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Tendons and ligaments have limited blood supply compared to muscle
doi: 10.3390/v10100521
Subsequently, when the ligation is removed, the massive induced reperfusion likely shifts the tissue toward a state of noxious inducible isozyme or vascular wall and other tissue cell damage[44]

10.1371/journal.pone.0134235 PLoS One 109 SthijnsM