Rothschild Bruce M, Wayne Lambert H
IU Health, 2401 University Ave, Muncie, IN, 47303, USA.
Carnegie Museum of Natural History, 4400 Forbes Ave, Pittsburgh, PA, 15213, USA.
J Orthop. 2021 Jan 21;23:185-190. doi: 10.1016/j.jor.2021.01.006. eCollection 2021 Jan-Feb.
The current study is to distinguish between osteochondrosis and osteochondritis, utilizing surface microscopy of individuals with documented pathology. Osteochondrosis is associated with smooth borders and gradient from edge to defect base, while osteochondritis and subchondral impaction fractures are associated with subsidence of the affected area of articular surface with irregular edges. The base of osteochondrosis is penetrated by multiple channels, smoothly perforate its surface, indistinguishable from unfused epiphyses, confirming their vascular nature. This study provides a technique for distinguishing osteochondrosis and osteochondritis and further documents of the value of epi-illumination microscopy in expanding our understanding of bone and joint disease.
当前的研究旨在利用有病理记录个体的表面显微镜检查来区分骨软骨病和骨软骨炎。骨软骨病的特征是边界光滑,从边缘到缺损底部呈渐变,而骨软骨炎和软骨下撞击骨折则与关节表面受影响区域的下陷及边缘不规则有关。骨软骨病的底部有多个通道穿透,表面平滑穿孔,与未融合的骨骺难以区分,证实了它们的血管性质。本研究提供了一种区分骨软骨病和骨软骨炎的技术,并进一步证明了落射光显微镜在扩展我们对骨和关节疾病理解方面的价值。