Search PubMed⌕ Search

Biomedical subjects

M Rooze

Publications and source records attributed to M Rooze.

At least 55 records · Page 3Linked to original sources

The capsular ligaments of the wrist.

Variable descriptions and nomenclatures of the ligaments of the wrist can be found in the literature. To verify the multiple concepts advanced about this subject and to provide a basis for a better understanding of the individual variations of carpal biomechanics, and of the numerous pathomechanical concepts found in the literature, this study attempted to report the gross anatomy of the capsular carpal ligaments and their variations. Precise dissection of 66 anatomical preparations enabled to observe the origin, insertion, and number of fascicles of the capsular ligaments of the wrist. The anatomy of the capsular ligaments of the wrist displayed, besides relatively constant structures, considerable individual variations that concerned particularly the ulnocarpal and dorsal ligaments. A classification of the specimens according to variations in the important wrist ligaments has been advanced and has to be refined by a more extensive analysis. The possible influence of these variable configurations upon carpal biomechanics, diagnosis, classification and treatment of carpal pathologies seems conceivable but still has to be determined.

Cadaver↗

Calretinin is transiently expressed in tendon fibroblasts of the paravertebral region of the chick embryo.

Although calretinin is an intracellular calcium acceptor protein essentially located in neurons, we have previously shown that calretinin was also expressed in the mesenchymal cells forming the intervertebral disc. Here, we describe, using immunohistochemistry, the transient expression of calretinin in fibroblasts responsible for the tendon formation in the paravertebral region. We have looked at chick embryos from embryonic day 4 to day 18. At embryonic day 6, calretinin immunoreactivity was detected in chick embryo cells located laterally to the spinal cord between two groups of developing muscular cells. At embryonic day 8, calretinin immunoreactivity intensity was the highest in cells showing a fibroblast morphology. After embryonic day 8, when fibroblast proliferation decreased and differentiation increased, calretinin immunoreactivity progressively disappeared. Interestingly, calretinin could not be detected in fibroblasts of the anterior and posterior limbs at any investigated age. Because calretinin expression appeared selectively and transiently in the fibroblasts of the paravertebral region, we may conclude that the phenotype of those fibroblasts is different from the limbs fibroblasts.

Animals↗

Joint kinematics simulation from medical imaging data.

A method for joint kinematics simulation is described. Kinematics parameters are determined from the relative displacement of marker sets placed on anatomical landmarks of surface models generated from medical imaging contour data. The landmarks are identified manually on fingers in multiple positions. A mathematical algorithm was then used to ascertain the kinematics axes of motion of the fingers. Once these axes are located, they are used as the base of a real time interactive simulation of the finger. The entire simulation was accomplished in a high-resolution graphics environment. A full complement of interactive tools (virtual dials and buttons controlled via mouse) was used to enhance the user interface. The development of the system, the model and the advantages and disadvantages of the method are discussed.

Arthrography↗

Moment arm length variations of selected muscles acting on talocrural and subtalar joints during movement: an in vitro study.

The tendon excursion method was applied to estimate the moment arm length of triceps surae, flexor hallucis longus, tibialis posterior, tibialis anterior, peroneus brevis and peroneus longus at talocrural and subtalar joints of 10 anatomical preparations. Orthogonal polynomials were fitted to the tendon excursion data and by derivation with respect to the joint angle, the instantaneous moment arm length for any joint position was evaluated. Both joints were investigated separately. Individual data, the mean moment arm together with the significant moment arm coefficients of the polynomials are presented. Considering their moment arm, the most important plantar flexor were triceps surae, flexor hallucis longus and to a much lesser extent peroneus longus, peroneus brevis and tibialis posterior. Results suggest a partially new insight into the muscle action at the subtalar joint. Although displaying a mean inversion moment arm of about -5.3 mm over the whole range of motion, triceps surae had an inversion moment arm in eversion and an eversion one in inversion. Tibialis posterior exhibited the most important inversion moment arm (-19.1 mm), whereas tibialis anterior had a very low one (-3.8 mm). For some specimens this muscle was found to have an eversion moment arm. Peronei longus and brevis had a nearly identical moment arm at the subtalar joint (21.8 and 20.5 mm).

