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Tendons (and ligaments) are attached and are extensions of the periostium of the bone. The periostium is a tough, fibrous outer layer of the bone which provides support to the calcified bone underneath and provides an anchoring structure for tendons and ligaments. The periosteal attachments are very strong, but can be torn by very strong forces and injury. These avulsion injuries are often very difficult to repair and may require surgical intervention.

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16y ago

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