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Frontiers | Clinical evidence for low-molecular-weight collagen peptides in tendon and ligament tears: a systematic review with narrative synthesis (opens in a new tab)
frontiersin.org · 2026-08-13
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The story
Frontiers | Clinical evidence for low-molecular-weight collagen peptides in tendon and ligament tears: a systematic review with narrative synthesis
frontiersin.org · 2026-08-13
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Supported
Every claim holds up. All six claims match what the study reports.
- 6 supported
The source study
Clinical evidence for low-molecular-weight collagen peptides in tendon and ligament tears: a systematic review with narrative synthesis
Source layer
The 44 papers the story cites
Source study separated from background citations.
The research anchor for the report.
- The study this story reportspresented as the new finding
Clinical evidence for low-molecular-weight collagen peptides in tendon and ligament tears: a systematic review with narrative synthesis
Frontiers in Medicine · 2026
- The study this story reportsmentioned without context
10.3389/fmed.2026.1891011/full
- The study this story reportsmentioned without context
10.3389/fmed.2026.1891011/bibtex
- The study this story reportsmentioned without context
10.3389/fmed.2026.1891011/endnote
- The study this story reportsmentioned without context
10.3389/fmed.2026.1891011/reference
- The study this story reportsmentioned without context
10.3389/fmed.2026.1891011/text
- Cited as backgroundmentioned without context
Oral Ingestion of Collagen Hydrolysate Leads to the Transportation of Highly Concentrated Gly-Pro-Hyp and Its Hydrolyzed Form of Pro-Hyp into the Bloodstream and Skin
Journal of Agricultural and Food Chemistry · 2017
- Cited as backgroundmentioned without context
Identification of Food-Derived Collagen Peptides in Human Blood after Oral Ingestion of Gelatin Hydrolysates
Journal of Agricultural and Food Chemistry · 2005
- Cited as backgroundmentioned without context
Effect of Prolyl-hydroxyproline (Pro-Hyp), a Food-Derived Collagen Peptide in Human Blood, on Growth of Fibroblasts from Mouse Skin
Journal of Agricultural and Food Chemistry · 2009
- Cited as backgroundmentioned without context
Nutritional Supplements in the Clinical Management of Tendinopathy: A Scoping Review
Journal of Sport Rehabilitation · 2023
- Cited as backgroundmentioned without context
Impact of Collagen Peptide Supplementation in Combination with Long-Term Physical Training on Strength, Musculotendinous Remodeling, Functional Recovery, and Body Composition in Healthy Adults: A Systematic Review with Meta-analysis
Sports Medicine (Auckland, N.Z.) · 2024
- Cited as backgroundmentioned without context
Nutraceutical supplement in the management of tendinopathies: a systematic review
Muscles, Ligaments and Tendons Journal · 2016
- Cited as backgroundmentioned without context
The PRISMA 2020 statement: an updated guideline for reporting systematic reviews
BMJ (Clinical Research Ed.) · 2021
- Cited as backgroundmentioned without context
Collagen Injections for Rotator Cuff Diseases: A Systematic Review
Clinics and Practice · 2025
- Cited as backgroundmentioned without context
Ultrasound-guided collagen injections for treatment of plantar fasciopathy in runners: A pilot study and case series
Journal of Human Sport and Exercise - 2020 - Spring Conferences of Sports Science · 2020
- Cited as backgroundmentioned without context
Atelocollagen Injection Improves Tendon Integrity in Partial-Thickness Rotator Cuff Tears: A Prospective Comparative Study
Orthopaedic Journal of Sports Medicine · 2020
- Cited as backgroundmentioned without context
Clinical outcome of ultrasound-guided atelocollagen injection for patients with partial rotator cuff tear in an outpatient clinic: a preliminary study
Clinics in Shoulder and Elbow · 2020
- Cited as backgroundmentioned without context
Collagen and platelet-rich plasma in partial-thickness rotator cuff injuries. Friends or only indifferent neighbours? Randomised controlled trial
BMC Musculoskeletal Disorders · 2022
- Cited as backgroundpresented as the new finding
Clinical Efficacy and Safety of Ultrasound-Guided Injection with Low-Molecular-Weight Peptides from Hydrolyzed Collagen in Patients with Partial Supraspinatus Tendon Tears: A Pilot Study
Life (Basel, Switzerland) · 2024
- Cited as backgroundpresented as the new finding
Efficacy and Tolerability of Progen, a Nutritional Supplement Based on Innovative Plasma Proteins, in ACL Reconstruction: A Multicenter Randomized Controlled Trial
Orthopaedic Journal of Sports Medicine · 2019
- Cited as backgroundpresented as the new finding
Arginine L-alpha-ketoglutarate, methylsulfonylmethane, hydrolyzed type I collagen and bromelain in rotator cuff tear repair: a prospective randomized study
Current Medical Research and Opinion · 2012
- Cited as backgroundpresented as the new finding
Oral Supplementation of Specific Collagen Peptides Combined with Calf-Strengthening Exercises Enhances Function and Reduces Pain in Achilles Tendinopathy Patients
Nutrients · 2019
- Cited as backgroundpresented as the new finding
Improvement of functional ankle properties following supplementation with specific collagen peptides in athletes with chronic ankle instability
Journal of Sports Science & Medicine · 2018
- Cited as backgroundpresented as the new finding
Subacromial injection of hydrolyzed collagen in the symptomatic treatment of rotator cuff tendinopathy: an observational multicentric prospective study on 71 patients
JSES International · 2023
- Cited as backgroundmentioned without context
Vitamin C-enriched gelatin supplementation before intermittent activity augments collagen synthesis.
