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软骨发育不良和退变猪关节软骨的浅表和深层缺损。

Superficial and deep defects in dyschondroplastic and degenerated pig articular cartilage.

作者信息

Della Salda L, Borghetti P, Maltarello M C, Cabassi E, Maraldi N M, Marcato P S

机构信息

Department of Veterinary Public Health and Animal Pathology, University of Bologna, Italy.

出版信息

J Submicrosc Cytol Pathol. 1997 Jan;29(1):51-8.

PMID:9066141
Abstract

Normal and pathological (osteochondrotic and osteoarthrotic) pig articular cartilages from medial humeral and femoral condyles were studied by scanning electron microscopy. The pathological cartilages showed primitive osteochondrotic lesions with progressive aspects according to the severity of the pathology (flaking, fibrillation and cracks) and other superficial changes (micro-undulation, micro-fissurations, clefts) that appeared to be a consequence of the action of intense mechanical stresses such as shearing forces, compressive deformation, friction of the articular surfaces. The observation of deep lesions such as cracks and fractures at or near the interface between cartilage and calcified zone, frequently observed both at medial condyle and at intercondylar crista of the humerus, often evolving in cartilagineous flaps, were related to excessive tangential and shear forces induced by an abnormal articular topography resulting in joint instability. This pathological joint dynamic could be also worsened by an anomalous leg conformation (cross-legs) and/or by an increased occurrence of environmental micro- and macrotrauma (impact loading). Also in this case, the frequency and severity of the lesions can be increased if the deep layer is affected by osteo-chondrotic lesions. The results stress the pathogenetic importance of mechanical load in initiating and worsening the articular lesions in pigs; they also suggest that the resulting alterations can be influenced by a pre-existing different maturity or pathological condition of the cartilage.

摘要

通过扫描电子显微镜对来自猪肱骨内侧髁和股骨髁的正常及病理(骨软骨病性和骨关节炎性)关节软骨进行了研究。病理软骨显示出原始的骨软骨病性病变,并根据病理严重程度呈现出进展性变化(片状剥落、纤维化和裂纹)以及其他表面变化(微起伏、微裂隙、裂口),这些变化似乎是诸如剪切力、压缩变形、关节面摩擦等强烈机械应力作用的结果。在软骨与钙化区界面处或其附近观察到的深部病变,如裂纹和骨折,在肱骨内侧髁和髁间嵴处经常可见,且常发展为软骨瓣,这与异常关节形态导致的关节不稳定所引起的过度切向力和剪切力有关。这种病理性关节动态也可能因腿部形态异常(交叉腿)和/或环境中的微观和宏观创伤(冲击负荷)发生率增加而恶化。同样在这种情况下,如果深层受到骨软骨病性病变的影响,病变的频率和严重程度可能会增加。结果强调了机械负荷在引发和加重猪关节病变中的致病重要性;它们还表明,所产生的改变可能会受到软骨先前存在的不同成熟度或病理状况的影响。

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