LAMECH BOGONKO FRANCIS

Rotator Cuff Tendinosis Tendon Anatomy: Tendons are composed of collagen which is the building block of our connective tissues. In tendons, this collagen is arranged into fibers and fibers are arranged into bundles much like a rope. This highly organized arrangement allows tendons to transmit the force generated by a muscle to the adjacent bone. Collagen is manufactured by cells within the tendon called tenocytes. These cells are responsible for maintaining tendon health and for tissue repair and remodeling. Most tendons have relatively little blood supply. Consequently, tendon healing can be very slow. When tendons heal, new collagen must be formed through a repair process. This collagen must then mature from early scar tissue into organized tendon tissue. Not until this reorganization process is complete and the tissue reconditioned are tendons capable of withstanding the demands of everyday activities. Rotator Cuff Anatomy: The rotator cuff is