Knight A D, Levick J R
Q J Exp Physiol. 1983 Oct;68(4):629-44. doi: 10.1113/expphysiol.1983.sp002753.
The interpretation of trans-synovial fluxes requires a knowledge of the number of capillaries present around the joint cavity, and their depths below the surface of the joint lining. Measurements of capillary numbers, depths and dimensions were therefore carried out by light microscopy on synovial tissue sections from five rabbit knees. In addition the surface area of synovial tissue lining the joint was estimated, and the thickness of the synovium measured. Synovial capillary density was found to be uneven, with respect to both anatomical location in the joint cavity and depth below the synovial surface. The large area of synovium over areolar or adipose tissue was highly vascular (67000-83000 capillaries X cm-2 section; mean intercapillary distance 35-55 micron; 228-329 cm2 endothelium X cm-3 synovium). The small area of synovium over tendons was of very low vascularity (2000 capillaries X cm-2 section). From these data and a previous estimate of net filtration capacity, mean synovial endothelial conductivity was estimated as approximately 16 X 10(-7) cm X s-1 X mmHg-1. The depth distribution of the capillaries was extremely skewed, with a sharp peak at 6-11 micron depth. The rapid decay in capillary density at depths greater than 6-11 micron was partly due to an uneven density of capillaries within the synovium itself; and partly due to a lower density in subsynovial tissues. It was concluded that most synovium has a rich capillary bed which is very superficially located and that the depth of periarticular tissue which is effective in exchange processes with the joint cavity is less than 25 microns.
滑膜通量的解释需要了解关节腔周围存在的毛细血管数量及其在关节衬里表面以下的深度。因此,通过光学显微镜对五只兔膝关节的滑膜组织切片进行了毛细血管数量、深度和尺寸的测量。此外,还估计了衬里关节的滑膜组织表面积,并测量了滑膜的厚度。发现滑膜毛细血管密度在关节腔内的解剖位置和滑膜表面以下的深度方面都是不均匀的。覆盖在疏松结缔组织或脂肪组织上的大面积滑膜血管丰富(每平方厘米切片有67000 - 83000根毛细血管;平均毛细血管间距35 - 55微米;每立方厘米滑膜有228 - 329平方厘米内皮)。覆盖在肌腱上的小面积滑膜血管非常少(每平方厘米切片有2000根毛细血管)。根据这些数据和先前对净滤过能力的估计,滑膜内皮平均传导率估计约为16×10⁻⁷厘米×秒⁻¹×毫米汞柱⁻¹。毛细血管的深度分布极不均匀,在6 - 11微米深度处有一个尖锐的峰值。在深度大于6 - 11微米时毛细血管密度的快速下降部分是由于滑膜本身内毛细血管密度不均匀;部分是由于滑膜下组织中密度较低。得出的结论是,大多数滑膜有丰富的毛细血管床,且位置非常浅表,并且在与关节腔进行交换过程中有效的关节周围组织深度小于25微米。