$Unique_ID{BRK01656} $Pretitle{} $Title{Surgery of Tendons and Ligaments} $Subject{tendon ligament surgery Musculoskeletal System Connective Tissues Tissue Tendons Ligaments leg fibrous connect bones cartilage joints Achilles ankle calf heel calcaneus orthopedic surgical surgeries legs connects connection connections bone joint ankles calves heels special procedures procedure} $Volume{M-18,P-18} $Log{ Muscles and Tendons of the Knee*0006201.scf Achilles Tendinitis*0006203.scf Heel Pain*0006204.scf Leg and Foot Pains Caused by Running*0006207.scf Anatomy of the Ankle and Knee*0016901.scf} Copyright (c) 1991-92,1993 Tribune Media Services, Inc. Surgery of Tendons and Ligaments ------------------------------------------------------------------------------ QUESTION: Would you please define a leg tendon and a leg ligament in your newspaper column. I have often read about football players undergoing surgery for a torn ligament. However surgery of the tendon, to my knowledge, has not occurred. ------------------------------------------------------------------------------ ANSWER: Although both structures are made up of fibrous tissue, the difference between the two become more apparent when we look at their shapes and their functions in the body. Ligaments are bands of fibrous tissue that connect bones or cartilage, and serve to support and strengthen the joints. However, tendons are cord like structures that connect muscles to bones, and transmit the power of the muscular contraction to the bone and produce movement. You can easily observe this action by watching the action of the Achilles' tendon at the back of the ankle. You can wiggle your foot by contracting the muscles in the calf of the leg. This force is transmitted along the large tendon to the heel bone (calcaneus) and your foot moves. The jarring contact that occurs in football puts great strain on the ligaments, particularly those that surround and reinforce the knee joint. When the feet are planted into the turf, and held in place by the cleats on the shoes, and a tackler comes flying in about knee high, even the tough fibrous ligaments give way and tear as the lower leg is pushed into a position that nature never intended. Modern orthopedic surgery can repair these tears and put the player back on the field, after time for healing and reconditioning. While the action of the tendons give them a bit more flexibility and they are located in positions that are better protected against injury, they can be torn if there is sufficient trauma. In such cases, they too may be repaired by orthopedic surgical techniques, restoring function to normal in most cases. Though I have discussed leg tendons and ligaments to answer your question, the same information is equally true for ligaments and tendons that may be found in other locations throughout the body. ---------------- The material contained here is "FOR INFORMATION ONLY" and should not replace the counsel and advice of your personal physician. Promptly consulting your doctor is the best path to a quick and successful resolution of any medical problem.