Hesse I, Mohr W, Hesse W
Abteilung Anatomie, Universität Ulm/Donau.
Orthopade. 1990 Feb;19(1):16-27.
"Joint failure" may be the result of different pathological conditions. While in some arthropathies initial changes prior to secondary cartilage destruction may be observed morphologically, the early changes in "mechanically induced" osteoarthrosis are not well known. In the present paper the ultrastructural events, eventually leading to osteoarthrotic cartilage destruction are presented. From the morphological changes it is assumed that the primary lesion leading to cartilage destruction may be seen in the loss of the granular surface microstructures of cartilage that may be followed by an increased hydration and thereafter chondrocytic death with destruction of cartilaginous matrix.
“关节失效”可能是不同病理状况的结果。虽然在某些关节病中,在继发性软骨破坏之前的初始变化在形态学上是可以观察到的,但“机械性诱发”骨关节炎的早期变化尚不为人所知。在本文中,展示了最终导致骨关节炎性软骨破坏的超微结构变化。从形态学变化推测,导致软骨破坏的原发性病变可能表现为软骨颗粒状表面微结构的丧失,随后水分增加,进而软骨细胞死亡,软骨基质遭到破坏。