The role and mechanical behavior of the connective tissue in tendon sliding

J. C. Guimberteau, J. P. Delage, J. Wong

    Research output: Contribution to journalArticlepeer-review

    Abstract

    After carrying out 215 in-vivo dissections, 65 of which were video-recorded, the authors propose that the current representation of the notion of the tendon sliding is incorrect. It is suggested that tendon sliding is explained by the existence of a mechanical adaptable multimicrovacuolar and fibrillar tissue. This tissue enables complete sliding without any dynamic influence on the surrounding tissues. The new theory is based on a polyhedric fibrillar framework, apparently chaotic and complex, subtending the microvacuolar gel, a concept that is to be found everywhere in the human body. © 2010 Elsevier Masson SAS. All rights reserved.
    Original languageEnglish
    Pages (from-to)155-166
    Number of pages11
    JournalChirurgie de la Main
    Volume29
    Issue number3
    DOIs
    Publication statusPublished - Jun 2010

    Keywords

    • Carpal sheath
    • Collagenic fibrillar framework
    • Finger flexor reconstruction
    • Microvacuole
    • Sliding system
    • Tendon
    • Tendon vascularization

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