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Fasciitis first before tendinopathy; Does the anatomy hold the key?
  1. Andrew Franklyn-Miller (franklynmiller{at}doctors.org.uk)
  1. University of Melbourne, Australia
    1. Eanna Falvey (efalvey{at}mac.com)
    1. University of Melbourne, Australia
      1. Paul McCrory (pmccrory{at}unimelb.edu.au)
      1. University of Melbourne, Australia

        Abstract

        There has been recent discussion in the Journal regarding the patho-physiological mechanisms of the development of tendonopathy. To date there has been no discussion on the role of the enveloping fascia in this condition. In other related musculo-tendinous conditions, there is evidence that inflammation of the fascia occurs for example, in plantar fasciitis. Histological examination of this condition demonstrates a reactive-type inflammatory infiltrate with accompanying proteoglycan production and oedema seen with collagen thickening. The process is well demonstrated more diffusely in eosinophillic fasciitis, a rare Scleroderma-type condition first described in 1974 by Shulman, which has a wide and varied clinical presentation.

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