Search PubMed⌕ Search

Biomedical subjects

C B Frank

Publications and source records attributed to C B Frank.

At least 73 records · Page 4Linked to original sources
PubMed1995

Injury location affects ligament healing. A morphologic and mechanical study of the healing rabbit medial collateral ligament.

Based on the heterogeneity of the rabbit medial collateral ligament (MCL) along its length, we tested the hypothesis that injury location would affect its healing response. The right MCL of 80 skeletally mature New Zealand white rabbits was sectioned adjacent to bone at the femoral end (40 rabbits) or the tibial end (40 rabbits) and reapposed with sutures. Animals were killed after 3, 6, 14, or 40 weeks of healing to examine wounds histologically (2 rabbits per healing interval) and mechanically (8 rabbits per healing interval). Results of the mechanical tests were compared to midsubstance MCL repairs (24 rabbits) and to uninjured normal MCLs (20 rabbits). The morphology of the near-insertion repairs was characterized by abnormal callus-like formation and patchy bone resorption, particularly at the tibial insertion. Mechanically, insertional injuries remodeled towards normal MCL low-load, viscoelastic and failure properties more slowly than midsubstance injuries at the early healing intervals. After 40 weeks of healing, few injury-specific differences persisted. All injured ligaments had ultimate strengths 15-35 percent short of normal at 40 weeks and the femorally-injured ligaments were weaker than normal at this time. These results suggest that rabbit MCLs, injured near either end, heal more slowly than those injured in their midsubstance and develop abnormal insertion morphology.

Animals↗
PubMed1995

Freezing influences the healing of rabbit medial collateral ligament autografts.

Connective tissue allografts are treated commonly with deep freezing to facilitate their storage in tissue banks and to reduce their immunogenicity. The influence of freezing on the healing of these grafts is unknown. The effect of an aggressive freezing protocol on ligament graft healing in a nonimmunogenic autograft model was investigated. The femoral-medial collateral ligament-tibial complex of the rabbit knee was transplanted orthotopically into the site from which it had just been harvested. The fresh group had their grafts rinsed in normal saline, and the frozen-thawed group had their grafts repetitively frozen-thawed in liquid nitrogen immediately before reimplantation. The healing of the ligament complexes were evaluated mechanically at intervals as long as 1 year after transplantation. Repeated freezing had little effect on the initial mechanical behavior of the graft complexes but was found to be detrimental to subsequent graft incorporation. The frozen-thawed grafts were weaker than the fresh grafts overall, and this effect persisted over time. The failure load and stress of the frozen-thawed grafts reached only 87% and 75% of that of the fresh grafts after 48 weeks. Because the initial mechanical effects of freezing were minimal, subsequent effects on graft healing must be attributed to factors other than gross structural injury. Despite showing almost no signs of damage to bone-ligament-bone grafts initially, freezing procedures may have important subsequent biologic consequences that may influence the clinical success of stored connective tissue grafts used in ligament reconstruction.

Animals↗
PubMed1994

Metabolic activity of bovine articular cartilage during refrigerated storage.

The ability of the chondrocytes in intact bovine articular cartilage (AC) to synthesize glycosaminoglycans (GAG) during short-term refrigerated storage was examined. Closed and exposed bovine carpometacarpal joints were stored in a refrigerator for 4 hours, 1 day, 3 days, 5 days, or 7 days after the death of the animal. Full-thickness 6 mm diameter cartilage disks were obtained from each joint, incubated in Na2(35)SO4, digested and assayed for GAG production. Similarly incubated cartilage samples were processed for autoradiography as a qualitative determination of 35S uptake by chondrocytes. All refrigerated samples of AC showed signs of some cellular metabolic activity. Only at 7 days did chondrocytes demonstrate a significant decline in activity. For all five storage periods, AC from joints exposed to nutrient media synthesized more GAG than cartilage from matched closed joints. These results suggest that some chondrocytes in AC destined for osteoarticular allografting retain the ability to synthesize GAG for as long as 5 days of refrigerated storage and that this synthesis is stimulated by storage of the joint surfaces in a sterile nutrient solution. While the implications of the chondrocytes' survival and metabolism for osteochondral allograft transplantation are unknown, these data indicate that intact bovine AC retains some metabolic activity for several days under the conditions described and would carry on this activity if transplanted within that period of time.

Animals↗
PubMed1994

Adaptive cancellation of muscle contraction interference in vibroarthrographic signals.

