Moraes Miguel R B, Cavalcante Maria Luzete C, Leite José Alberto D, Ferreira Francisco Valdecir, Castro Antônio Juvêncio O, Santana Mariana G
Post-Graduate Department of Surgery, Federal University of Ceará, Faculty of Medicine, 1608, Costa Mendes Professor St., 3rd floor, Rodolfo Teófilo, Fortaleza, Brazil, 60530-140.
Foot Ankle Int. 2008 Jan;29(1):87-90. doi: 10.3113/FAI.2008.0087.
INTRODUCTION: Joint mechanoreceptors have been studied and most of investigators recognize the potential role of mechanoreceptors in the proprioceptive function of joint. The aim of this study was to analyze the general innervation and the possible existence of sensory receptors in the lateral ankle ligament. METHODS: Lateral ankle ligaments including anterior talofibular, posterior talofibular and calcaneofibular were obtained from 24 ankles of 13 male cadavers with ages ranging from 18 to 65 (mean 41.6) years. Each ligament was divided into three parts according to the bony attachments (proximal, central, and distal segments). Histologically mechanoreceptors (Ruffini, Pacini and Golgi) and free nerve endings were identified, and classified. Histomorphometric determination and evaluation of the density of the area of the receptor was performed by the point-counting methods. RESULTS: The anterior talofibular, posterior talofibular, and calcaneofibular ligaments were endowed with mechanoreceptor and free nerve endings. There was a significant prevalence of Pacini (p<0.001) compared with Ruffini and Golgi. However, there was no significant difference in the mechanoreceptors density in the different ligaments analyzed (p>0.05) CONCLUSION: Innervation of the lateral ankle ligaments was confirmed in this study, suggesting that the presence of mechanoreceptors could have clinical implication as well as relevance in the proprioceptive function. Future electrophysiological studies will be required to define the role in the proprioceptive and nociceptive system of the ankle.
引言:关节机械感受器已得到研究,大多数研究者认识到机械感受器在关节本体感觉功能中的潜在作用。本研究的目的是分析外侧踝关节韧带的一般神经支配情况以及感觉受体的可能存在情况。 方法:从13具年龄在18至65岁(平均41.6岁)的男性尸体的24个踝关节获取外侧踝关节韧带,包括距腓前韧带、距腓后韧带和跟腓韧带。根据骨附着点将每条韧带分为三部分(近端、中部和远端节段)。通过组织学方法识别并分类机械感受器(鲁菲尼小体、帕西尼小体和高尔基腱器官)和游离神经末梢。采用点计数法对受体区域的密度进行组织形态计量学测定和评估。 结果:距腓前韧带、距腓后韧带和跟腓韧带均有机械感受器和游离神经末梢。与鲁菲尼小体和高尔基腱器官相比,帕西尼小体的数量显著更多(p<0.001)。然而,在所分析的不同韧带中,机械感受器密度无显著差异(p>0.05)。 结论:本研究证实了外侧踝关节韧带的神经支配,表明机械感受器的存在可能具有临床意义以及与本体感觉功能相关。未来需要进行电生理研究以确定其在踝关节本体感觉和伤害感受系统中的作用。
Cells Tissues Organs. 2012-9-4
J Orthop Surg Res. 2015-6-12
J Hand Surg Am. 2012-4
J Hand Surg Am. 1998-5
Clin Orthop Relat Res. 2015-10
Cells Tissues Organs. 2011-8-10
Clin Anat. 2016-9
Spine (Phila Pa 1976). 2010-2-15
J Clin Med. 2023-10-19
Int J Environ Res Public Health. 2022-11-20
Knee Surg Sports Traumatol Arthrosc. 2019-3-19
Knee Surg Sports Traumatol Arthrosc. 2018-8-20
Knee Surg Sports Traumatol Arthrosc. 2016-4