Evidence map›Paper›PMID 37573480›Full record

ReviewJournal of orthopaedic research : official publication of the Orthopaedic Research Society2023

Preclinical tendon and ligament models: Beyond the 3Rs (replacement, reduction, and refinement) to 5W1H (why, who, what, where, when, how).

Dianne Little, Peter C Amadio, Hani A Awad, Stephanie G Cone, Nathaniel A Dyment, Matthew B Fisher, Alice H Huang, Drew W Koch, Andrew F Kuntz, Rashad Madi and 6 more

Abstract readReview
In one paragraph

Review in Journal of orthopaedic research : official publication of the Orthopaedic Research Society, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
–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

20 citing papers in PubMed.

  1. Article
  2. Article
  3. Grafts in tendon repair.Materials today. Bio · 2026
    Review
  4. Comparative Analysis of Tendon Healing in a Clinically Relevant Mouse Model of Achilles Tendon Repair.Journal of orthopaedic research : official publication of the Orthopaedic Research Society · 2026
    Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Achilles tendinopathy.Nature reviews. Disease primers · 2025
    Review
  12. Article
  13. Article
  14. Tendon regeneration deserves better: focused review onFrontiers in bioengineering and biotechnology · 2025
    Review
  15. Article
  16. Review
  17. Article
  18. Article
  19. Special issue: Guiding the future of tendon research.Journal of orthopaedic research : official publication of the Orthopaedic Research Society · 2023
    Article
  20. Article
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

16 authors.

Dianne LittleDepartment of Basic Medical Sciences, The Weldon School of Biomedical Engineering, Purdue University, West Lafayette, Indiana, USA.ORCID 0000-0002-1869-7083
Peter C AmadioDepartment of Orthopaedic Surgery, Mayo Clinic, Rochester, Minnesota, USA.ORCID 0000-0002-2206-4772
Hani A AwadDepartment of Orthopaedics, Department of Biomedical Engineering, The Center for Musculoskeletal Research, University of Rochester, Rochester, New York, USA.ORCID 0000-0003-2197-2610
Stephanie G ConeDepartment of Biomedical Engineering, University of Delaware, Newark, Delaware, USA.ORCID 0000-0003-0544-448X
Nathaniel A DymentMcKay Orthopaedic Research Laboratory, University of Pennsylvania, Philadelphia, Pennsylvania, USA.ORCID 0000-0001-8708-112X
Matthew B FisherJoint Department of Biomedical Engineering, College of Engineering, North Carolina State University-University of North Carolina at Chapel Hill, Raleigh, North Carolina, USA.ORCID 0000-0002-3212-0870
Alice H HuangDepartment of Orthopedic Surgery, Department of Biomedical Engineering, Columbia University, New York, New York, USA.ORCID 0000-0002-5037-6829
Drew W KochDepartment of Clinical Sciences, College of Veterinary Medicine, and Comparative Medicine Institute, North Carolina State University, Raleigh, North Carolina, USA.
Andrew F KuntzMcKay Orthopaedic Research Laboratory, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Rashad MadiMcKay Orthopaedic Research Laboratory, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Kirk McGilvrayDepartment of Mechanical Engineering, School of Biomedical Engineering, Colorado State University, Fort Collins, Colorado, USA.ORCID 0000-0003-1302-9307
Lauren V SchnabelDepartment of Clinical Sciences, College of Veterinary Medicine, and Comparative Medicine Institute, North Carolina State University, Raleigh, North Carolina, USA.ORCID 0000-0002-1993-8141
Snehal S ShetyeMcKay Orthopaedic Research Laboratory, University of Pennsylvania, Philadelphia, Pennsylvania, USA.ORCID 0000-0001-7469-3039
Stavros ThomopoulosDepartment of Orthopedic Surgery, Department of Biomedical Engineering, Columbia University, New York, New York, USA.ORCID 0000-0003-1531-4849
Chunfeng ZhaoDepartment of Orthopaedic Surgery, Mayo Clinic, Rochester, Minnesota, USA.ORCID 0000-0002-8737-4587
Louis J SoslowskyMcKay Orthopaedic Research Laboratory, University of Pennsylvania, Philadelphia, Pennsylvania, USA.ORCID 0000-0001-9325-7662