Vibroarthrography (VAG) is an innovative, objective, non-invasive technique for obtaining diagnostic information concerning the articular cartilage of a joint. Knee VAG signals can be detected using a contact sensor over the skin surface of the knee joint during knee movement such as flexion and/or extension. These measured signals, however, contain significant interference caused by muscle contraction that is required for knee movement. Quality improvement of VAG signals is an important subject, and crucial in computer-aided diagnosis of cartilage pathology. While simple frequency domain high-pass (or band-pass) filtering could be used for minimizing muscle contraction interference (MCI), it could eliminate possible overlapping spectral components of the VAG signals. In this work, an adaptive MCI cancellation technique is presented as an alternative technique for filtering VAG signals. Methods of measuring the VAG and reference signals (MCI) are described, with details on MCI identification, characterization, and step size optimization for the adaptive filter. The performance of the method is evaluated by simulated signals as well as signals obtained from human subjects under isotonic contraction.

Adult↗
PubMed1994

Abnormality of the contralateral ligament after injuries of the medial collateral ligament. An experimental study in rabbits.

The right medial collateral ligament of ninety-four adult, female rabbits was transected operatively. At three, six, fourteen, or forty weeks after the operation, the uninjured, contralateral (left) medial collateral ligaments of seventy-eight of the animals were tested biomechanically and compared with the left medial collateral ligaments of thirty-three normal female rabbits. The diameters of the mid-substance collagen fibrils in the medial collateral ligaments were also measured in the uninjured, contralateral hindlimbs of four animals at each interval and compared with the fibril diameters in three normal animals at each of three corresponding intervals. Subtle but significant differences between the uninjured, contralateral and the normal medial collateral ligaments with regard to biomechanical properties of collagen fibril diameters were found at all time-intervals. These results support the notion of a significant effect on the contralateral ligament after an injury to the medial collateral ligament and suggest that contralateral ligaments cannot be considered as a normal control group even in this relatively benign model of knee injury.

Analysis of Variance↗
PubMed1993

Ultrastructural immunolocalization of type-VI collagen and chondroitin sulphate in ligament.

Immunological methods were used to determine the identity of the major components comprising a network of electron-dense seams (described by the authors in a previous work) within the extracellular matrix of medial collateral ligament (MCL) from humans and rabbits. Tissue obtained from MCL midsubstance was subjected to pre-embedding labelling with colloidal gold at the electron microscopic level with monoclonal antibodies (MAbs) against type-VI collagen and chondroitin sulphate (CS), before and after digestion with chondroitinase ABC and testicular hyaluronidase. Tissue labelled with anti-type-VI MAbs showed gold conjugates attached to the microfilamentous component of the seams both before and after enzyme digestion, which confirmed the identity of the beaded microfilaments as type-VI collagen. Treatment of the tissue with anti-CS MAbs resulted in labelling of undigested tissue only. In these treatments, gold particles were found attached to granules that were interspersed throughout the network of type-VI microfilaments. Both the granules and gold labels were absent from the network following enzyme digestion. Thin nonbeaded microfilaments that did not label with anti-type-VI MAbs also were present within the seams. The loss of these nonbeaded microfilaments following enzyme digestion suggested that they might represent strands of hyaluronan. The codistribution and sequestering of type-VI collagen and CS within discrete seams or channels suggests that these regions of the MCL midsubstance may contain higher concentrations of water than the surrounding dense fibrillar matrix.

Animals↗
PubMed1993

Characterization of the plasminogen activators and plasminogen activator inhibitors expressed by cells isolated from rabbit ligament and synovial tissues: evidence for unique cell populations.

Fibroblasts derived from rabbit anterior cruciate and medial collateral ligaments were found to constitutively produce and secrete a plasminogen activator (PA). The PA was identified as urokinase-like using biochemical, immunological, and molecular techniques. These fibroblasts also produced and secreted low levels of a plasminogen activator inhibitor (PAI). The inhibitor was identified as PAI-1 by biochemical and molecular techniques. The expression of both PA and PAI activity in the rabbit ligament fibroblasts increased upon addition of phorbol myristate acetate (PMA). To determine the relationship of the ligament fibroblast population to synovial fibroblasts, comparison of the biochemical characteristics of the cell types was performed. It was determined that synovial fibroblasts differed from ligament fibroblasts with respect to PA/PAI profile, type of collagen secreted, and the amount of hyaluronic acid secreted. More specifically, stimulation of synovial fibroblasts with PMA resulted in the detection of a fibrinolytic activity which was not detected in the conditioned medium from PMA-treated ligament fibroblasts. It was also shown that synovial fibroblasts secreted fourfold more hyaluronic acid than ligament fibroblasts. In addition, it was also determined that synovial fibroblasts secrete more type III collagen than do cells isolated from either the ACL or either MCL. These results support the conclusion that the cells derived from these tissues maintain distinct phenotypes in vitro.

