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Toe region for tendons and ligaments
Straightening of collagen fibres, tissues stretch easily with little force, as stretching continues - greater force required as tissues stiffen, lengthening of collagen fibres occurs due to slippage between fibrils, fibres and fascicles, if maintained in this zone fibres will return to original length when load is removed
Yield point for tendons and ligaments
Failure of some fibre bundles occurs but not all at once - e.g. ligament sprain or tendon strain, integrity maintained until complete failure - rupture of ligament or tendon
Ligament and tendon injury
When load is exceed yield point or elastic limit
Grade one ligament injury
Stretched fibres but normal ROM on stressing ligament
Grade two ligament injury
Considerable proportion of fibres torn, stressing of ligament reveals increased laxity but definite end point - ligament still at least partially in tact
Grade three ligament injury
Complete tear of ligament with excessive joint laxity and no end point - need to be wary of using pain as a guide
Tendons and cross-sectional area
Larger cross-sectional area = higher the magnitude of muscle contraction or force produced = greater tensile loads, tensile strength through a tendon is twice that of its muscle
Tendon injuries
Classified as partial, failure or complete failure - determined by how weak tendon is during contraction
Partial tear might have some strength in movement, complete tear unable to perform movement