The Impact of Hyaluronic Acid on Tendon Physiology and Its Clinical Application in Tendinopathies

The physical–chemical, structural, hydrodynamic, and biological properties of hyaluronic acid within tendons are still poorly investigated. Medical history and clinical applications of hyaluronic acid for tendinopathies are still debated. In general, the properties of hyaluronic acid depend on sever...

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Autores principales: Francesco Oliva, Emanuela Marsilio, Giovanni Asparago, Antonio Frizziero, Anna Concetta Berardi, Nicola Maffulli
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Lenguaje:EN
Publicado: MDPI AG 2021
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Acceso en línea:https://doaj.org/article/f960cb4ca67543b78ea73ae0e3caf832
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spelling oai:doaj.org-article:f960cb4ca67543b78ea73ae0e3caf8322021-11-25T17:11:18ZThe Impact of Hyaluronic Acid on Tendon Physiology and Its Clinical Application in Tendinopathies10.3390/cells101130812073-4409https://doaj.org/article/f960cb4ca67543b78ea73ae0e3caf8322021-11-01T00:00:00Zhttps://www.mdpi.com/2073-4409/10/11/3081https://doaj.org/toc/2073-4409The physical–chemical, structural, hydrodynamic, and biological properties of hyaluronic acid within tendons are still poorly investigated. Medical history and clinical applications of hyaluronic acid for tendinopathies are still debated. In general, the properties of hyaluronic acid depend on several factors including molecular weight. Several preclinical and clinical experiences show a good efficacy and safety profile of hyaluronic acid, despite the absence of consensus in the literature regarding the classification according to molecular weight. In in vitro and preclinical studies, hyaluronic acid has shown physical–chemical properties, such as biocompatibility, mucoadhesivity, hygroscopicity, and viscoelasticity, useful to contribute to tendon healing. Additionally, in clinical studies, hyaluronic acid has been used with promising results in different tendinopathies. In this narrative review, findings encourage the clinical application of HA in tendinopathies such as rotator cuff, epicondylitis, Achilles, and patellar tendinopathy.Francesco OlivaEmanuela MarsilioGiovanni AsparagoAntonio FrizzieroAnna Concetta BerardiNicola MaffulliMDPI AGarticlehyaluronic acidreceptorbiologystructuretendontendinopathyBiology (General)QH301-705.5ENCells, Vol 10, Iss 3081, p 3081 (2021)
institution DOAJ
collection DOAJ
language EN
topic hyaluronic acid
receptor
biology
structure
tendon
tendinopathy
Biology (General)
QH301-705.5
spellingShingle hyaluronic acid
receptor
biology
structure
tendon
tendinopathy
Biology (General)
QH301-705.5
Francesco Oliva
Emanuela Marsilio
Giovanni Asparago
Antonio Frizziero
Anna Concetta Berardi
Nicola Maffulli
The Impact of Hyaluronic Acid on Tendon Physiology and Its Clinical Application in Tendinopathies
description The physical–chemical, structural, hydrodynamic, and biological properties of hyaluronic acid within tendons are still poorly investigated. Medical history and clinical applications of hyaluronic acid for tendinopathies are still debated. In general, the properties of hyaluronic acid depend on several factors including molecular weight. Several preclinical and clinical experiences show a good efficacy and safety profile of hyaluronic acid, despite the absence of consensus in the literature regarding the classification according to molecular weight. In in vitro and preclinical studies, hyaluronic acid has shown physical–chemical properties, such as biocompatibility, mucoadhesivity, hygroscopicity, and viscoelasticity, useful to contribute to tendon healing. Additionally, in clinical studies, hyaluronic acid has been used with promising results in different tendinopathies. In this narrative review, findings encourage the clinical application of HA in tendinopathies such as rotator cuff, epicondylitis, Achilles, and patellar tendinopathy.
format article
author Francesco Oliva
Emanuela Marsilio
Giovanni Asparago
Antonio Frizziero
Anna Concetta Berardi
Nicola Maffulli
author_facet Francesco Oliva
Emanuela Marsilio
Giovanni Asparago
Antonio Frizziero
Anna Concetta Berardi
Nicola Maffulli
author_sort Francesco Oliva
title The Impact of Hyaluronic Acid on Tendon Physiology and Its Clinical Application in Tendinopathies
title_short The Impact of Hyaluronic Acid on Tendon Physiology and Its Clinical Application in Tendinopathies
title_full The Impact of Hyaluronic Acid on Tendon Physiology and Its Clinical Application in Tendinopathies
title_fullStr The Impact of Hyaluronic Acid on Tendon Physiology and Its Clinical Application in Tendinopathies
title_full_unstemmed The Impact of Hyaluronic Acid on Tendon Physiology and Its Clinical Application in Tendinopathies
title_sort impact of hyaluronic acid on tendon physiology and its clinical application in tendinopathies
publisher MDPI AG
publishDate 2021
url https://doaj.org/article/f960cb4ca67543b78ea73ae0e3caf832
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