EVALUATION OF A NEW METHOD TO CREATE A STANDARDIZED MUSCLE STRETCH INJURY

Herein we describe a new test system to produce a standardized partial muscle-tendon junction (MTJ) stretch injury. In anaesthetized rabbits the tibialis anterior (TA) muscle-tendon unit is unilaterally shorten ed using a custom designed clamp roller system. An angular displacemen t (average velocity of 450 degrees.s(-1)) is applied about the foot to plantarflex the ankle 90 degrees while the lower extremity is fixed. during ankle rotation the TA muscle is tetanically stimulated to gener ate an eccentric stretch injury at the MTJ. Forty-eight hours after in jury, isometric torque deficit (injured/sham) was measured. Two groups of animals (N = 6 in each group) were tested with the only difference between the two groups being the initial tendon shortening. In Group 1 (tendon shortening = 1.2 cm, N = 6) the torque deficit was 36.7 +/- 5.9% (mean +/- SD). In Group 2 (tendon shortening = 1.5 cm, N = 6) the torque deficit was 58.7 +/- 7.4% (mean +/- SD). No order effect was s uggested by the data (P = 0.6062), but the difference in torque defici t between the two groups was highly significant (P = 0.0001). For all tests in which the tendon was temporarily shortened before muscle stim ulation and stretch (N = 12) there was a visible hematoma at the MTJ s imilar to the injury that is common in athletic injuries. Histological evaluation 48 h after injury revealed both fiber tearing and inflamma tion at the MTJ. In addition, there was focal fiber damage in the musc le belly for both groups. The damage and inflammatory process, however , were more severe in the group with greater initial tendon shortening .