The American Journal of Clinical Nutrition · 2017
- Cited as backgroundmentioned without context
Oral Ingestion of Collagen Hydrolysate Leads to the Transportation of Highly Concentrated Gly-Pro-Hyp and Its Hydrolyzed Form of Pro-Hyp into the Bloodstream and Skin
Journal of Agricultural and Food Chemistry · 2017
- Cited as backgroundmentioned without context
Identification of Food-Derived Collagen Peptides in Human Blood after Oral Ingestion of Gelatin Hydrolysates
Journal of Agricultural and Food Chemistry · 2005
- Cited as backgroundmentioned without context
Effect of Prolyl-hydroxyproline (Pro-Hyp), a Food-Derived Collagen Peptide in Human Blood, on Growth of Fibroblasts from Mouse Skin
Journal of Agricultural and Food Chemistry · 2009
- Cited as backgroundmentioned without context
Nutritional Supplements in the Clinical Management of Tendinopathy: A Scoping Review
Journal of Sport Rehabilitation · 2023
- Cited as backgroundmentioned without context
Impact of Collagen Peptide Supplementation in Combination with Long-Term Physical Training on Strength, Musculotendinous Remodeling, Functional Recovery, and Body Composition in Healthy Adults: A Systematic Review with Meta-analysis
Sports Medicine (Auckland, N.Z.) · 2024
- Cited as backgroundmentioned without context
Nutraceutical supplement in the management of tendinopathies: a systematic review
Muscles, Ligaments and Tendons Journal · 2016
- Cited as backgroundmentioned without context
The PRISMA 2020 statement: an updated guideline for reporting systematic reviews
BMJ (Clinical Research Ed.) · 2021
- Cited as backgroundmentioned without context
Collagen Injections for Rotator Cuff Diseases: A Systematic Review
Clinics and Practice · 2025
- Cited as backgroundmentioned without context
Ultrasound-guided collagen injections in the treatment of supraspinatus tendinopathy: a case series pilot study.
Journal of Biological Regulators and Homeostatic Agents · 2020
- Cited as backgroundmentioned without context
Atelocollagen Injection Improves Tendon Integrity in Partial-Thickness Rotator Cuff Tears: A Prospective Comparative Study
Orthopaedic Journal of Sports Medicine · 2020
- Cited as backgroundmentioned without context
Clinical outcome of ultrasound-guided atelocollagen injection for patients with partial rotator cuff tear in an outpatient clinic: a preliminary study
Clinics in Shoulder and Elbow · 2020
- Cited as backgroundmentioned without context
Collagen and platelet-rich plasma in partial-thickness rotator cuff injuries. Friends or only indifferent neighbours? Randomised controlled trial
BMC Musculoskeletal Disorders · 2022
- Cited as backgroundmentioned without context
Clinical Efficacy and Safety of Ultrasound-Guided Injection with Low-Molecular-Weight Peptides from Hydrolyzed Collagen in Patients with Partial Supraspinatus Tendon Tears: A Pilot Study
Life (Basel, Switzerland) · 2024
- Cited as backgroundmentioned without context
Efficacy and Tolerability of Progen, a Nutritional Supplement Based on Innovative Plasma Proteins, in ACL Reconstruction: A Multicenter Randomized Controlled Trial
Orthopaedic Journal of Sports Medicine · 2019
- Cited as backgroundmentioned without context
Arginine L-alpha-ketoglutarate, methylsulfonylmethane, hydrolyzed type I collagen and bromelain in rotator cuff tear repair: a prospective randomized study
Current Medical Research and Opinion · 2012
- Cited as backgroundmentioned without context
Oral Supplementation of Specific Collagen Peptides Combined with Calf-Strengthening Exercises Enhances Function and Reduces Pain in Achilles Tendinopathy Patients
Nutrients · 2019
- Cited as backgroundmentioned without context
Improvement of functional ankle properties following supplementation with specific collagen peptides in athletes with chronic ankle instability
Journal of Sports Science & Medicine · 2018
- Cited as backgroundmentioned without context
Subacromial injection of hydrolyzed collagen in the symptomatic treatment of rotator cuff tendinopathy: an observational multicentric prospective study on 71 patients
JSES International · 2023
- Cited as backgroundmentioned without context
Vitamin C-enriched gelatin supplementation before intermittent activity augments collagen synthesis.
