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Vol. 52. Issue 194.
Pages 61-69 (April - June 2017)
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Vol. 52. Issue 194.
Pages 61-69 (April - June 2017)
El continuum de la patología de tendón: concepto actual e implicaciones clínicas
The continuum of tendon pathology: Current view and clinical implications
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Jill L. Cooka, Eboni Rioa, Craig R. Purdamb, M.. Girdwooda, Silvia Ortega-Cebrianc, Sean I. Dockinga
a La Trobe Sport and Exercise Medicine Research Centre, La Trobe University, Melbourne, Victoria, Australia. Australian Centre for Research into Injury in Sport and its Prevention, Federation University, Mount Helen, Victoria, Australia.
b Australian Centre for Research into Injury in Sport and its Prevention, Federation University, Mount Helen, Victoria, Australia. Physical Therapies, Australian Institute of Sport, Canberra, ACT, Australia.
c FCB Universitas Salut, Barcelona, España.
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El modelo del continuum fue propuesto por Cook y Purdam en 2009 con el propósito de mejorar la comprensión del complejo marco que rodea la patología del tendón. El concepto se basa en las características de los tres estados tisulares del tendón: tendón reactivo, tendinopatía desestructurada y tendinopatía degenerativa. El concepto del continuum se diferencia de las otras propuestas por su visión de cambio continuo de la estructura del tejido tendinoso. Cada fase tiene una presentación clínica característica y un tratamiento específico. Estudios histológicos, por la imagen y clínicos corroboran con evidencia el abordaje de esta patología mediante el concepto del modelo de continuum.

Palabras clave:
Continuum; Tendinopatía; Dolor tendinoso

Cook and Purdam first proposed the Continuum model in 2009, with the aim of improving the understanding of the complexity of tendon pathologies. The Continuum is based on three states of tendon structure: reactive tendon, tendon disrepair and degenerative tendon. In contrast to other proposals, the Continuum model describes continuous changes in tendon structure. Each state of tendon structure represents a particular clinical presentation and requires a particular type of management. Evidence seen in histopathological studies, imaging and clinical studies all support the Continuum model for the analysis of tendon pathologies.

Keywords:
Continuum; Tendinopathy; Tendon pain

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