Sensory nerve endings in the anterior cruciate ligament (Lig. cruciatum anterius) of sheep.

This study examines the structure of sensory nerve endings in the sheep anterior cruciate ligament (ACL). Three types of nerve endings are found: free nerve endings (FNE), Ruffini corpuscles, and lamellated corpuscles. The FNE (more than 100) are found subsynovially. The afferent nerve fibres are either thin myelinated axons (Adelta) or C fibres with diameters of 1-2 microm. FNE have been reported to function as thermoreceptors and polymodal nociceptors. In addition, FNE are also seen between fascicles of collagen fibres, often close to blood vessels. Part of this group may be efferent autonomic fibres controlling local blood flow. The corpuscles are seen subsynovially and between fascicles of connective tissue close to the attachment points of the ACL. A ligament contains about 20 Ruffini corpuscles, which are mainly located in the subsynovial connective tissue. They consist of cylinders formed from perineural cells surrounding the afferent myelinated axons (diameters 4-5 microm) with enlarged nerve terminals anchored between collagen fibres. These enter in bundles from the surrounding connective tissue at one open pole, pass through the length of the cylinder, and leave at the other pole. Functionally, Ruffini corpuscles have been described as slowly adapting stretch receptors. Lamellated corpuscles (usually between 5 and 15) are found in the subsynovial connective tissue. The afferent myelinated axon has a diameter of 4-6 microm, and the nerve terminal is located in the centre of numerous layers formed by lamellated terminal glial cells and by a perineural capsule. They are known to function as rapidly adapting pressure receptors. The most important function of the ACL is its mechanical function, but additional sensory functions must be considered triggering reflex mechanisms in case of extreme positioning or overload.