Parsch D, Fromm B, Kummer W
Abteilung für Unfall- und Wiederherstellungschirurgie am Katharinenhospital Stuttgart.
Unfallchirurgie. 1996 Oct;22(5):193-201. doi: 10.1007/BF02641220.
The sensory innervation of the rabbit anterior cruciate ligament was studied by retrograde tracing technique using wheat-germ-agglutinin-horseradish-peroxidase (WGA-HRP) and Fast Blue as neuronal tracers. Injection of the tracer into the ligament was followed by histo- and immunohistochemical investigation of labelled nerve cell bodies located in the dorsal root ganglia. In 4 animals we injected the tracer into the joint cavity to label general joint afferents. The segmental distribution of retrogradely labelled neurons following injection into the anterior cruciate ligament (L6, L7, S1) is significantly different from the distribution pattern after injection into the knee joint (L4-S2). Retrogradely labelled nerve cells innervating the anterior cruciate ligament were further investigated using immunohistochemical and morphometric analysis. The sensory innervation of the anterior cruciate ligament is therefore comprised of at least 2 different qualities of sensory afferent nerves: 1. Small neurones immunoreactive to the inflammatory peptide substance P most likely transmitting nociceptive information centrally (44%). 2. Large, presumably fast conducting A-fibre-afferents characterized by neurofilament proteins transmitting proprioceptive information from corpuscular mechanoreceptors (43%). The results of this study put further weight to the importance of the sensory role of the anterior cruciate ligament using neuroanatomical and immunohistochemical techniques.
采用逆行示踪技术,以小麦胚芽凝集素-辣根过氧化物酶(WGA-HRP)和固蓝作为神经元示踪剂,对兔前交叉韧带的感觉神经支配进行了研究。将示踪剂注入韧带后,对位于背根神经节的标记神经细胞体进行组织学和免疫组织化学研究。在4只动物中,我们将示踪剂注入关节腔以标记一般关节传入神经。注入前交叉韧带后逆行标记神经元的节段分布(L6、L7、S1)与注入膝关节后的分布模式(L4-S2)有显著差异。使用免疫组织化学和形态计量学分析对支配前交叉韧带的逆行标记神经细胞进行了进一步研究。因此,前交叉韧带的感觉神经支配至少由两种不同性质的感觉传入神经组成:1. 对炎症肽P物质免疫反应的小神经元,最有可能向中枢传递伤害性信息(44%)。2. 大的、可能传导速度快的A纤维传入神经,其特征是神经丝蛋白从球囊机械感受器传递本体感觉信息(43%)。本研究结果进一步强调了运用神经解剖学和免疫组织化学技术研究前交叉韧带感觉作用的重要性。