Simkin P A, Huang A, Benedict R S
Department of Medicine and Physiology, University of Washington, Seattle 98195.
J Orthop Res. 1990 Mar;8(2):297-303. doi: 10.1002/jor.1100080220.
We measured articular blood flow by standard microsphere techniques in normal adult dogs at rest and during treadmill exercise. All animals but one underwent beta-adrenergic blockade as part of another experimental protocol. Expressed in microliter/min/g +/- SEM, baseline flow values to articular tissues were: knee synovium 26 +/- 4, femoral condyle 130 +/- 21, tibial plateau 182 +/- 29, articular fat pad 9 +/- 2, knee ligaments 17 +/- 3, menisci 34 +/- 6, wrist synovium 19 +/- 4, distal radius 65 +/- 13, and lunate bone 59 +/- 13. Blood flow increased with exercise in all soft tissues of both the knee (stifle joint) and the wrist (radiocarpal joint). Geometric mean exercise/rest flow ratios ranged from a low of 1.44 (p less than 0.05) in the menisci of the knee to a high of 7.25 (p less than 0.001) in the synovium of the wrist. In contrast, blood flow did not rise in juxtaarticular bones and fell significantly in femoral condyles (mean flow ration 0.71, p less than 0.005). These findings indicate that articular soft tissues derive increased perfusion from the redistribution of blood flow that accompanies short-term exercise. In contrast, flow to juxtaarticular bone does not increase under these conditions.
我们采用标准微球技术,在正常成年犬休息及跑步机运动期间测量关节血流。除一只犬外,所有动物作为另一实验方案的一部分均接受了β-肾上腺素能阻断。以微升/分钟/克±标准误表示,关节组织的基线血流值为:膝关节滑膜26±4,股骨髁130±21,胫骨平台182±29,关节脂肪垫9±2,膝关节韧带17±3,半月板34±6,腕关节滑膜19±4,桡骨远端65±13,月骨59±13。膝关节( stifle关节)和腕关节(桡腕关节)的所有软组织血流均随运动增加。几何平均运动/休息血流比范围从膝关节半月板的低比值1.44(p<0.05)到腕关节滑膜的高比值7.25(p<0.001)。相比之下,关节周围骨的血流未增加,股骨髁血流显著下降(平均血流比0.71,p<0.005)。这些发现表明,关节软组织通过短期运动伴随的血流重新分布获得了增加的灌注。相比之下,在这些条件下关节周围骨的血流并未增加。