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后交叉韧带中神经元素的定量分析:健康膝关节与原发性骨关节炎膝关节的比较

QUANTIFICATION OF NEURAL ELEMENTS IN POSTERIOR CRUCIATE LIGAMENT: COMPARISON BETWEEN HEALTHY KNEES AND WITH PRIMARY OSTEOARTHROSIS.

作者信息

Oliveira Marcelo Parente, Mello Roberto José Vieira DE, Montenegro Luciano Tavares, Paz Silvania Tavares, Lima Diego Ariel DE, Leite José Alberto Dias

机构信息

Federal University of Cariri, Faculty of Medicine, Barbalha, CE, Brazil.

Federal University of Pernambuco, Department of Pathology, Recife, PE, Brazil.

出版信息

Acta Ortop Bras. 2021 Sep-Oct;29(5):253-257. doi: 10.1590/1413-785220212905240286.

DOI:10.1590/1413-785220212905240286
PMID:34629949
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8478427/
Abstract

OBJECTIVE

To quantify the neural elements in the posterior cruciate ligament (PCL) in healthy knees and with primary osteoarthrosis (OA).

METHODS

In two groups with OA, one of cadavers and another of individuals, the area of neural elements identified in histological sections of PCL with anti-S100 immunohistochemistry was quantified.

RESULTS

The overall mean area of the neural elements was 0.96% ± 0.67%, with the value in the cadaver group of 1.02% ± 0.67% and in the OA group of 0.80% ± 0.64%, with a significant statistically difference (p = 0.001). No correlation was observed between neural element quantification and the age of the individuals (p > 0.05). There was no difference in the quantification of neural elements between the sexes in the cadaver group (p = 0.766), but in the OA group there was a statistically significant reduction in males (p = 0.003). Also, in the osteoarthrosis group there was no difference in the quantification of neural elements in the knees with varus or valgus alignment (p = 0.847).

CONCLUSION

There was a decrease in neural element quantification in PCL of individuals affected by OA in relation to non-arthritic individuals, with this quantification not related to age or with the axis of the lower limb. However, this quantification is not related to age or the axis of the lower limb.

摘要

目的

量化健康膝关节以及原发性骨关节炎(OA)膝关节后交叉韧带(PCL)中的神经成分。

方法

在两组OA患者中,一组为尸体组,另一组为个体组,通过抗S100免疫组织化学方法对PCL组织学切片中识别出的神经成分面积进行量化。

结果

神经成分的总体平均面积为0.96%±0.67%,尸体组为1.02%±0.67%,OA组为0.80%±0.64%,差异具有统计学意义(p = 0.001)。未观察到神经成分量化与个体年龄之间存在相关性(p > 0.05)。尸体组中神经成分量化在性别之间无差异(p = 0.766),但在OA组中男性神经成分量化有统计学显著降低(p = 0.003)。此外,在骨关节炎组中,内翻或外翻膝关节的神经成分量化无差异(p = 0.847)。

结论

与非关节炎个体相比,OA患者PCL中的神经成分量化减少,且这种量化与年龄或下肢轴线无关。然而,这种量化与年龄或下肢轴线无关。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8701/8478427/a27350598748/1809-4406-aob-29-05-253-gf6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8701/8478427/5e240fec2235/1809-4406-aob-29-05-253-gf1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8701/8478427/e605526d7e7b/1809-4406-aob-29-05-253-gf2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8701/8478427/076a5d8201f3/1809-4406-aob-29-05-253-gf3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8701/8478427/f6b2afd477dc/1809-4406-aob-29-05-253-gf4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8701/8478427/abf057eb3c20/1809-4406-aob-29-05-253-gf5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8701/8478427/a27350598748/1809-4406-aob-29-05-253-gf6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8701/8478427/5e240fec2235/1809-4406-aob-29-05-253-gf1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8701/8478427/e605526d7e7b/1809-4406-aob-29-05-253-gf2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8701/8478427/076a5d8201f3/1809-4406-aob-29-05-253-gf3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8701/8478427/f6b2afd477dc/1809-4406-aob-29-05-253-gf4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8701/8478427/abf057eb3c20/1809-4406-aob-29-05-253-gf5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8701/8478427/a27350598748/1809-4406-aob-29-05-253-gf6.jpg

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本文引用的文献

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J Knee Surg. 2018 Apr;31(4):321-340. doi: 10.1055/s-0037-1603902. Epub 2017 Jun 30.
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An evaluation of the posterior cruciate ligament function in total knee arthroplasty with regard to its morphology and clinical properties.全膝关节置换术中后交叉韧带功能的形态学及临床特性评估
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Lower numbers of mechanoreceptors in the posterior cruciate ligament and anterior capsule of the osteoarthritic knees.
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Knee Surg Sports Traumatol Arthrosc. 2017 Oct;25(10):3146-3154. doi: 10.1007/s00167-016-4221-z. Epub 2016 Jun 23.
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Proprioception and Knee Arthroplasty: A Literature Review.本体感觉与膝关节置换术:文献综述
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The Effects of Sex, Limb Dominance, and Soccer Participation on Knee Proprioception and Dynamic Postural Control.性别、肢体优势和足球运动对膝关节本体感觉及动态姿势控制的影响。
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