Hulm Scott, Timmins Ryan G, Hickey Jack T, Maniar Nirav, Lin Yi-Chung, Knaus Katherine R, Heiderscheit Bryan C, Blemker Silvia S, Opar David A
School of Behavioural and Health Sciences, Australian Catholic University, Melbourne, 115 Victoria Parade, Fitzroy, VIC, 3065, Australia.
Sports Performance, Recovery, Injury and New Technologies (SPRINT) Research Centre, Australian Catholic University, Melbourne, 115 Victoria Parade, Fitzroy, VIC, 3065, Australia.
Sports Med Open. 2024 Dec 24;10(1):133. doi: 10.1186/s40798-024-00789-3.
The aponeurosis is a large fibrous connective tissue structure within and surrounding skeletal muscle and is a critical component of the muscle-tendon unit (MTU). Due to the lack of consensus on terminology and the heterogeneous nature of the aponeurosis between MTUs, there are several questions that remain unanswered. For example, the aponeurosis is often conflated with the free tendon rather than being considered an independent structure. This has subsequent implications when interpreting data regarding the structure, function, and adaptation of the aponeuroses from these studies. In recent years, a body of work has emerged to suggest that acute injury to the myo-aponeurotic complex may have an impact on return-to-sport timeframes and reinjury rates. Therefore, the purpose of this review is to provide a more detailed understanding of the morphology and mechanical behaviour common to all aponeuroses, as well as the unique characteristics of specific lower-limb aponeuroses that are commonly injured. This review provides the practitioner with a current understanding of the mechanical, material, and adaptive properties of lower limb aponeuroses and suggests directions for future research related to the myo-aponeurotic complex.
腱膜是骨骼肌内部及周围的一种大型纤维结缔组织结构，是肌肉 - 肌腱单元（MTU）的关键组成部分。由于在术语方面缺乏共识，且不同MTU之间腱膜的性质存在异质性，仍有几个问题未得到解答。例如，腱膜常与游离肌腱混淆，而未被视为一个独立结构。在解释这些研究中有关腱膜结构、功能和适应性的数据时，这会产生后续影响。近年来，有一系列研究表明，肌 - 腱膜复合体的急性损伤可能会对恢复运动的时间框架和再损伤率产生影响。因此，本综述的目的是更详细地了解所有腱膜共有的形态学和力学行为，以及常见受伤的特定下肢腱膜的独特特征。本综述为从业者提供了对下肢腱膜的力学、材料和适应性特性的当前理解，并提出了与肌 - 腱膜复合体相关的未来研究方向。
