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废用性吸收性骨质流失的一致性

Uniformity of resorptive bone loss induced by disuse.

作者信息

Gross T S, Rubin C T

机构信息

Department of Orthopaedics, State University of New York, Stony Brook, New York, USA.

出版信息

J Orthop Res. 1995 Sep;13(5):708-14. doi: 10.1002/jor.1100130510.

DOI:10.1002/jor.1100130510
PMID:7472749
Abstract

Strains induced in the skeleton by functional activity are critical to the homeostasis of bone tissue. An in vivo model of disuse osteopenia was used to examine whether the removal of these regulatory stimuli induces a uniform loss of cortical bone through the whole organ or whether the loss of bone is focused at specific sites of the cortex. The right radii of five adult male turkeys were isolated from their normal functional loading for 8 weeks. The corresponding left radius from each animal served as an intact contralateral control. An additional group of five turkeys was used as time-zero controls to assess the initial areal symmetry of the left and right radii. Areal properties were assessed at three sites at equal intervals spanning the middle 3 cm of the diaphysis. Adaptation was determined for each cross section as a whole, as well as specifically by site by division of each cross section into 12 equal angle sectors. The average across all experimental sections after 8 weeks of disuse was 12.1 +/- 1.9% (+/- SE) loss of bone mass. The change in mean cross-sectional area varied little between the three diaphyseal sites (-10.2 +/- 3.3%, -13.5 +/- 3.8%, and -12.6 +/- 4.0%) and occurred primarily (84%) by uniform expansion of the endosteal envelope. However, elevated intracortical porosity following 8 weeks of disuse was highly nonuniform, with 58% of the increased porosity preferentially located in the ventral/caudal cortex (representing only 25% of the cortical area).(ABSTRACT TRUNCATED AT 250 WORDS)

摘要

功能活动在骨骼中诱导产生的应变对于骨组织的稳态至关重要。利用废用性骨质减少的体内模型来研究去除这些调节性刺激是否会导致整个器官皮质骨的均匀丢失,或者骨质丢失是否集中在皮质的特定部位。将五只成年雄性火鸡的右侧桡骨与正常功能负荷隔离8周。每只动物对应的左侧桡骨作为完整的对侧对照。另外一组五只火鸡用作零时对照,以评估左右桡骨的初始面积对称性。在骨干中间3厘米的等间隔三个部位评估面积特性。确定每个横截面整体的适应性,以及通过将每个横截面划分为12个等角扇形按部位具体确定适应性。废用8周后所有实验截面的平均骨质丢失为12.1 +/- 1.9%(+/-标准误)。骨干三个部位之间平均横截面积的变化很小(-10.2 +/- 3.3%、-13.5 +/- 3.8%和-12.6 +/- 4.0%),并且主要(84%)是由于骨内膜包膜的均匀扩张。然而,废用8周后皮质内孔隙率升高非常不均匀,58%的孔隙率增加优先位于腹侧/尾侧皮质(仅占皮质面积的25%)。(摘要截断于250字)

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