Section for Sports Traumatology M51, Department of Orthopaedic Surgery, Copenhagen University Hospital, Bispebjerg and Frederiksberg, Denmark.
Department of Orthopaedic Surgery M, Institute of Sports Medicine, Copenhagen University Hospital, Bispebjerg and Frederiksberg, Denmark.
Scand J Med Sci Sports. 2023 Feb;33(2):136-145. doi: 10.1111/sms.14246. Epub 2022 Oct 28.
The myotendinous junction (MTJ) is structurally specialized to transmit force. The highly folded muscle membrane at the MTJ increases the contact area between muscle and tendon and potentially the load tolerance of the MTJ. Muscles with a high content of type II fibers are more often subject to strain injury compared with muscles with type I fibers. It is hypothesized that this is explained by a smaller interface area of MTJ in type II compared with type I muscle fibers. The aim was to investigate by confocal microscopy whether there is difference in the surface area at the MTJ between type I and II muscle fibers. Individual muscle fibers with an intact MTJ were isolated by microscopic dissection in samples from human semitendinosus, and they were labeled with antibodies against collagen XXII (indicating MTJ) and type I myosin (MHCI). Using a spinning disc confocal microscope, the MTJ from each fiber was scanned and subsequently reconstructed to a 3D-model. The interface area between muscle and tendon was calculated in type I and II fibers from these reconstructions. The MTJ was analyzed in 314 muscle fibers. Type I muscle fibers had a 22% larger MTJ interface area compared with type II fibers (p < 0.05), also when the area was normalized to fiber diameter. By the new method, it was possible to analyze the structure of the MTJ from a large number of human muscle fibers. The finding that the interface area between muscle and tendon is higher in type I compared with type II fibers suggests that type II fibers are less resistant to strain and therefore more susceptible to injury.
肌腱连接(MTJ)在结构上专门用于传递力量。高度折叠的 MTJ 肌肉膜增加了肌肉和肌腱之间的接触面积,并可能提高 MTJ 的承载能力。与 I 型纤维相比,II 型纤维含量较高的肌肉更容易受到应变损伤。据推测,这是由于 II 型肌纤维的 MTJ 界面面积比 I 型肌纤维小。目的是通过共聚焦显微镜观察 I 型和 II 型肌纤维在 MTJ 处的表面积是否存在差异。通过显微镜解剖从人半腱肌中分离出具有完整 MTJ 的单个肌纤维,并使用针对胶原蛋白 XXII(表示 MTJ)和 I 型肌球蛋白(MHCI)的抗体对其进行标记。使用旋转盘共聚焦显微镜,对每个纤维的 MTJ 进行扫描,然后重建为 3D 模型。从这些重建中计算 I 型和 II 型纤维中肌肉和肌腱之间的界面面积。共分析了 314 根肌纤维。与 II 型纤维相比,I 型纤维的 MTJ 界面面积大 22%(p<0.05),即使将面积归一化为纤维直径。通过这种新方法,可以从大量的人类肌纤维中分析 MTJ 的结构。与 II 型纤维相比,I 型纤维与肌腱的界面面积更高,这表明 II 型纤维对应变的抵抗力较低,因此更容易受伤。
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