Animals↗
PubMed1993

Changes in the cyclic and static relaxations of the rabbit medial collateral ligament complex during maturation.

There is at present no information on how the viscoelastic properties of bone-ligament-bone complexes change during maturation. Changes in the static and the cyclic relaxation behaviours of rabbit bone-medial-collateral-ligament-bone complexes at 3, 6, 9 and 12 months of age are described. These ages cover maturation and initial ageing of this complex. The specimens were subject to 30 cycles of uniaxial tension between zero and 0.68 mm extension at 10 mm min-1. Immediately after the cyclic test, the specimens were held at a constant 0.68 mm extension for 1200 s. The results showed that in both the cyclic and the static tests, specimens from 3-month-old animals relaxed significantly more than specimens at 6, 9 or 12 months of age, whereas those 6, 9 and 12 months old were not significantly different from each other. When the results of the cyclic tests were compared to those of the static tests, cyclic relaxation was higher than static relaxation for each of the 6-, 9- and 12-month-old specimens. For specimens 3 months of age, the opposite was observed. An explanation is offered whereby the total relaxation is suggested to be comprised of two parts: a material relaxation and a water flux component. Differing contributions by each of the two components at particular ages can explain the observed results.

Aging↗
PubMed1992

The early effects of joint immobilization on medial collateral ligament healing in an ACL-deficient knee: a gross anatomic and biomechanical investigation in the adult rabbit model.

In this study, the short-term effects of immobilization on joint damage and medial collateral ligament (MCL) healing were investigated in unstable, anterior cruciate ligament (ACL)-deficient knees in rabbits. Forty-six 12-month-old female New Zealand white rabbits were separated into three groups. Animals from each group had surgery on their right knees: group I, sham controls (n = 9); group II, complete transection of the ACL and removal of a 4 mm segment (gap injury) of MCL midsubstance with no immobilization of the limb (n = 19); and group III, same injuries to the ACL and MCL (as group II) but with immobilization of the limb (n = 18). No surgical repair of disrupted ligaments was performed. Left knees served as unoperated contralateral controls. All animals were allowed unrestricted cage activity until sacrifice in subgroups at 3, 6, and 14 weeks of healing when biomechanical properties of all MCLs were measured. All knee joints were systematically examined for gross evidence of damage to articular cartilage, menisci, and periarticular soft tissues. To monitor relative in vivo loads on injured limbs during healing, hindlimb weight bearing was assessed at biweekly intervals. Results indicated that animals in both groups II and III bore relatively lower loads (compared to preinjury values) on their injured hindlimbs. Mechanical testing of MCLs showed only minor changes in sham controls, while group II and III healing MCLs demonstrated significantly lower force and stress at MCL complex failure compared to contralateral controls. In specific comparisons of group III to group II animals, we noted that immobilization prevented joint damage over the early intervals studied. In addition, immobilization resulted in MCL laxity similar to contralateral control values but inhibited development of structural strength and stiffness in healing MCLs. These results suggest that in the rabbit, short-term immobilization of an ACL-deficient knee offers some advantages to the joint and to certain low load behaviors of the healing MCL, but it also results in a smaller quantity of scar tissue that is less able to resist higher loads. Longer-term studies involving remobilization are necessary before the effects of brief immobilization on joint damage and MCL healing in this ACL-deficient model can be fully defined.

Animals↗
PubMed1992

Calibration characteristics of a video dimension analyser (VDA) system.

A comprehensive calibration and error analysis of a video dimension analyser (VDA) system was carried out to determine the effects of various parameters relevant to actual test conditions on the characteristics of the system. The parameters considered were: (1) varying distances or angles between the test specimen and the camera; (2) refractive effects of glass tank and physiologic solutions; and (3) dynamic response of the VDA system. The error analysis shows that, at low strain levels, the strain computed by the VDA is sensitive to camera placement and orientation as well as the media through which the object is observed. Very large errors can occur at small nominal strains, depending on the system parameters (e.g. 80% error at 1% nominal strain for one set of parameters). At higher strain levels, the sensitivity of the system is reduced, and the strain computed by the VDA system approaches the nominal strain (10% error at 10% nominal strain).

