Wilhelmi G, Schneider-Faust R
Z Rheumatol. 1984 Sep-Oct;43(5):241-8.
Performing histo-morphologic studies of knee joints in several hundred mice of the strains C57 black, STR/1N and MAGf, showing a disposition for spontaneous osteo-arthrosis, we found tentative reparative processes in many cases. There was a proliferation of cartilage and of the synovial membrane, mostly in the peripheral parts of the joints. The proliferating tissues were apparently moving towards an existing osteo-arthrotic focus. However, since cartilage and synovial tissues often became necrotic at the central, weight-bearing part of the joint they generally did not reach the defect. However, in a number of mice there were mostly small superficial defects in the joint cartilage filled with connective tissue of several grades of maturity. These regenerating spots were generally found in connection with the proliferating synovial membrane. In other animals there were fibrous vascularized pannus-like tissues, moving from the synovial membrane over the still normal cartilage towards a mostly centrally localized osteo-arthrotic ulcer. The pannus, like the inflammatory proliferating synovial membrane, often contained cartilaginous detritus. Attempts to regenerate arthrotic defects directly by local neoformation of cartilage, e.g. at the facies patellae of the femur, remained mostly without much success, showing only poor isles of chondrocytes, partially in cluster form. Interestingly, the menisci, like the synovial membrane, generally take part in the osteo-arthrotic process, also showing severe destructive alterations and rather often signs of regeneration, sometimes with cluster formation.
对数百只C57黑鼠、STR/1N鼠和MAGf鼠品系的膝关节进行组织形态学研究,这些品系表现出自发性骨关节炎倾向,我们在许多病例中发现了初步的修复过程。软骨和滑膜有增生,主要发生在关节的周边部位。增生组织明显朝着现有的骨关节炎病灶移动。然而,由于软骨和滑膜组织在关节中央负重部位常发生坏死,它们通常无法到达缺损处。不过,在一些小鼠中,关节软骨大多存在小的浅表缺损,缺损处填充着不同成熟度的结缔组织。这些再生点通常与增生的滑膜有关。在其他动物中,有纤维血管化的血管翳样组织,从滑膜向仍正常的软骨移动,朝向大多位于中央的骨关节炎溃疡。血管翳与炎性增生的滑膜一样,常常含有软骨碎屑。试图通过软骨局部新形成直接修复关节缺损,例如在股骨髌面,大多没有取得太大成功,仅显示出少量软骨细胞岛,部分呈簇状。有趣的是,半月板与滑膜一样,通常参与骨关节炎过程,也表现出严重的破坏性改变,且相当常见再生迹象,有时会形成簇状。