Jerosch J, Castro W H, Grosse-Hackmann A, Clahsen H
Klinik und Poliklinik für Allgemeine Orthopädie, Westfälische-Wilhelms-Universität Münster.
Z Orthop Ihre Grenzgeb. 1995 Jan-Feb;133(1):67-71. doi: 10.1055/s-2008-1039461.
We harvested the joint capsule, the glenohumeral ligaments, and the coracohumeral ligaments of 8 fresh formalin-preserved shoulder specimen. We made use of the van Gieson technique and a special silver impregnation for staining peripheral axons according to Nowotny. The ligaments were cut into slices with a thickness of 15 microns. In total we performed 10,000 cuts. We discovered axons in all ligaments. These axons had no relation to vessels or vessel walls. Besides these axonal structures we detected type II mechanoreceptors (Pacini receptor).
The neural structures discovered in the glenohumeral capsule are of clinical importance especially in consideration of the high account of recurrent shoulder dislocation and concomitant Bankart lesions. Receptors located in the glenohumeral ligaments might control the stabilizing shoulder musculature. On this premises, rupture or detachment of these ligaments will lead to a loss of the feedback mechanism.
我们获取了8个用甲醛保存的新鲜肩部标本的关节囊、盂肱韧带和喙肱韧带。我们采用了范吉森技术以及根据诺沃特尼法进行的一种特殊银浸染法来对周围轴突进行染色。将韧带切成15微米厚的薄片。我们总共切了10000片。我们在所有韧带中都发现了轴突。这些轴突与血管或血管壁无关。除了这些轴突结构外，我们还检测到了II型机械感受器（帕西尼小体）。
在盂肱关节囊中发现的神经结构具有临床重要性，尤其是考虑到复发性肩关节脱位和伴随的Bankart损伤的高发生率。位于盂肱韧带中的感受器可能控制着稳定肩部的肌肉组织。基于此，这些韧带的断裂或分离将导致反馈机制的丧失。
