The Myotendinous Junction — A Vulnerable Companion in Sports: A Narrative Review

Jens Rithamer Jakobsen*, Michael Rindom Krogsgaard

*Corresponding author af dette arbejde

Publikation: Bidrag til tidsskriftReviewpeer review

30 Citationer (Scopus)
16 Downloads (Pure)

Abstract

The incidence of strain injuries continues to be high in many popular sports, especially hamstring strain injuries in football, despite a documented important effect of eccentric exercise to prevent strains. Studies investigating the anatomical properties of these injuries in humans are sparse. The majority of strains are seen at the interface between muscle fibers and tendon: the myotendinous junction (MTJ). It has a unique morphology with a highly folded muscle membrane filled with invaginations of collagen fibrils from the tendon, establishing an increased area of force transmission between muscle and tendon. There is a very high rate of remodeling of the muscle cells approaching the MTJ, but little is known about how the tissue adapts to exercise and which structural changes heavy eccentric exercise may introduce. This review summarizes the current knowledge about the anatomy, composition and adaptability of the MTJ, and discusses reasons why strain injuries can be prevented by eccentric exercise.

OriginalsprogEngelsk
Artikelnummer635561
TidsskriftFrontiers in Physiology
Vol/bind12
Antal sider13
ISSN1664-042X
DOI
StatusUdgivet - 2021

Bibliografisk note

Funding Information:
We were supported by Copenhagen University Hospital, Bispebjerg and Frederiksberg, the International Olympic Committee as well as the Aase and Einar Danielsens foundation.

Publisher Copyright:
© Copyright © 2021 Jakobsen and Krogsgaard.

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