The Impact of Hyaluronic Acid on Tendon Physiology and Its Clinical Application in Tendinopathies.

biology degeneration effect hyaluronic acid hygroscopic inflammation receptor structure tendinopathy tendon viscoelastic

Journal

Cells
ISSN: 2073-4409
Titre abrégé: Cells
Pays: Switzerland
ID NLM: 101600052

Informations de publication

Date de publication:
09 11 2021
Historique:
received: 24 09 2021
revised: 01 11 2021
accepted: 05 11 2021
entrez: 27 11 2021
pubmed: 28 11 2021
medline: 24 12 2021
Statut: epublish

Résumé

The physical-chemical, structural, hydrodynamic, and biological properties of hyaluronic acid within tendons are still poorly investigated. Medical history and clinical applications of hyaluronic acid for tendinopathies are still debated. In general, the properties of hyaluronic acid depend on several factors including molecular weight. Several preclinical and clinical experiences show a good efficacy and safety profile of hyaluronic acid, despite the absence of consensus in the literature regarding the classification according to molecular weight. In in vitro and preclinical studies, hyaluronic acid has shown physical-chemical properties, such as biocompatibility, mucoadhesivity, hygroscopicity, and viscoelasticity, useful to contribute to tendon healing. Additionally, in clinical studies, hyaluronic acid has been used with promising results in different tendinopathies. In this narrative review, findings encourage the clinical application of HA in tendinopathies such as rotator cuff, epicondylitis, Achilles, and patellar tendinopathy.

Identifiants

pubmed: 34831304
pii: cells10113081
doi: 10.3390/cells10113081
pmc: PMC8625461
pii:
doi:

Substances chimiques

Hyaluronic Acid 9004-61-9

Types de publication

Journal Article Review

Langues

eng

Sous-ensembles de citation

IM

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Auteurs

Francesco Oliva (F)

Department of Musculoskeletal Disorders, Faculty of Medicine and Surgery, University of Salerno, 84084 Baronissi, Italy.
Clinica Ortopedica, Ospedale San Giovanni di Dio e Ruggi d'Aragona, 84131 Salerno, Italy.

Emanuela Marsilio (E)

Department of Musculoskeletal Disorders, Faculty of Medicine and Surgery, University of Salerno, 84084 Baronissi, Italy.
Clinica Ortopedica, Ospedale San Giovanni di Dio e Ruggi d'Aragona, 84131 Salerno, Italy.

Giovanni Asparago (G)

Department of Musculoskeletal Disorders, Faculty of Medicine and Surgery, University of Salerno, 84084 Baronissi, Italy.
Clinica Ortopedica, Ospedale San Giovanni di Dio e Ruggi d'Aragona, 84131 Salerno, Italy.

Antonio Frizziero (A)

Physical and Rehabilitation Medicine Unit, Department of Medicine and Surgery, University of Parma, 43126 Parma, Italy.

Anna Concetta Berardi (AC)

Department of Haematology, Laboratory of Stem Cells, Transfusion Medicine and Biotechnologies, Santo Spirito Hospital, 65123 Pescara, Italy.

Nicola Maffulli (N)

Department of Musculoskeletal Disorders, Faculty of Medicine and Surgery, University of Salerno, 84084 Baronissi, Italy.
Centre for Sports and Exercise Medicine, Barts and the London School of Medicine and Dentistry, Queen Mary University of London, Mile End Hospital, 275 Bancroft Road, London E1 4DG, UK.
School of Pharmacy and Bioengineering, Keele University Faculty of Medicine, Thornburrow Drive, Stoke on Trent ST4 7QB, UK.

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