextracellular matrixmechanicsmolecular profilingproteomics

Identifiers

PMID34935170
PMCPMC9209559
OpenAlexW4200134382

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.