Calibration↗
PubMed1992

Quantitative analysis of the fine vascular anatomy of articular ligaments.

An image analysis technique has been developed to quantitatively describe the fine vascular patterns observed in ligament tissue. The longitudinal orientational distribution and total vessel volume of India-ink-perfused blood vessel segments in normal and healing ligaments were determined. The methods involved special vascular preparation of adult rabbit knee medial collateral ligaments (MCL) by India-ink perfusion. Black and white microscope images of ink-perfused tissue sections were subjected to a thresholding procedure to binarize digitized ligament images, which were then skeletonized and analyzed for directional distribution based on the least-squares technique. Analysis of medial collateral ligaments in New Zealand White rabbits using this method has shown that scarred tissue is more vascular and has a more chaotic angular distribution of blood-vessel segments than normal ligament tissue.

Algorithms↗
PubMed1992

A comparative study of simultaneous vibromyography and electromyography with active human quadriceps.

Vibromyographic (VMG) signals, which are low-frequency vibration signals generated during muscle contraction, were studied in comparison with electromyographic (EMG) signals recorded simultaneously during isometric contraction of the human quadriceps muscles. The comparison was accomplished by evaluating the averaged root mean squared (rms) value, mean frequency (MF), and peak frequency (PF) of the VMG and EMG signals for four muscle contraction levels at joint angles of 30 degrees, 60 degrees, and 90 degrees. The four contraction levels, namely 20, 40, 60, and 80% of maximum voluntary contraction (MVC), were estimated and controlled by the torque readings of a Cybex II dynamometer. It was found that the VMG and EMG under the same conditions on the same muscle group are in general equally sensitive to the levels of muscle contraction. Results show that the rms value of the VMG signal increases linearly, in a manner similar to the EMG rms/%MVC relationship, with increasing muscle contraction levels. Furthermore, the study indicates that the averaged MF (6-24 Hz) and PF (9-19 Hz) of the VMG signals are much lower than the MF (75-109 Hz) and PF (40-80 Hz) of the EMG signals. The slopes of MF/%MVC curves for the VMG and EMG are approximately the same for 60 degrees and 90 degrees joint angles (approximately 3.1 Hz per 20% MVC for VMG and approximately 2.6 Hz per 20% MVC for EMG).(ABSTRACT TRUNCATED AT 250 WORDS)

Adult↗
PubMed1992

Analysis of knee vibration signals using linear prediction.

Clinical methods used at present for the diagnosis of cartilage pathology in the knee are invasive in nature, and carry some risks. There exists a need for the development of a safe, objective, noninvasive method for early detection, localization, and quantification of cartilage pathology in the knee. This paper investigates the possibility of developing such a method based on an analysis of vibrations produced by joint surfaces rubbing against one another during normal movement. In particular, the method of modeling by linear prediction is used for adaptive segmentation and parameterization of knee vibration signals. Dominant poles are extracted from the model system function for each segment based on their energy contributions and bandwidths. These dominant poles represent the dominant features of the signal segments in the spectral domain. Two-dimensional feature vectors are then constructed using the first dominant pole and the ratio of power in the 40-120 Hz band to the total power of the segment. The potential use of this method to distinguish between vibrations produced by normal volunteers and patients known to have cartilage pathology (chondromalacia) is discussed.

Auscultation↗
PubMed1992

Mathematical modeling and spectrum analysis of the physiological patello-femoral pulse train produced by slow knee movement.

Analysis of vibration signals emitted by the knee joint has the potential for the development of a noninvasive procedure for the diagnosis and monitoring of knee pathology. In order to obtain as much information as possible from the power density spectrum of the knee vibration signal, it is necessary to identify the physiological factors (or physiologically relevant parameters) that shape the spectrum. This paper presents a mathematical model for knee vibration signals, in particular the physiological patello-femoral pulse (PFP) train produced by slow knee movement. It demonstrates through the mathematical model that the repetition rate of the physiological PFP train introduces repeated peaks in the power spectrum, and that it affects the spectrum mainly at low frequencies. The theoretical results also show that the spectral peaks at multiples of the PFP repetition rate become more evident when the variance of the interpulse interval (IPI) is small, and that these spectral peaks shift toward higher frequencies with increasing PFP repetition rates. To evaluate the mathematical model, a simulation algorithm was developed, which generates PFP signals with adjustable repetition rate and IPI variance. Signals generated by simulation were seen to possess representative spectral characteristics typically observed in physiological PFP signals. This simulation procedure allows an interactive examination of several factors which affect the PFP train spectrum. Finally, in vivo measurements of physiological PFP signals of normal volunteers are presented. Results of simulations and analysis of signals recorded from human subjects support the mathematical model's prediction that the IPI statistics play a very significant role in determining the low-end power spectrum of the physiological PFP signal.(ABSTRACT TRUNCATED AT 250 WORDS)