The American Journal of Clinical Nutrition · 2017
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6 claims in this storyShowing all 6 claimsChoose a verdict to focus the list.
Claim 1 of 6SupportedLow-molecular-weight hydrolyzed collagen peptides are increasingly used as adjuncts in musculoskeletal medicine, but their clinical role in tendon and ligament injuries remains unclear.View evidenceHide evidence
Why this verdict
The paper profile states in the abstract-level introduction that low-molecular-weight hydrolyzed collagen peptides are increasingly used as adjuncts in musculoskeletal medicine and that their role in tendon and ligament injuries is unclear. The story presents this as a hedged background claim, matching the paper.
Study evidence
Across six clinical studies (three direct tear/post-surgical; three indirect/contextual), collagen-based peptide interventions were generally associated with improvements in pain, function, analgesic use, or imaging-related outcomes.
“a systematic review with narrative synthesis was conducted using PubMed and a mirrored Scopus strategy through 17 March 2026”
Claim 2 of 6SupportedThe authors conclude that hydrolyzed collagen-derived peptides show a cautiously positive signal as adjuncts to rehabilitation or postoperative care, but evidence in tendon and ligament tears remains sparse, heterogeneous, and low certainty.View evidenceHide evidence
Why this verdict
The profile states that the authors characterize the evidence as a cautiously positive signal for hydrolyzed collagen-derived peptides as adjuncts to rehabilitation or postoperative care, while emphasizing that evidence in tendon and ligament tears is sparse, heterogeneous, and low certainty. The story’s lead is appropriately hedged and does not outrun the paper’s conclusion.
Study evidence
Across six clinical studies (three direct tear/post-surgical; three indirect/contextual), collagen-based peptide interventions were generally associated with improvements in pain, function, analgesic use, or imaging-related outcomes.
“a systematic review with narrative synthesis was conducted using PubMed and a mirrored Scopus strategy through 17 March 2026”
Study evidence
Three included studies provided indirect (contextual) evidence from related conditions: Achilles tendinopathy, chronic ankle instability, and rotator cuff tendinopathy.
“Closely related disorders were included only as contextual evidence when direct injury-specific data were limited.”
Claim 3 of 6SupportedA systematic review with narrative synthesis identified six eligible human studies on oral or injectable hydrolyzed collagen peptides, or related low-molecular-weight peptide preparations, in tendon and ligament injuries and post-repair/reconstruction settings.View evidenceHide evidence
As statedsix studies
Why this verdict
The profile identifies the paper as a systematic review with narrative synthesis and reports six eligible human clinical studies assessing oral or injectable hydrolyzed collagen peptides, or related low-molecular-weight peptide formulations, in tendon/ligament tears or post-repair/reconstruction settings.
Study evidence
Across six clinical studies (three direct tear/post-surgical; three indirect/contextual), collagen-based peptide interventions were generally associated with improvements in pain, function, analgesic use, or imaging-related outcomes.
“a systematic review with narrative synthesis was conducted using PubMed and a mirrored Scopus strategy through 17 March 2026”
Claim 4 of 6SupportedThree studies provided direct evidence in tear or post-surgical populations, including one pilot study in partial supraspinatus tendon tears, one randomized trial after ACL reconstruction, and one randomized trial after rotator cuff repair.View evidenceHide evidence
As statedthree direct studies
Why this verdict
The profile states that three studies provided direct evidence in tear or post-surgical populations: a pilot injectable study in partial supraspinatus tendon tears, a randomized trial after ACL reconstruction, and a randomized trial after rotator cuff repair.
