Table 1.

The Impact of Different Components of MS on Different Tendons

Components of MS	Tendon	Impact on Tendons	Ref
Obesity	Rotator cuff, Achilles	Increased in hardness Increased in thickness Decreased in elasticity	[38–40]
DM	Rotator cuff, Achilles	Decreased in intensity Decreased in elasticity Decreased in failure payload	[44,45]
Hyperlipidemia	Rotator cuff, Achilles	Increase in thickness Increased in elasticity Increased in hardness	[46,47]
Hypertension	Rotator cuff	Vascular Damage	[48]