Evidence map›Paper›PMID 42869443›Full record

ArticleBone & joint research2026

Differences in the collagen of semitendinosus tendon in patients with and without general joint laxity.

Kotaro Miyazaki, Akira Maeyama, Tetsuro Ishimatsu, Taiki Matsunaga, Takuaki Yamamoto

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Article in Bone & joint research, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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5 · Who and what money

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5 authors.

Kotaro MiyazakiDepartment of Orthopedic Surgery, Fukuoka University Faculty of Medicine, Fukuoka, Japan.ORCID 0000-0002-7857-9644
Akira MaeyamaDepartment of Orthopedic Surgery, Fukuoka University Faculty of Medicine, Fukuoka, Japan.ORCID 0000-0002-3142-7889
Tetsuro IshimatsuDepartment of Orthopedic Surgery, Fukuoka University Faculty of Medicine, Fukuoka, Japan.ORCID 0000-0001-8297-7648
Taiki MatsunagaDepartment of Orthopedic Surgery, Fukuoka University Faculty of Medicine, Fukuoka, Japan.ORCID 0000-0002-1934-1994
Takuaki YamamotoDepartment of Orthopedic Surgery, Fukuoka University Faculty of Medicine, Fukuoka, Japan.ORCID 0000-0001-6187-4957

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Aims: Generalized joint laxity (GJL) has been reported to be a risk factor for anterior cruciate ligament (ACL) graft injury. There are no reports of differences in the collagen content of semitendinosus tendons used as graft tendon being a risk factor for ACL graft injury. The aim of this study was to determine the differences in the collagen type content in the semitendinosus tendon in patients with and without GJL. Methods: In total, 36 knees from 36 patients who underwent ACL reconstruction were analyzed. GJL was assessed using the Beighton score, with GJL defined as a Beighton score of ≥ 4, ≥ 5, or ≥ 6. The patients were divided into two groups: those with GJL (G-group) and those without (N-group). The parameters included the quantification of collagen types I, III, V, and XII in semitendinosus tendons via immunohistochemical staining, alongside preoperative radiological evaluation of the knee joint laxity. Comparisons were made between the two groups, and the correlation between the Beighton score and collagen content was analyzed. Results: There were significant differences between the G-group and the N-group in the type III collagen content (117.9 (SD 17.4) vs 130.0 (SD 11.5), p = 0.036) and the joint line convergence angle (JLCA) under varus stress (6.3° (SD 1.9°) vs 4.6° (SD 2.0°), p = 0.021) only when a Beighton score of ≥ 6 was defined as GJL. Hyperextension of the knee under anaesthesia differed significantly between the two groups across all definitions of GJL. The Beighton score was significantly correlated with the type III collagen content ( Conclusion: Patients with GJL exhibited significantly higher collagen type III content in the semitendinosus tendon compared to those without GJL.

Identifiers

PMID42869443
PMCPMC13661152

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