Study evidence
Across six clinical studies (three direct tear/post-surgical; three indirect/contextual), collagen-based peptide interventions were generally associated with improvements in pain, function, analgesic use, or imaging-related outcomes.
“a systematic review with narrative synthesis was conducted using PubMed and a mirrored Scopus strategy through 17 March 2026”
Claim 5 of 6SupportedThree additional studies provided indirect evidence in Achilles tendinopathy, chronic ankle instability, and rotator cuff tendinopathy.View evidenceHide evidence
As statedthree indirect studies
Why this verdict
The profile states that three additional studies provided indirect/contextual evidence in Achilles tendinopathy, chronic ankle instability, and rotator cuff tendinopathy.
Study evidence
Three included studies provided indirect (contextual) evidence from related conditions: Achilles tendinopathy, chronic ankle instability, and rotator cuff tendinopathy.
“Closely related disorders were included only as contextual evidence when direct injury-specific data were limited.”
Claim 6 of 6SupportedOverall, collagen-based interventions were associated with improvements in pain, function, analgesic use, or imaging-related outcomes.View evidenceHide evidence
Why this verdict
The paper profile reports that, across included direct and contextual studies, collagen-based interventions were associated with improvements in pain, function, analgesic use, or imaging-related outcomes. The story frames this as an association rather than a causal or definitive treatment effect, so it is supported at abstract depth.
Study evidence
Across six clinical studies (three direct tear/post-surgical; three indirect/contextual), collagen-based peptide interventions were generally associated with improvements in pain, function, analgesic use, or imaging-related outcomes.
“a systematic review with narrative synthesis was conducted using PubMed and a mirrored Scopus strategy through 17 March 2026”
Study evidence
Three included studies provided indirect (contextual) evidence from related conditions: Achilles tendinopathy, chronic ankle instability, and rotator cuff tendinopathy.
“Closely related disorders were included only as contextual evidence when direct injury-specific data were limited.”
Context layer
What the story left out
Important study details the story did not include.
The search used PubMed plus a mirrored Scopus strategy through 17 March 2026.
This method detail is present in the paper profile but is not mentioned in the story presentation.
From systematic review with narrative synthesis
The authors call for further blinded, placebo-controlled trials using well-characterized formulations and clinically meaningful outcomes.
The paper profile includes this as part of the discussion and limitations, but the story caveats do not explicitly mention the call for blinded, placebo-controlled trials or well-characterized formulations as future research needs.
From systematic review with narrative synthesis; Systematic review with narrative synthesis (contextual inclusion of related-
9 things the story did carry across
- The paper is a systematic review with narrative synthesis of human clinical studies on hydrolyzed collagen peptides or related low-molecular-weight peptide preparations for tendon/ligament tears and post-repair/reconstruction settings.
- Six eligible human clinical studies were included: three direct tear/post-surgical studies and three indirect/contextual studies.
- The direct evidence consisted of a pilot injectable study in partial supraspinatus tendon tears, a randomized trial after ACL reconstruction, and a randomized trial after rotator cuff repair.
- The indirect/contextual evidence came from Achilles tendinopathy, chronic ankle instability, and rotator cuff tendinopathy and was included only because direct tear-specific data were limited.
- Across included studies, collagen-based interventions were associated with improvements in pain, function, analgesic use, or imaging-related outcomes.
- Most oral interventions were multicomponent, limiting attribution of observed effects specifically to collagen peptides.
- Only one direct tear study evaluated a clearly defined low-molecular-weight peptide formulation.
- The evidence base was sparse, heterogeneous, and low certainty.
- The review used narrative synthesis only and reported no pooled quantitative effect estimates or meta-analysis.
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Pieces of work
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Evidence read
study summary
Lead result
secondary data
1Lead resultsecondary dataSynthesize and appraise human clinical evidence on oral or injectable low-molecular-weight hydrolyzed collagen peptides (and closely related peptide preparations) for tendon/ligament tears and post-repair/reconstruction settings.systematic review with narrative synthesisExpandCollapse
In plain English
Systematic review with narrative synthesis of human clinical studies assessing oral or injectable low-molecular-weight hydrolyzed collagen peptides (and closely related low-molecular-weight peptide formulations) for tendon and ligament tears and post-repair/reconstruction settings. Six eligible studies were identified (three direct tear/post-surgical; three indirect/contextual). Overall the review reports an overall cautiously positive signal for collagen-derived peptides as adjuncts to rehabilitation or postoperative care, with reported improvements in pain, function, analgesic use, or imaging-related outcomes; however, the evidence is sparse, heterogeneous, and of low certainty, and many oral interventions were multicomponent.
