Haus J, Refior H J
Int Orthop. 1987;11(2):117-24. doi: 10.1007/BF00266696.
The synovial and ligamentous structure of 16 human anterior cruciate ligaments (ACL), removed at autopsy, were examined by light microscopy with special regard to their topographical relationships. The soft tissue support of the ACL consists of fibrous, areolar and areolo-adipose synovial tissue. The subsynovial layer comprises a tight fibrous peripheral part and an element of loose connective tissue containing some tight connective tissue strands, vessels and nerves. The collagenous ligamentous part of the ACL is the proper functional tissue and contains approximately 1500 fascicles measuring an average of 250 micron in diameter. These fascicles are composed of bundles of collagen fibres, fibrocytes and deposits of proteoglycans. The synovial and ligamentous structures are attached by the second part of the subsynovial layer, which radiates into the ligamentous tissue and envelops the fascicles like a sheath. By this means the biological connection between these two structures is guaranteed. The relevance of these findings to operative reconstruction of recent ligamentous injuries is discussed.
对16条在尸检时取下的人前交叉韧带（ACL）的滑膜和韧带结构进行了光学显微镜检查，特别关注了它们的局部关系。ACL的软组织支持结构由纤维性、蜂窝状和蜂窝脂肪性滑膜组织组成。滑膜下层包括紧密的纤维性周边部分以及含有一些紧密结缔组织束、血管和神经的疏松结缔组织成分。ACL的胶原韧带部分是正常的功能组织，包含约1500个束状结构，平均直径为250微米。这些束状结构由胶原纤维束、纤维细胞和蛋白聚糖沉积物组成。滑膜和韧带结构通过滑膜下层的第二部分相连，该部分呈放射状进入韧带组织并像鞘一样包裹束状结构。通过这种方式确保了这两种结构之间的生物学联系。讨论了这些发现与近期韧带损伤手术重建的相关性。
