NEURAL SYSTEM OF THE HUMAN POSTERIOR CRUCIATE LIGAMENT IN OSTEOARTHRITIS

被引:39
作者
FRANCHI, A [1 ]
ZACCHEROTTI, G [1 ]
AGLIETTI, P [1 ]
机构
[1] UNIV FLORENCE,INST PATHOL ANAT,FLORENCE,ITALY
关键词
POSTERIOR CRUCIATE LIGAMENT; NEURAL ELEMENTS; OSTEOARTHRITIS;
D O I
10.1016/S0883-5403(05)80215-3
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
The purpose of this study was to quantify the neural elements in a group of posterior cruciate ligaments from osteoarthritic patients in comparison with normal subjects. Nine ligaments obtained from total knee arthroplasty procedures and five control ligaments from amputated limbs or fresh cadavers were stained with gold chloride. The percentage area occupied by the receptors and the neural network was determined by means of a computer-assisted image analyzer. A significant reduction of the neural elements was observed in the group of ligaments from osteoarthritic patients (0.44 +/- 0.132 SEM vs 0.958 +/- 0.13 SEM, P = .001). The loss of mechanoceptors and the consequent reduction of neural afferences may reduce the functional stability of the joint, participating in the osteoarthritic degenerative process.
引用
收藏
页码:679 / 682
页数:4
相关论文
共 18 条
  • [1] Johansson H, Sjoladner P, Sojka P, A sensory role for the cruciate ligaments, Clin Orthop, 268, (1991)
  • [2] Boyd IA, The histological structure of the receptors in the knee joint of the cat correlated with their physiological response, J Physiol, 124, (1954)
  • [3] Freeman MAR, Wyke B, The innervation of the knee joint: an anatomical and histological study in the cat, J Anat, 101, (1967)
  • [4] Gardner E, The distribution and termination of nerves in the knee joint of the cat, The Journal of Comparative Neurology, 80, (1944)
  • [5] Katonis PG, Assimakopoulos PA, Agapitos MV, Et al., Mechanoceptors in the posterior cruciate ligament: histologic study on cadaver knees, Acta Orthop Scand, 62, (1991)
  • [6] Schultz PA, Miller DC, Kerr CS, Micheli L, Mechanoceptors in human cruciate ligaments: a histological study, J Bone Joint Surg, 66 A, (1984)
  • [7] Schutte MJ, Dabezies FJ, Zimmy ML, Happel LT, Neural anatomy of the anterior cruciate ligament, J Bone Joint Surg, 69 A, (1987)
  • [8] Pitman MI, Nainzadeh N, Menche D, Et al., The intraoperative evaluation of the neurosensory function of the anterior cruciate ligament in humans using somatosensory evoked potentials, Arthroscopy, 8, (1992)
  • [9] Barrett, Cobb GA, Bentley G, Joint proprioception in normal, osteoarthritic and replaced knees, J Bone Joint Surg, 73 B, (1991)
  • [10] Kokmen E, Bossemeyer RW, Williams WJ, Quantitative evaluation of joint motion sensation in an aging population, J Gerontol, 33, (1978)