Aufdermaur M, Spycher M
J Orthop Res. 1986;4(4):452-7. doi: 10.1002/jor.1100040408.
In osteochondrosis juvenilis Scheuermann, foci of various sizes in the cartilaginous end plates of the vertebral bodies display a loosening or complete interruption of the collagen fibers. These findings, together with an alteration and occasional absence of the growth zone, may result in the typical deformation of the vertebral bodies. Electron micrographs of the areas with optically absent collagen fibers reveal collagen fibrils. They are arranged in an irregular pattern. We conclude that a disturbance of collagen or ground substance biosynthesis is of importance in the pathogenesis of juvenile osteochondrosis.
在青少年休曼氏骨软骨病中,椎体软骨终板上大小各异的病灶显示出胶原纤维的松弛或完全中断。这些发现,连同生长区的改变以及偶尔的缺失,可能导致椎体的典型变形。光学显微镜下胶原纤维缺失区域的电子显微照片显示出胶原原纤维。它们呈不规则排列。我们得出结论,胶原或基质生物合成的紊乱在青少年骨软骨病的发病机制中具有重要意义。