Ganey T M, Love S M, Ogden J A
Shriners Hospital for Crippled Children, Tampa, FL 33612.
J Orthop Res. 1992 Jul;10(4):496-510. doi: 10.1002/jor.1100100405.
Although numerous studies have addressed the presence of cartilage canals within developing epiphyses, the chronology of their appearance and their vascular contribution to the developing chondroepiphysis remain to be studied. We have selected a model, similar to the developing human skeletal system, in which extensive cartilage canal development precedes the subsequent secondary ossification process. In the rabbit proximal tibia, both chondroepiphyseal and vascular (cartilage canals) development were quantified from the first evidence of vessels until the formation of the secondary center of ossification. The volume of hyaline cartilage increased 25 times after intraepiphyseal vessels were initially observed. The blood supply, measured in cartilage canal volume, increased 400-fold over the same period. Three distinct cartilage canal morphologies were identifiable before the formation of the secondary center of ossification: (a) an early phase, in which the canals appeared as infoldings derived from the perichondrium; (b) a reactive phase, occurring simultaneously with chondrocyte hypertrophy and characterized by a very large increase in mesenchymal cells within the cartilage canal; and (c) a vascular phase, coincident with mineralization of the matrix, in which the familiar, unitary canal morphology was replaced by that of a vascular plexus. While matrix mineralization and the formation of bone seem dependent on critical cellular events, notably chondrocyte hypertrophy, the role that the vascular supply plays in developing sufficient biological inertia for the ossifying transition must not be underestimated.
尽管众多研究已涉及发育中的骨骺内软骨管的存在,但它们出现的时间顺序及其对发育中的软骨骨骺的血管贡献仍有待研究。我们选择了一个类似于人类骨骼系统发育的模型,其中广泛的软骨管发育先于随后的二次骨化过程。在兔胫骨近端,从血管首次出现到二次骨化中心形成,对软骨骨骺和血管(软骨管)的发育进行了量化。在骨骺内血管最初被观察到后,透明软骨的体积增加了25倍。同期,以软骨管体积衡量的血供增加了400倍。在二次骨化中心形成之前,可识别出三种不同的软骨管形态:(a)早期阶段,此时软骨管表现为源自软骨膜的内褶;(b)反应期,与软骨细胞肥大同时发生,其特征是软骨管内间充质细胞大量增加;(c)血管期,与基质矿化同时出现,此时常见的单一管道形态被血管丛形态所取代。虽然基质矿化和骨的形成似乎依赖于关键的细胞事件,尤其是软骨细胞肥大,但血管供应在为骨化转变发展出足够的生物学惰性方面所起的作用绝不能被低估。