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. Author manuscript; available in PMC: 2013 Feb 1.
Published in final edited form as: J Shoulder Elbow Surg. 2012 Feb;21(2):228–237. doi: 10.1016/j.jse.2011.11.002

Figure 4.

Figure 4

Complete removal of load is detrimental to tendon healing, yet large forces are also harmful. Controlled loading can enhance healing in most settings; however, a fine balance must be reached between loads that are too low (leading to a catabolic state) and too high (leading to micro-damage).