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The role of tendon microcirculation in Achilles and patellar tendinopathy

Overview of attention for article published in Journal of Orthopaedic Surgery and Research, April 2008
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About this Attention Score

  • In the top 25% of all research outputs scored by Altmetric
  • High Attention Score compared to outputs of the same age (88th percentile)
  • Good Attention Score compared to outputs of the same age and source (75th percentile)

Mentioned by

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9 tweeters
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2 patents

Citations

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58 Dimensions

Readers on

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145 Mendeley
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Title
The role of tendon microcirculation in Achilles and patellar tendinopathy
Published in
Journal of Orthopaedic Surgery and Research, April 2008
DOI 10.1186/1749-799x-3-18
Pubmed ID
Authors

Karsten Knobloch

Abstract

Tendinopathy is of distinct interest as it describes a painful tendon disease with local tenderness, swelling and pain associated with sonographic features such as hypoechogenic texture and diameter enlargement. Recent research elucidated microcirculatory changes in tendinopathy using laser Doppler flowmetry and spectrophotometry such as at the Achilles tendon, the patellar tendon as well as at the elbow and the wrist level. Tendon capillary blood flow is increased at the point of pain. Tendon oxygen saturation as well as tendon postcapillary venous filling pressures, determined non-invasively using combined Laser Doppler flowmetry and spectrophotometry, can quantify, in real-time, how tendon microcirculation changes over with pathology or in response to a given therapy. Tendon oxygen saturation can be increased by repetitive, intermittent short-term ice applications in Achilles tendons; this corresponds to 'ischemic preconditioning', a method used to train tissue to sustain ischemic damage. On the other hand, decreasing tendon oxygenation may reflect local acidosis and deteriorating tendon metabolism. Painful eccentric training, a common therapy for Achilles, patellar, supraspinatus and wrist tendinopathy decreases abnormal capillary tendon flow without compromising local tendon oxygenation. Combining an Achilles pneumatic wrap with eccentric training changes tendon microcirculation in a different way than does eccentric training alone; both approaches reduce pain in Achilles tendinopathy. The microcirculatory effects of measures such as extracorporeal shock wave therapy as well as topical nitroglycerine application are to be studied in tendinopathy as well as the critical question of dosage and maintenance. Interestingly it seems that injection therapy using color Doppler for targeting the area of neovascularisation yields to good clinical results with polidocanol sclerosing therapy, but also with a combination of epinephrine and lidocaine.

Twitter Demographics

The data shown below were collected from the profiles of 9 tweeters who shared this research output. Click here to find out more about how the information was compiled.

Mendeley readers

The data shown below were compiled from readership statistics for 145 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Portugal 1 <1%
Norway 1 <1%
United Kingdom 1 <1%
Spain 1 <1%
United States 1 <1%
Unknown 140 97%

Demographic breakdown

Readers by professional status Count As %
Student > Master 30 21%
Student > Bachelor 21 14%
Student > Ph. D. Student 14 10%
Student > Doctoral Student 14 10%
Researcher 12 8%
Other 39 27%
Unknown 15 10%
Readers by discipline Count As %
Medicine and Dentistry 71 49%
Nursing and Health Professions 23 16%
Sports and Recreations 19 13%
Agricultural and Biological Sciences 3 2%
Biochemistry, Genetics and Molecular Biology 2 1%
Other 10 7%
Unknown 17 12%

Attention Score in Context

This research output has an Altmetric Attention Score of 10. 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 09 July 2018.
All research outputs
#2,267,691
of 16,810,341 outputs
Outputs from Journal of Orthopaedic Surgery and Research
#54
of 1,016 outputs
Outputs of similar age
#25,713
of 221,483 outputs
Outputs of similar age from Journal of Orthopaedic Surgery and Research
#7
of 24 outputs
Altmetric has tracked 16,810,341 research outputs across all sources so far. Compared to these this one has done well and is in the 86th percentile: it's in the top 25% of all research outputs ever tracked by Altmetric.
So far Altmetric has tracked 1,016 research outputs from this source. They receive a mean Attention Score of 2.7. This one has done particularly well, scoring higher than 94% 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 221,483 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 88% of its contemporaries.
We're also able to compare this research output to 24 others from the same source and published within six weeks on either side of this one. This one has done well, scoring higher than 75% of its contemporaries.