Evidence map›Paper›PMID 39545025›Full record

ArticleJournal of experimental orthopaedics2024

Does free tendon length influence the injury risk of the Achilles tendon? A finite element study.

Pedro Diniz, Carlos Quental, Hélder Pereira, André Soares Ferreira, Gino M M J Kerkhoffs, Frederico Castelo Ferreira, João Folgado

Abstract read
In one paragraph

Article in Journal of experimental orthopaedics, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

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0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

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2 · The registry

The trial behind it

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3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Observational
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4 · The record

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5 · Who and what money

Authors and funding

7 authors.

Pedro DinizDepartment of Orthopaedic Surgery Centre Hospitalier de Luxembourg - Clinique d'Eich Luxembourg Luxembourg.ORCID 0000-0001-9234-7041
Carlos QuentalIDMEC, Instituto Superior Técnico Universidade de Lisboa Lisbon Portugal.
Hélder PereiraDepartment of Orthopaedic Centro Hospitalar Póvoa de Varzim Vila do Conde Portugal.
André Soares FerreiraDepartment of Orthopaedic Surgery Hospital de Sant'Ana Parede Portugal.
Gino M M J KerkhoffsDepartment of Orthopaedic Surgery, Amsterdam Movement Sciences Amsterdam University Medical Centers; Academic Center for Evidence Based Sports Medicine (ACES); Amsterdam Collaboration for Health and Safety in Sports (ACHSS) Amsterdam The Netherlands.
Frederico Castelo FerreiraDepartment of Bioengineering and iBB Institute for Bioengineering and Biosciences, Instituto Superior Técnico, Universidade de Lisboa Lisbon Portugal.
João FolgadoIDMEC, Instituto Superior Técnico Universidade de Lisboa Lisbon Portugal.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Purpose: The Achilles tendon is a common injury site, but anatomical risk factors for injury are relatively unexplored in the literature. This study aimed to evaluate whether changes in free tendon length would influence the results of a simulated rupture of the Achilles tendon. Methods: Using a previously validated 3D finite element model of the free and aponeurotic Achilles tendon as a basis, two additional finite element models with 25% decreased and increased free tendon lengths were created. The finite element models were sequentially loaded from 2500 to 3500N in 100N increments, and the total volume of elements exhibiting a maximal principal strain above 10% was recorded. An Achilles tendon rupture was considered to have occurred when a continuous group of elements with a volume of at least 3 mm Results: Rupture loads and plots of the percentage of elements with maximum principal strains above 10% were similar between models, regardless of the free tendon length. No models met the rupture criterion when simulations were run without subtendon sliding. Rupture loads in the subtendon division variation models were correlated with the subtendon cross-sectional areas. Conclusions: The simulated rupture results of the Achilles tendon were sensitive to variations in subtendon cross-sectional areas but not in free tendon length. Level of Evidence: Level V.

Indexed as

Achilles tendonfinite element modellinginjury risk factorstendon rupture

Identifiers

PMID39545025
PMCPMC11561656

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