Document Type
Article
Publication Date
4-3-2025
Abstract
Angiogenesis in injured tendons may contribute to regeneration, but quantifying it post-injury has been mostly limited to 2D semi-quantitative histology. This study aimed to develop micro-CT as a 3D tool to quantitatively assess tendon blood vessels in an experimental animal model. Adult male Wistar rats (N = 36) had injuries induced in their Achilles tendons by needle insertion. The study included three post-injury groups: 12 hours post-injury (12H), 3 weeks post-injury (3W), and 8 weeks post-injury (8W). The uninjured left Achilles tendon served as the control for each group. Intravital cardiac perfusion with barium sulfate enhanced contrast between tendon and vasculature. Micro-CT imaging was performed on dissected tendons in proximal, middle, and distal regions to assess total volume, object count, and structural thickness from 3D reconstructions. Control tendons showed region-specific and age-related vascular changes, with a significant portion of blood supply originating from the muscle-tendon junction. Injury-induced vascular changes were detected by 3D micro-CT analysis. The 12H, 3W, and 8W groups exhibited increased total volume, structural thickness, and object volume in all tendon regions compared to controls (p < 0.05). Structure separation was also higher in the middle and distal regions of these groups (p < 0.05). Micro-CT combined with intravital contrast perfusion allows for 3D quantification of Achilles tendon angiogenesis, revealing a significant and sustained increase in vascularity post-injury, making it a valuable tool for studying vascularization during tendon injury and repair.
Keywords
3D model, achilles tendon, animal model, micro-computed tomography, vascular anatomy
Language
English
Publication Title
Journal of Anatomy
Grant
1059B191800374
Rights
© 2025 The Author(s). This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/BY-NC-ND/4.0/), which permits non-commercial copying and redistribution of the material in any medium or format, provided the original work is not changed in any way and is properly cited.
Creative Commons License
This work is licensed under a Creative Commons Attribution-NonCommercial-No Derivative Works 4.0 International License.
Recommended Citation
Ocak, M., Yilmaz, S., Çam, S.B., Bilecenoğlu, B., Dönmez, B.Ö., Korkusuz, P. et al. (2025) Computed microtomographic imaging of revascularization during healing of Achilles tendon injury. Journal of Anatomy, 247, 363–374. Available from: https://doi.org/10.1111/joa.14249
Manuscript Version
Final Publisher Version