tendons and ligaments | Biomechanics in the Wild

The Science Behind Load Management: How Isometrically Overloading Tired Knees Can Promote Growth and Healing

Many athletes who experience pain right below the kneecap after a spike in volume of explosive physical activities (ie. running/jumping) are diagnosed with patellar tendonitis, commonly referred to as runner’s or jumper’s knee. The suffix “itis” is Greek for inflammation and a common remedy is rest to reduce the inflammation. In some cases, an initial rest period combined with physical therapy to strengthen surrounding muscles such as the hip flexors and gluteus medius is enough to alleviate the knee pain for good, in other cases the rest is of no benefit or even worsens the patellar tendon’s condition and starts a chronic cycle of resting and then returning to activity in more pain than before. In these cases a more accurate diagnosis of patellar tendinopathy is correct. Patellar tendinopathy implies chronically recurring pain on the anterior of the knee that is difficult to treat. In such cases, an MRI often reveals small lesions throughout the patellar tendon indicating that the tendon is structurally damaged and not just inflamed. A better understanding of the patellar tendon’s biological composition, and biomechanical function may help to resolve future cases of patellar tendinopathy.

The Amazing Spider Silk

When one imagines the wonders of the natural world, the spider is not the first organism that comes to mind. However, possibly the most hated beings in all creation produce one of nature’s marvels: spider silk.

Properties

Spider silk has a number of properties that make it such an impressive material. First, spider silk is incredibly strong and tough. Spider silk is stronger than steel, and its toughness, or ability to absorb energy, is nearly three times that of Kevlar. And spider silk weighs less than both materials. These three properties alone would qualify spider silk as a super-material. The structural and ballistic industries stand to be disrupted by spider silk materials. For example, because spider silk can absorb energy better than Kevlar and is more lightweight, spider silk would be an excellent material for military and civilian self defense applications.

Spider silk also has an elasticity similar to that of human tendons while exhibiting a near perfect resistance to fatigue. Hennecke et al. show that spider silk has a similar stress-strain curve to that of a human tendon, and both materials have a memory which allows them to recover their form after loading. Tendons are constantly being loaded and unloaded throughout their life. Finding adequate materials for artificial tendons is particularly difficult, because most materials begin to lose their properties in cyclic loading, leading to a defined and small life time for the number of cycles tendons are forced through. But spider silk does not appear to lose its strength or elasticity even after high numbers of cycles.

In addition to these physical properties, spider silk also has been found to be both antiseptic as well as biocompatible. Spider silk has been used for medicine since ancient times due to its antiseptic properties, and for this reason, as well as its strength and toughness, spider silk is an excellent component in salves and bandages. Artificial tendons are prone to infection, and so spider silk’s antiseptic property is another reason why it is an ideal material for this application. Because spider silk is also biocompatible, as well as tough, it is a viable material for organ repair.

Let Kids Be Kids: The Unnecessary Dangers of Youth Sports Specialization

The allure of athletic success is hard to ignore in today’s society. The opportunities, notoriety, and wealth that come along with prowess in a particular sport are certainly enticing and have contributed to a growing trend towards youth sports specialization, where athletes focus on one sport from a very young age. And while the work ethic of these young athletes is admirable, their reasoning and that of their parents is a bit flawed.

Tendon Talks

Listen in today as we sit down with Nixon Dorvilien and Bendu Yeaney to discuss achilles injuries, specifically in the sport of basketball.

Oops I Did It Again: The Biomechanics Behind Repetitive Ankle Injuries

Ankle injuries – either sprains or fractures – are one of the most common sports traumas plaguing the US today. Sprains are overextensions or tears in ligaments. Fractures, on the other hand, are broken bones.

Ankle Sprains: An Epidemic in the World of Athletics

Have you ever been out running on a gorgeous fall day, only to have the run cut short by a painful misstep on a tree root covered by leaves? I have, and let me tell you – it’s awful! And even if you aren’t a runner, according to the Sports Medicine Research Manual, ankle sprains are a common, if not the most common, injury for sports involving lower body movements. Now, the solution to preventing this painful and annoying injury could be as simple as avoiding tree roots and uneven ground, but the real problem behind ankle sprains deals with the anatomy of the ankle.

Tearing and repairing the meniscus

How does someone go from being the youngest NBA MVP one year to barely making headlines the next? Ask Derrick Rose. After being named the youngest MVP in the NBA, Derrick Rose tears his ACL the next year and then tears his right meniscus twice in the span of three years. Knee injuries have not been kind to Derick Rose, but how does one tear their meniscus and how does it get repaired?

What is Tommy John surgery?

In July of 1974, Tommy John, pitcher for the Los Angeles Dodgers, felt a twinge in his throwing arm, and could no longer pitch. Dr. Frank Jobe tried a new kind of surgery on John’s elbow, and after missing only one season, Tommy John returned to the mound in 1976 and continued pitching until 1989.

How?

What Makes Someone More Likely to Tear Their UCL?

It takes a lot to make a professional athlete collapse to the ground during a game. After throwing a pitch on September 14, 2019, Toronto Blue Jays pitcher Tim Mayza knelt on the side of the mound while clutching his arm, expecting the worst. The next day, MRI revealed that what he had feared: Mayza had torn his Ulnar Collateral Ligament (UCL).

Brace yourself… You might need surgery

A surgery? For my PCL? Could be more likely than you think.

Usually hiding behind it’s annoying and commonly ruptured brother the ACL, the PCL (posterior cruciate ligament) is a durable ligament that usually doesn’t cause problems for athletes… until it does.

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