Tendon transfer Health Dictionary

A tendon – also known as sinew, or leader – is the cord of tissue that attaches the end of a muscle to the bone or other structure upon which the muscle acts when it contracts. Tendons are composed of bundles of white ?brous tissue arranged in a very dense manner, and are of great strength. Some are rounded, some ?attened bands, whilst others are very short – the muscle-?bres being attached almost directly to the bone. Most tendons are surrounded by sheaths lined with membrane similar to the SYNOVIAL MEMBRANE lining joint-cavities: in this sheath the tendon glides smoothly over surrounding parts. The ?bres of a tendon pass into the substance of the bone and blend with the ?bres composing it. One of the largest tendons in the body is the Achilles tendon, or tendo calcaneus, which attaches the muscle of the calf to the calcaneus or heel-bone.

Tendon injuries are one of the hazards of sports (see SPORTS MEDICINE). They usually result from indirect violence, or overuse, rather than direct violence.

Rupture usually results from the sudden application of an unbalanced load. Thus, complete rupture of the Achilles tendon is common in taking an awkward step backwards playing squash. There is sudden pain; the victim is often under the impression that he or she has received a blow. This is accompanied by loss of function, and a gap may be felt in the tendon.

Partial Rupture is also accompanied by pain, but there is no breach of continuity or complete loss of function. Treatment of a complete rupture usually means surgical repair followed by immobilisation of the tendon in plaster of Paris for six weeks. Partial rupture usually responds to physiotherapy and immobilisation, but healing is slow.... tendon

A thick tendon that joins the calf muscles to the heel bone (calcaneus) and pulls up that bone. The tendon is prone to rupture in middle-aged people playing vigorous sports such as squash or tennis. Named after the classical Greek hero Achilles, who was reputedly vulnerable to his enemies only in his heel.... achilles tendon

Embryo transfer is the process whereby the initial stages of procreation are produced outside the human body and completed in the uterus or womb. The procedure is also known as ‘embryo transplantation’ and ‘in vitro fertilisation’ (IVF). It consists of extracting an ovum (or egg) from the prospective mother’s body and placing this in a dish where it is mixed with the male partner’s SEMEN and special nutrient ?uids. After the ovum is fertilised by the sperm it is transferred to another dish containing a special nutrient solution. Here it is left for several days while the normal early stages of development (see FETUS) take place. The early EMBRYO, as it has then become, is then implanted in the mother’s uterus, where it ‘takes root’ and develops as a normal fetus.

The ?rst ‘test-tube baby’ – to use the popular, and widely used, term for such a child – was born by CAESAREAN SECTION in England on 25 July 1978. Many other children conceived in this manner have since been born, and, though only 10 per cent of women conceive at the ?rst attempt, the overall success rate is improving. Embryo transplantation and research are controversial procedures and in many countries, including the UK, are controlled by legislation. Embryo transfer and research using embryos are regulated by the Human Fertilisation & Embryology Authority (see ASSISTED CONCEPTION; APPENDIX 7: STATUTORY ORGANISATIONS).... embryo transfer

Another method of helping infertile couples. In over half of women diagnosed as infertile, the Fallopian tubes are normal, and in many it is unknown why they cannot conceive – although some have ENDOMETRIOSIS.

Eggs are obtained and mixed with the partner’s semen, then introduced into the woman’s Fallopian tubes for fertilisation to take place. The fertilised egg travels to the uterus where IMPLANTATION occurs and pregnancy proceeds. A variation of GIFT is zygote intrafallopian transfer (ZIFT) in which early development of the fertilised eggs happens in the laboratory before the young embryo is transferred to the Fallopian tubes. GIFT is best used in couples with unexplained infertility or with minor degrees of male or female cervical factor infertility. The success rate is about 17 per cent. (See also ARTIFICIAL INSEMINATION.)... gamete intrafallopian transfer (gift)

(GIFT) A technique for assisting conception (see infertility), which can only be used if a woman has normal fallopian tubes. In , eggs are removed from an ovary during laparoscopy and mixed with sperm in the laboratory before both are introduced into a fallopian tube. A fertilized egg may then become implanted in the uterus.... gamete intrafallopian transfer

The unconscious displacement of emotions from people who were important during one’s childhood, such as parents, to other people during adulthood. (See also psychoanalysis.)... transference

Restriction of ankle movements due to shortening of Achilles tendon, with calf pain.

Treatment: Hot foot baths: Chamomile flowers. Paint with Liquid extract or tincture Lobelia. Gradual stretching by manipulation. Massage with Neat’s foot oil. ... achilles tendon contracture

See tendolysis.... tendon release

Surgery to join the cut or torn ends of, or to replace, a tendon.... tendon repair

A complete tear in a tendon.

A tendon may rupture when the muscle to which it is attached contracts suddenly and powerfully, such as during vigorous exercise.

Rupture may also be due to an injury or joint disorder such as rheumatoid arthritis.

Symptoms include a snapping sensation, impaired movement, pain, and swelling.

Diagnosis is usually obvious from the symptoms.

Surgery to repair the tendon may be needed.

In some cases, the tendon may heal if immobilized in a plaster cast.... tendon rupture

A type of in vitro fertilization, also referred to as , in which ova are fertilized outside the body and returned to a fallopian tube rather than to the uterus.... zygote intrafallopian transfer

see tendon organ.... golgi tendon organ

(Golgi tendon organ) a sensory *receptor found within a tendon that responds to the tension or stretching of the tendon and relays impulses to the central nervous system. Like stretch receptors in muscle, tendon organs are part of the *proprioceptor system.... tendon organ

n. an enzyme that catalyses the transfer of a group (other than hydrogen) between a pair of substrates.... transferase

(siderophilin) n. a *glycoprotein, found in the blood plasma, that is capable of binding iron and thus acts as a carrier for iron in the bloodstream.... transferrin

a type of RNA whose function is to attach the correct amino acid to the protein chain being synthesized at a *ribosome. See also translation.... transfer rna