Myotendinous Junction: Difference between revisions

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== Introduction ==
== Introduction ==
[[File:Medial view of a cadaver dissection of the gastrocnemius–soleus junction.png|thumb|Dissection of the gastrocnemius–soleus MTJ]]
[[File:Myotendinous junction structure.png|thumb|392x392px|MTJ structure]]
Myotendinous junction (MTJ) is a part of the myotendinous unit, which connects muscle and tendon, and transmits forces between them.
Myotendinous junction (MTJ) is a part of the myotendinous unit, which connects muscle and tendon, and transmits forces between them.


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The surface area between muscle and tendon is enlarged by foldings of tendon into muscle, and this reduces stress between the tissues.  
The surface area between muscle and tendon is enlarged by foldings of tendon into muscle, and this reduces stress between the tissues.  


* In animals, the size and number of foldings are increased as a response to heavy training and reduced during inactivity.  
* In animals, the size and number of foldings are increased as a response to heavy training and reduced during inactivity.
* In humans, the muscle fibers near the MTJ show very high rates of remodeling compared to other regions of the muscle.
* In humans, the muscle fibers near the MTJ show very high rates of remodeling compared to other regions of the muscle.


== Physiotherapy Implications ==
== Physiotherapy Implications ==
[[File:Myotendinous junction structure.png|thumb|392x392px|MTJ structure]]
[[File:Medial view of a cadaver dissection of the gastrocnemius–soleus junction.png|thumb|Dissection of the gastrocnemius–soleus MTJ]]
In a healthy adult, the MTJ is the weakest region of the myotendinous unit and for that reason it is its most commonly injured part.
In a healthy adult, the MTJ is the weakest region of the myotendinous unit and for that reason it is its most commonly injured part.


The highest risk of strain occurs in large pennate muscles that cross two joints and produce large tensile forces e.g. biceps femoris, quadratus femoris, biceps brachii<ref name=":0" />.
* The highest risk of strain occurs in large pennate muscles that cross two joints and produce large tensile forces e.g. biceps femoris, quadratus femoris, biceps brachii<ref name=":0" />.
* With aging there is shortening of the interdigitations with a resulting decrease in contact area between the sarcolemma and extracellular components.<ref>Wikimsk MTJ Available:https://wikimsk.org/wiki/Myotendinous_Junction (accessed 12.6.2022)</ref>


== Resources  ==
== Resources  ==

Revision as of 07:20, 12 June 2022

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Top Contributors - Lucinda hampton  

Introduction[edit | edit source]

MTJ structure

Myotendinous junction (MTJ) is a part of the myotendinous unit, which connects muscle and tendon, and transmits forces between them.

The MTJ has a unique morphology with a highly folded muscle membrane filled with invaginations of collagen fibrils from the tendon. This creates an increased area of force transmission between muscle and tendon and, as a result, disperses the energy of a contracting muscle decreasing focal stress[1][2].

During muscle activity and mainly during high effort exercise, large forces are transmitted from muscle fibers to the tendon through the MTJ. It is a common location for strain injuries in sports. Most of these can be prevented by heavy eccentric exercise[2].

The surface area between muscle and tendon is enlarged by foldings of tendon into muscle, and this reduces stress between the tissues.

  • In animals, the size and number of foldings are increased as a response to heavy training and reduced during inactivity.
  • In humans, the muscle fibers near the MTJ show very high rates of remodeling compared to other regions of the muscle.

Physiotherapy Implications[edit | edit source]

Dissection of the gastrocnemius–soleus MTJ

In a healthy adult, the MTJ is the weakest region of the myotendinous unit and for that reason it is its most commonly injured part.

  • The highest risk of strain occurs in large pennate muscles that cross two joints and produce large tensile forces e.g. biceps femoris, quadratus femoris, biceps brachii[1].
  • With aging there is shortening of the interdigitations with a resulting decrease in contact area between the sarcolemma and extracellular components.[3]

Resources[edit | edit source]

  • bulleted list
  • x

or

  1. numbered list
  2. x

References[edit | edit source]

  1. 1.0 1.1 Radiopedia Myotendinous junction Available:https://radiopaedia.org/articles/myotendinous-junction?lang=us (accessed 12.6.2022)
  2. 2.0 2.1 Jakobsen JR, Krogsgaard MR. The Myotendinous Junction—A Vulnerable Companion in Sports. A Narrative Review. Frontiers in physiology. 2021;12. Available;https://www.frontiersin.org/articles/10.3389/fphys.2021.635561/full (accessed 12.6.2022)
  3. Wikimsk MTJ Available:https://wikimsk.org/wiki/Myotendinous_Junction (accessed 12.6.2022)