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
Research Project 2P50AR080581 · NIAMS · UNIVERSITY OF PENNSYLVANIA · PI LOUIS J SOSLOWSKY · 2023 to 2026
$7.9M
Rochester Resource-Based Center for Bone, Muscle and Orthopaedic Research (ROCSTARR) (Overall Application)P30AR069655 · NIAMS · UNIVERSITY OF ROCHESTER · PI Edward M. Schwarz · 2016 to 2026
$7.8M
Comparative Medicine and Translational Research Training ProgramT32OD011130 · OD · NORTH CAROLINA STATE UNIVERSITY RALEIGH · PI Lauren Virginia Schnabel · 2012 to 2026
$7.8M
Sex- and Age-dependent ACL Function in the Growing Knee JointR01AR071985 · NIAMS · NORTH CAROLINA STATE UNIVERSITY RALEIGH · PI Matthew B Fisher · 2018 to 2026
$3.6M
Engineering scarless repair of flexor tendon injuriesR01AR056696 · NIAMS · UNIVERSITY OF ROCHESTER · PI AWAD, HANI A, BENOIT, DANIELLE S. · 2009 to 2019
$3.6M
Flexor tendon intrinsic healing and intervention strategy developmentR01AR076339 · NIAMS · MAYO CLINIC ROCHESTER · PI ZHAO, CHUNFENG · 2021 to 2025
$2.5M
Driver Genes for Engineered Rotator Cuff DevelopmentR01AR073882 · NIAMS · PURDUE UNIVERSITY · PI LITTLE, DIANNE · 2019 to 2023
$2.4M
A microphysiological system of tendon inflammation and fibrosis for drug screening and efficacy testingUH3TR003281 · NCATS · UNIVERSITY OF ROCHESTER · PI AWAD, HANI A, MCGRATH, JAMES L · 2022 to 2024
$2.2M
Mechanisms of TGFbeta and Smad signaling in tendon regeneration and fibrosisR01AR069537 · NIAMS · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI HUANG, ALICE H · 2016 to 2020
$2.1M
Challenging Treatment Paradigms for Achilles Tendon Ruptures in an Animal ModelR01AR064216 · NIAMS · UNIVERSITY OF PENNSYLVANIA · PI SOSLOWSKY, LOUIS J · 2013 to 2017
$1.9M
Rotator cuff tendon to bone insertion site healingR01AR051000 · NIAMS · UNIVERSITY OF PENNSYLVANIA · PI SOSLOWSKY, LOUIS J · 2006 to 2010
$1.8M
NCATS NIH HHS UG3 TR003281NCATS NIH HHS UH3 TR003281NIAMS NIH HHS F32 AR076267NIAMS NIH HHS P30 AR069619NIAMS NIH HHS P30 AR069655NIAMS NIH HHS P50 AR080581NIAMS NIH HHS R01 AR051000NIAMS NIH HHS R01 AR056696NIAMS NIH HHS R01 AR064216NIAMS NIH HHS R01 AR069537NIAMS NIH HHS R01 AR071985NIAMS NIH HHS R01 AR073882NIAMS NIH HHS R01 AR076339NIAMS NIH HHS R01 AR076381NIAMS NIH HHS R03 AR068112NIAMS NIH HHS R21 AR078429NIH HHS T32 OD011130
6 · The paper itself

Abstract

Several tendon and ligament animal models were presented at the 2022 Orthopaedic Research Society Tendon Section Conference held at the University of Pennsylvania, May 5 to 7, 2022. A key objective of the breakout sessions at this meeting was to develop guidelines for the field, including for preclinical tendon and ligament animal models. This review summarizes the perspectives of experts for eight surgical small and large animal models of rotator cuff tear, flexor tendon transection, anterior cruciate ligament tear, and Achilles tendon injury using the framework: "Why, Who, What, Where, When, and How" (5W1H). A notable conclusion is that the perfect tendon model does not exist; there is no single gold standard animal model that represents the totality of tendon and ligament disease. Each model has advantages and disadvantages and should be carefully considered in light of the specific research question. There are also circumstances when an animal model is not the best approach. The wide variety of tendon and ligament pathologies necessitates choices between small and large animal models, different anatomic sites, and a range of factors associated with each model during the planning phase. Attendees agreed on some guiding principles including: providing clear justification for the model selected, providing animal model details at publication, encouraging sharing of protocols and expertise, improving training of research personnel, and considering greater collaboration with veterinarians. A clear path for translating from animal models to clinical practice was also considered as a critical next step for accelerating progress in the tendon and ligament field.

Indexed as

Anterior Cruciate Ligament InjuriesRotator Cuff InjuriesTendon InjuriesAnimalsAnterior Cruciate LigamentTendonsanterior cruciate ligamentcalcaneal tendonflexor tendonrotator cufftendinopathy

Identifiers

PMID37573480
PMCPMC10561191

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.