[libribook.com] Traumatic Scar Tissue Management 1st Edition

Clinical Consideration
Significant compression can ultimately culminate in tissues changing their
morphology (e.g. tissue that was once populated with fibroblasts, becomes
invested predominately with chondrocytes – forming cartilage, along with
its mineral deposition (Benjamin & Ralphs 1998, Bank et al. 1999). These
adaptations have been demonstrated in the supraspinatus tendon (aka
calcific tendonitis), transverse acetabular ligament, transverse ligament of
atlas, as well as various other ligaments and tendons throughout the body
(Bank et al. 1999, Milz et al. 2005). What once was pliant mobile tissue
exhibits entirely different functional capabilities and palpable feel (Kumka
& Bonar 2012). Here we can envision the potential for unfavourable
outcomes as a result of improperly stimulated tissue during the
repair/remodeling stage of healing.
Timing is everything – more on this in Chapter 05.