Schollmeier G, Uhthoff H K, Sarkar K, Fukuhara K
Department of Surgery, Faculty of Medicine, University of Ottawa, Ontario, Canada.
Clin Orthop Relat Res. 1994 Jul(304):37-42.
The effects of immobilization on the function of the glenohumeral joint and its capsule were investigated in eight beagle dogs. One foreleg of each animal was immobilized in a spica cast, and the dogs were euthanized after 4, 8, 12, and 16 weeks of immobilization in groups of two. The contralateral limb and the forelegs of two normal beagles were used as controls. At the time of euthanasia, the range of motion, intraarticular filling volume during passive movements of the joint, and intraarticular filling volume to rupture the capsule were measured. The synovium, including the capsule and the subscapular bursa, were examined histologically. In the immobilized limb, there was progressive restriction in the range of motion with increases in intraarticular pressure, and the filling volume that was required to cause a rupture of the capsule diminished. Morphologically, the capsule and the subscapular bursa showed focal adhesions. Thus, it appeared that immobilization of these canine forelimbs produced changes in the glenohumeral joint that resembled those of frozen shoulder in humans.
在八只比格犬身上研究了固定对盂肱关节及其关节囊功能的影响。每只动物的一条前肢用肩人字石膏固定,在固定4周、8周、12周和16周后,将狗分成两组实施安乐死。将两只正常比格犬的对侧肢体和前肢用作对照。在实施安乐死时,测量关节活动范围、关节被动运动期间的关节内充盈量以及使关节囊破裂所需的关节内充盈量。对包括关节囊和肩胛下囊在内的滑膜进行组织学检查。在固定的肢体中,随着关节内压力的增加,活动范围逐渐受限,导致关节囊破裂所需的充盈量减少。形态学上,关节囊和肩胛下囊出现局灶性粘连。因此,这些犬类前肢的固定似乎在盂肱关节产生了类似于人类冻结肩的变化。