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In addition, mitochondrial ROS act as potent activators of redox-sensitive transcription factors, particularly nuclear factor-B (NF-B) and activator protein-1 (AP-1), which amplify inflammatory signaling within the tendon microenvironment (Mller-Eigner and Wojtovich, 2025)

Additionally, the accumulation of Kyn promotes Treg differentiation, enhancing immune suppression

Laboratory parameters and imaging Fasting blood sugar: 100 mg% Erythrocyte sedimentation rate: 10 mm/hr Nerve conduction study: Normal Ultrasound findings: Tendon tears: Minimal tears in the common flexor tendon at the insertion point onto the medial epicondyle

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