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Role of biomechanics in the understanding of normal, injured, and healing ligaments and tendons

Overview of attention for article published in BMC Sports Science, Medicine and Rehabilitation, May 2009
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  • In the top 25% of all research outputs scored by Altmetric
  • High Attention Score compared to outputs of the same age (81st percentile)
  • Average Attention Score compared to outputs of the same age and source

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2 patents
1 Facebook page


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311 Mendeley
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Role of biomechanics in the understanding of normal, injured, and healing ligaments and tendons
Published in
BMC Sports Science, Medicine and Rehabilitation, May 2009
DOI 10.1186/1758-2555-1-9
Pubmed ID

Ho-Joong Jung, Matthew B Fisher, Savio L-Y Woo


Ligaments and tendons are soft connective tissues which serve essential roles for biomechanical function of the musculoskeletal system by stabilizing and guiding the motion of diarthrodial joints. Nevertheless, these tissues are frequently injured due to repetition and overuse as well as quick cutting motions that involve acceleration and deceleration. These injuries often upset this balance between mobility and stability of the joint which causes damage to other soft tissues manifested as pain and other morbidity, such as osteoarthritis.The healing of ligament and tendon injuries varies from tissue to tissue. Tendinopathies are ubiquitous and can take up to 12 months for the pain to subside before one could return to normal activity. A ruptured medial collateral ligament (MCL) can generally heal spontaneously; however, its remodeling process takes years and its biomechanical properties remain inferior when compared to the normal MCL. It is also known that a midsubstance anterior cruciate ligament (ACL) tear has limited healing capability, and reconstruction by soft tissue grafts has been regularly performed to regain knee function. However, long term follow-up studies have revealed that 20-25% of patients experience unsatisfactory results. Thus, a better understanding of the function of ligaments and tendons, together with knowledge on their healing potential, may help investigators to develop novel strategies to accelerate and improve the healing process of ligaments and tendons.With thousands of new papers published in the last ten years that involve biomechanics of ligaments and tendons, there is an increasing appreciation of this subject area. Such attention has positively impacted clinical practice. On the other hand, biomechanical data are complex in nature, and there is a danger of misinterpreting them. Thus, in these review, we will provide the readers with a brief overview of ligaments and tendons and refer them to appropriate methodologies used to obtain their biomechanical properties. Specifically, we hope the reader will pay attention to how the properties of these tissues can be altered due to various experimental and biologic factors. Following this background material, we will present how biomechanics can be applied to gain an understanding of the mechanisms as well as clinical management of various ligament and tendon ailments. To conclude, new technology, including imaging and robotics as well as functional tissue engineering, that could form novel treatment strategies to enhance healing of ligament and tendon are presented.

Mendeley readers

The data shown below were compiled from readership statistics for 311 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
United States 3 <1%
Australia 2 <1%
Colombia 1 <1%
Chile 1 <1%
South Africa 1 <1%
Portugal 1 <1%
Czechia 1 <1%
Lebanon 1 <1%
Unknown 300 96%

Demographic breakdown

Readers by professional status Count As %
Student > Master 57 18%
Student > Bachelor 43 14%
Researcher 34 11%
Student > Ph. D. Student 34 11%
Student > Doctoral Student 19 6%
Other 78 25%
Unknown 46 15%
Readers by discipline Count As %
Medicine and Dentistry 81 26%
Engineering 62 20%
Sports and Recreations 27 9%
Agricultural and Biological Sciences 22 7%
Nursing and Health Professions 21 7%
Other 39 13%
Unknown 59 19%

Attention Score in Context

This research output has an Altmetric Attention Score of 7. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 26 October 2012.
All research outputs
of 12,972,771 outputs
Outputs from BMC Sports Science, Medicine and Rehabilitation
of 186 outputs
Outputs of similar age
of 146,816 outputs
Outputs of similar age from BMC Sports Science, Medicine and Rehabilitation
of 6 outputs
Altmetric has tracked 12,972,771 research outputs across all sources so far. Compared to these this one has done well and is in the 82nd percentile: it's in the top 25% of all research outputs ever tracked by Altmetric.
So far Altmetric has tracked 186 research outputs from this source. They typically receive a lot more attention than average, with a mean Attention Score of 12.4. This one has gotten more attention than average, scoring higher than 59% of its peers.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 146,816 tracked outputs that were published within six weeks on either side of this one in any source. This one has done well, scoring higher than 81% of its contemporaries.
We're also able to compare this research output to 6 others from the same source and published within six weeks on either side of this one. This one has scored higher than 3 of them.