Brown R A, Blunn G W, Salisbury J R, Byers P D
Institute of Orthopaedics (University College and Middlesex School of Medicine), Stanmore, United Kingdom.
Clin Orthop Relat Res. 1993 Sep(294):318-24.
It is generally stated that the process of cartilage calcification and ossification is the same in the physeal (primary growth center) and epiphyseal (secondary growth center) growth plates. Reexamination of osteophyte growth led to the proposal that these growth plates differ. This proposition was tested by examining rabbit and human material from both sites before and after maceration; both tissue preparations were processed for light microscopy, and the macerated tissues were also studied by scanning electron microscopy (SEM). The physis showed the well-recognized, longitudinal calcified tubal structures in which capillaries make direct contact with and resorb the nonmineralized, transverse septal cartilage. In the epiphysis, the transverse septal cartilage was also mineralized, producing a continuous calcified sheet, perforated only by a limited number of channels and susceptible only to osteoclastic removal. This variation in mineral distribution modifies the way in which the primary spongiosa is formed during growth.
一般认为,软骨钙化和骨化过程在骨骺(主要生长中心)和骺板(次要生长中心)生长板中是相同的。对骨赘生长的重新研究提出,这些生长板存在差异。通过检查浸渍前后兔和人的这两个部位的材料来验证这一观点;两种组织标本都进行了光镜处理,浸渍后的组织还通过扫描电子显微镜(SEM)进行了研究。骨骺显示出公认的纵向钙化管状结构,其中毛细血管直接接触并吸收未矿化的横向间隔软骨。在骺板中,横向间隔软骨也发生矿化,形成连续的钙化层,仅由有限数量的通道穿孔,且仅易受破骨细胞清除。矿物质分布的这种差异改变了生长过程中初级松质骨的形成方式。