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Title: A novel method for assessing regional tendon stiffness and its significance
Authors: Fu, SN 
Wang, HK
Huang C 
Keywords: Patellar positions
Patellar tendon
Shear modulus
Supersonic shear imaging
Tendon stiffness
Issue Date: 2018
Publisher: Molecular Diversity Preservation International (MDPI)
Source: Applied sciences, 2018, v. 8, no. 7, 1156, p. 1-8 How to cite?
Journal: Applied sciences 
Abstract: Elastography can be used to estimate the regional shear modulus of a tendon. This can advance our knowledge on the impact of patellar alignment and regional patellar tendon stiffness. This is important as patellar tendon abnormality is mainly found in the medial portion of the tendon in subjects with proximal patellar tendinopathy. This paper aims to assess the effect of patellar displacement on differential modulation on the shear modulus of the patellar tendon. Shear modulus is captured on the medial and lateral half of the patella tendon using the Axiplorer® ultrasound unit in conjunction with a 4-15 MHz, 50 mm linear transducer with the patellar being positioned in its resting, medio- and laterally displaced positions on 40 adults (19 females, 21 males). When the patellar is displaced laterally, the shear modulus is significantly increased at the medial half in both genders but decreased at the lateral half only in females. Conclusions: Elastography detects changes in regional tendon stiffness associated with alteration in patellar positions. The modulation on the shear modulus is gender and region specific.
ISSN: 2076-3417
DOI: 10.3390/app8071156
Rights: © 2018 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (
The following publication Fu, S. N., Wang, H. -., & Huang, C. (2018). A novel method for assessing regional tendon stiffness and its significance. Applied Sciences (Switzerland), 8(7), 1156, 1-8 is available at
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