After a tendon injury, and during tendon healing, vascularity changes and cellular activity are vital to the formation of granular tissue in the tendon gap, and the subsequent development of neo-tendinous tissue that replaces damaged native tissue.
32.
A trend toward less vascularity and tissue density ( with lower contrast enhancement on CT ) has been noted toward the center of these lesions, especially in larger tumors, and even in tumors without a significant volume of gross necrosis.
33.
Vascularity is enhanced by extremely low body fat ( usually below 10 % ) and low retained water, as well as the muscle engorgement ( " pump " ) and venous distension accentuated by the vigorous flexing and potentially hazardous female bodybuilders where the target aesthetic is relatively more towards aesthetic symmetry than extreme development.
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