Algorithms↗
PubMed1991

Statistical analysis of collagen alignment in ligaments by scale-space analysis.

Injuries to ligaments in the knee are common in sports and other physical activities. Some clinical methods are available for qualitatively evaluating the degree of ligament injury and healing. It is, however, desirable to objectively assess the healing of ligaments and to predicate optimal treatment on quantitative measurements of their structure. Information such as areas of coverage and spatial orientations of collagen fibrils, for example, may provide important information about the internal structure of ligament tissues. Since normal ligament tissues are made up of collagen fibrils which are highly organized, they can be considered as oriented piecewise linear patterns. In this paper, we propose a computational technique for statistical analysis of collagen alignment in ligament images using the scale-space approach. In this method, a ligament image is preprocessed by a sequence of filters which are second derivatives of two-dimensional Gaussian functions with different scales. This gives a set of zero-crossing maps (the scale space) from which a stability map is generated. Significant linear patterns are captured by analyzing the stability map. The directional information in terms of orientation distributions of the collagen fibrils in the image and the area covered by the fibrils in specific directions are extracted for statistical analysis. Examples illustrating the performance of this method with scanning electron microscope images of the collagen fibrils in healing rabbit medial collateral ligaments are presented in this paper.

Animals↗
PubMed1991

The relation between hypochondriasis and age.

OBJECTIVE: This study examined the relation between hypochondriasis and age while controlling for the possible confounding influences of medical morbidity, social isolation, and other psychiatric disorder. METHOD: Consecutive patients attending a general medical clinic on randomly selected days were screened with a hypochondriasis self-report questionnaire. Those whose scores exceeded a preestablished cutoff level and a random sample of those who scored below it completed a research battery consisting of self-report questionnaires and structured interviews for DSM-III-R diagnoses of hypochondriasis and other axis I disorders. The patients' medical records were audited, and their physicians completed questionnaires about them. The 60 patients who met the DSM-III-R criteria for hypochondriasis at interview constituted the study group, and 100 patients randomly chosen from among those who scored below the cutoff for hypochondriasis constituted the comparison group. RESULTS: The hypochondriacal group was not older than the comparison group. Hypochondriacal patients aged 65 years and over did not differ significantly from younger hypochondriacal patients in hypochondriacal attitudes, somatization, tendency to amplify bodily sensation, or global assessment of their overall health, even though their aggregate medical morbidity was greater. The elderly hypochondriacal patients had higher levels of disability, but this appeared to be attributable to their medical status rather than to any increase in hypochondriasis. Within the comparison sample, subjects aged 65 years and over were not more hypochondriacal than those under 65 years of age. CONCLUSIONS: Hypochondriasis is found to some degree in all patients and appears to be unrelated to age.

Age Factors↗
PubMed1991

The "epiligament" of the rabbit medial collateral ligament: a quantitative morphological study.

The thin layer of connective tissue covering ligaments--the epiligament--has not been well described. The aim of the present study was to define, describe, and quantify the structure of the epiligament of the rabbit medial collateral ligament (MCL) using polarized light, scanning-electron, transmission-electron microscopy, and computerized histomorphometry. Epiligament was composed of woven bundles of collagen fibers, 3 morphologically-distinct cell types (spinous-shaped cells, cuboidal-shaped cells, and fat cells), and a neurovascular network that periodically arborized into the MCL. The areal fraction of vessels was significantly greater in the epiligament than in the MCL. The epiligament was significantly thicker on the superficial surface of the MCL than the deep surface, and the thickness of epiligament changed significantly during skeletal growth. Based on these structural features we speculate that the epiligament serves several important functions including: (1) protecting the MCL against abrasion, (2) supporting the neurovasculature, (3) controlling water and metabolite flux into the epiligament and possibly the MCL, and (4) being a source of extracellular matrix, cells, and vasculature during ligament growth and during ligament healing.

Animals↗