| The paratenon layer is identified | The paratenon dissected free. It is thickened and inflamed. Note the underlying tendon and its tightly packed longitudinal fibres | The paratenon being stripped from the tendon. Note how the quality of the tendon changes to the left hand side .It becomes whiter, swollen and the fibres less distinct. This is an early tendinopathy | A close up view of the degenerate section of the tendon |