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Blood supply of the achilles tendon
Abstract
The Achilles tendon is one of the most common sites of injury and rupture as a result of overuse. Evidence suggests that the pathogenesis of rupture could involve the pattern of its blood supply. With use of angiographic and histological techniques, the blood supply of the Achilles tendon was investigated in 12 human cadaveric specimens. Angiography confirmed Mayer's 1916 finding that the blood supply to the tendon is from three areas: the musculotendinous and osseotendinous junctions and the paratenon, with the posterior tibial artery providing the major contribution. However, qualitative and quantitative histological analyses in this study showed that the Achilles tendon has a poor blood supply throughout its length, as determined by the small number of blood vessels per cross‐sectional area, which do not in general vary significantly along its length. In light of these findings, it is suggested that poor vascularity may prevent adequate tissue repair following trauma, leading to further weakening of the tendon.
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Citations
Cited by
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The pathogenesis of tendinopathy. A molecular perspective
Riley, G. (2004) · Rheumatology · doi:10.1093/rheumatology/keg448 · Cited by 543
Maffulli, N., Ewen, S. W. B., Waterston, S. W., Reaper, J., & Barrass, V. (2000) · The American Journal of Sports Medicine · doi:10.1177/03635465000280040901 · Cited by 374
The Pathomechanics of Plantar Fasciitis
Wearing, S. C., Smeathers, J. E., Urry, S. R., Hennig, E. M., & Hills, A. P. (2006) · Sports Medicine · doi:10.2165/00007256-200636070-00004 · Cited by 345
Functional anatomy of the Achilles tendon
Doral, M. N., Alam, M., Bozkurt, M., Turhan, E., Atay, O. A., Dönmez, G., & Maffulli, N. (2010) · Knee Surgery, Sports Traumatology, Arthroscopy · doi:10.1007/s00167-010-1083-7 · Cited by 289
Metadata
- Authors
- Ahmed, I. M., Lagopoulos, M., McConnell, P., Soames, R. W., & Sefton, G. K.
- Venue
- Journal of Orthopaedic Research
- Publisher
- Wiley
- Published
- 1998-09
- Volume
- 16
- Issue
- 5
- Pages
- 591-596
- ISSN
- 0736-0266 (ISSN-L)
- 1554-527X
- OpenAlex
- W2098822366
- Cited by
- 252
- References
- 0
- FWCI
- 2.57
- Type
- journal article
- Language
- en
- Open access
- closed
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- CoChat. (2026). Citation check: Blood supply of the achilles tendon. https://app.cochat.ai/papers/10.1002/jor.1100160511
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- Ahmed, I. M., Lagopoulos, M., McConnell, P., Soames, R. W., & Sefton, G. K. (1998). Blood supply of the achilles tendon. Journal of Orthopaedic Research. https://doi.org/10.1002/jor.1100160511
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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).
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