Key findings
- Across six clinical studies (three direct tear/post-surgical; three indirect/contextual), collagen-based peptide interventions were generally associated with improvements in pain, function, analgesic use, or imaging-related outcomes.
- Authors characterize the overall evidence as a cautiously positive signal for use of hydrolyzed collagen-derived peptides as adjuncts to rehabilitation or postoperative care but emphasize limitations and need for better trials.
“a systematic review with narrative synthesis was conducted using PubMed and a mirrored Scopus strategy through 17 March 2026”
What this piece can’t prove
- Evidence base is small (six studies) and heterogeneous (direct vs indirect populations; multicomponent oral products; variable outcomes).
- Most oral interventions were multicomponent, complicating attribution to collagen peptides.
- Only one direct tear study tested a clearly defined low-molecular-weight peptide formulation.
- Narrative synthesis only; no meta-analysis or pooled effect sizes reported.
- Authors rate overall certainty as low and call for blinded, placebo-controlled trials with well-characterized formulations.
2secondary dataProvide contextual/indirect evidence from closely related conditions (e.g., Achilles tendinopathy, chronic ankle instability, rotator cuff tendinopathy) when direct tear-specific data are limited.Systematic review with narrative synthesis (contextual inclusion of related-condition studies)ExpandCollapse
In plain English
Within the systematic review, three included studies provided indirect, contextual evidence from related conditions (Achilles tendinopathy, chronic ankle instability, and rotator cuff tendinopathy) that was considered only when direct tendon/ligament tear data were limited. Across included studies (direct and indirect), collagen-based interventions were reported to be associated with improvements in pain, function, analgesic use, or imaging-related outcomes, but most oral formulations were multicomponent and overall evidence was sparse, heterogeneous, and of low certainty.
Key findings
- Three included studies provided indirect (contextual) evidence from related conditions: Achilles tendinopathy, chronic ankle instability, and rotator cuff tendinopathy.
- Across included direct and contextual studies, collagen-based interventions were associated with improvements in pain, function, analgesic use, or imaging-related outcomes.
“Closely related disorders were included only as contextual evidence when direct injury-specific data were limited.”
What this piece can’t prove
- Indirect studies were used only for contextualization and are not direct evidence for tendon/ligament tears.
- Heterogeneity of conditions, interventions (many multicomponent), and outcomes limited synthesis.
- Sparse number of studies and low certainty of evidence restricts confidence in conclusions.
Method layer
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Clinical evidence for low-molecular-weight collagen peptides in tendon and ligament tears: a systematic review with narrative synthesis
Frontiers in medicine · 2026
Why this one
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Papers considered
The selected paper, plus nearby candidates.
PubMed, Crossref, Europe PMC · 58 candidate papers
Clinical evidence for low-molecular-weight collagen peptides in tendon and ligament tears: a systematic review with narrative synthesis
Frontiers in Medicine · 2026 · PubMed, Europe PMC, Crossref
Oral Ingestion of Collagen Hydrolysate Leads to the Transportation of Highly Concentrated Gly-Pro-Hyp and Its Hydrolyzed Form of Pro-Hyp into the Bloodstream and Skin
Journal of Agricultural and Food Chemistry · 2017 · PubMed, Crossref
Identification of Food-Derived Collagen Peptides in Human Blood after Oral Ingestion of Gelatin Hydrolysates
Journal of Agricultural and Food Chemistry · 2005 · PubMed, Crossref
Effect of Prolyl-hydroxyproline (Pro-Hyp), a Food-Derived Collagen Peptide in Human Blood, on Growth of Fibroblasts from Mouse Skin
Journal of Agricultural and Food Chemistry · 2009 · PubMed, Crossref
Nutritional Supplements in the Clinical Management of Tendinopathy: A Scoping Review
Journal of Sport Rehabilitation · 2023 · PubMed, Crossref
Impact of Collagen Peptide Supplementation in Combination with Long-Term Physical Training on Strength, Musculotendinous Remodeling, Functional Recovery, and Body Composition in Healthy Adults: A Systematic Review with Meta-analysis
Sports Medicine (Auckland, N.Z.) · 2024 · PubMed, Crossref
And 52 more candidates considered.