Zharkov P L, Iudin B D
Vestn Rentgenol Radiol. 1990 Jan-Feb(1):59-67; discussion 72-3.
The authors presented the results of investigations of the humoral, ulnar, hip, knee joints and calcanei in 4140 patients. Histology has shown that calcifications and ossifications at the sites of tendon fixation are localized in tendons. The substitution of tendinous tissue for a bone results from calcareous dystrophy. Three stages can be singled out: (I) the substitution of a tendon portion for a fibrillar cartilage; (II) the calcification of a cartilage; (III) the substitution of a calcified cartilage for a newly developed spongy bone. According to the preliminary data, similar changes can bep6 observed in ligaments, too. The clinical and x-ray examination have shown the frequency of tendinous and ligamentous lesions (tendinosis and ligamentosis) of different sites. They were shown to be pathology that may not be accompanied by pains. The appearance of the pain syndrome means the development of disease.
作者展示了对4140例患者的体液、尺骨、髋关节、膝关节和跟骨的调查结果。组织学显示,肌腱固定部位的钙化和骨化位于肌腱中。肌腱组织被骨替代是由钙质营养不良引起的。可分为三个阶段:(I)肌腱部分被纤维软骨替代;(II)软骨钙化;(III)钙化软骨被新形成的海绵骨替代。根据初步数据,在韧带中也可观察到类似变化。临床和X线检查显示了不同部位肌腱和韧带病变(肌腱病和韧带病)的发生率。它们被证明是可能不伴有疼痛的病理状态。疼痛综合征的出现意味着疾病的发展。