van Osch G J, van der Kraan P M, Blankevoort L, Huiskes R, van den Berg W B
Department of Rheumatology, University of Nijmegen, The Netherlands.
J Rheumatol. 1996 Jul;23(7):1227-32.
To investigate the correlation between initial ligament damage and development of subsequent osteoarthritic changes.
Collagenase was injected intraarticularly into the knee joint of mice of strain C57B16 or C57B110. After 3 days, ligament damage was evaluated by measurements of knee laxity in the anterior-posterior direction as a measure of cruciate ligament function, and in the varus-valgus direction as a measure of collateral ligament function. The amount and location of cartilage loss and osteophyte formation were determined at Day 42.
Significant correlations between the amount of laxity changes and the severity of cartilage loss (r = 0.78), the amount of laxity changes and the size of osteophytes (r = 0.87), and between the severity of cartilage loss and osteophyte size (r = 0.94) were demonstrated. The amount of cartilage loss and the degree of osteophyte formation at the medial side of the joint depended mainly on the severity of cruciate ligament damage. This is contrast to changes at the lateral side of the joint, which appeared not to be associated with the severity of ligament damage.
A strong relationship exists between the severity of cruciate ligament damage and the severity of osteoarthritic changes on the medial side of the joint. In the lateral joint compartment, prone to spontaneous osteoarthritis in the mouse strain studied, this relation is absent.
研究初始韧带损伤与随后骨关节炎变化发展之间的相关性。
将胶原酶关节内注射到C57B16或C57B110品系小鼠的膝关节。3天后,通过测量膝关节前后方向的松弛度来评估十字韧带功能,测量内外翻方向的松弛度来评估侧副韧带功能,以此评估韧带损伤情况。在第42天确定软骨损失的量和位置以及骨赘形成情况。
证实了松弛度变化量与软骨损失严重程度之间存在显著相关性(r = 0.78),松弛度变化量与骨赘大小之间存在显著相关性(r = 0.87),软骨损失严重程度与骨赘大小之间存在显著相关性(r = 0.94)。关节内侧的软骨损失量和骨赘形成程度主要取决于十字韧带损伤的严重程度。这与关节外侧的变化形成对比,关节外侧的变化似乎与韧带损伤的严重程度无关。
十字韧带损伤的严重程度与关节内侧骨关节炎变化的严重程度之间存在密切关系。在所研究的小鼠品系中,外侧关节腔易发生自发性骨关节炎,这种关系并不存在。