Algorithms↗

The insertion of the extensor digitorum tendon on the proximal phalanx.

Review of the literature reveals that the relationship between the extensor digitorum muscle tendon to the proximal phalanx and the metacarpophalangeal joint capsule remains unclear. The present study presents data about these relationships and consists of three parts: dissection of the region, high-gradient magnetic resonance imaging, and functional study. A total of 50 hands were used. Dissection was performed on 30, magnetic resonance studies were performed on 10, and the remaining 10 hands were used for the functional analysis. Dissection did not reveal an insertion of the extensor digitorum tendon on the base of the proximal phalanx. An extension of the dorsal part of the metacarpophalangeal joint capsule running proximally toward the palmar side of the extensor tendon was observed in eight hands. In the remaining 22 hands, only loose connective tissue was found between the articular capsule and the tendon. The development of this tissue was variable. These observations were correlated using a 7T magnetic resonance installation. The results of the functional study showed that hyperextension of the proximal phalanx increased after resection of the metacarpophalangeal structures lying under the extensor tendon. In conclusion, no real tendinous insertion of the extensor digitorum tendon on the base of the proximal phalanx could be found. Loose connective tissue was observed between the metacarpophalangeal joint capsule and the palmar aspect of the tendon, which seemed to play a secondary role in the extension of the proximal phalanx.

Biomechanical Phenomena↗

The arcade of Fröhse: an anatomic study.

An anatomic study of the appearance and consistency of the upper arcade of the superficial layer of the supinator m. was carried out on 106 elbow-joint dissections. A classification of the structure was drawn up in order to discern the criteria for normality. An arcade of a tendinous nature ("arcade of Fröhse") was encountered in the majority of cases (64.1%). At first sight, it could not be ascribed a compressive role affecting the posterior branch of the radial n. Macroscopic examination of the nerve prior to its entry under the supinator arcade revealed the presence of macroscopic lesions in 42.9% of cases. This high incidence does not permit any conclusions regarding the pathologic significance of this type of lesion.

Elbow↗

A topographical study of cartilaginous lesions to the elbow.

The macroscopic examination of 40 anatomical preparations of the elbow has enabled us to describe the location of cartilaginous lesions to the humeral, radial and ulnar joint surfaces. A protocol for the macroscopic examination of the lesions was drawn up for the observation of 40 anatomical elbow-joint preparations. The results demonstrated that the cartilage of the lateral compartment (humero-radial) was preferentially affected as compared with that of the medial compartment (humero-ulnar) for which it will be necessary to search for a functional explanation.

Aged↗

Anatomical variations of the intrinsic muscles of the thumb.

The observation of thirty dissections of intrinsic muscles of the thumb provides some information differing from earlier anatomical studies. The abductor pollicis brevis and the opponens pollicis have been divided into muscles having six or two fascicles (or bellies), respectively. The adductor pollicis muscle has been separated into nine fascicles. Many variations were observed: absence of fascicles, presence of atrophied or supplementary fascicles, or fascicles with varying insertions sites. Neither head of the flexor pollicis brevis muscle seemed to have any fascicles. The distal insertion of its superficial head observed in this work is not in accordance with the usual description found in the literature. A new classification of the thenar muscles is presented based on the present observations. Many variations were observed: some fascicles were absent, others were supplementary or atrophied, and some had variable insertions. The importance and the individual variations of the fascicles are discussed.

Humans↗

The thenar muscles. New findings.

Examination of the thenar muscles in 30 anatomical preparations of the hand have shown that the abductor pollicis brevis, the opponens pollicis, and the adductor pollicis muscles are made up of several muscle bellies. The number and insertions of these bellies are varied. Both heads of flexor pollicis brevis do not originate from any particular muscle belly. The superficial head of this muscle always inserted into the head of the thumb metacarpal, either completely, or, some of the fibres of the dorsal aponeurosis of the thumb were attached to the base of the proximal phalanx. Furthermore the anatomy of the abductor pollicis brevis muscle was related to the presence of a tendinous slip from abductor pollicis longus. These variations could have an influence on proprioception in the thumb ray.

Hand↗

Bi- and three-dimensional CT study of carpal bone motion occurring in lateral deviation.

A computed tomography (CT) study of the right wrists of 15 volunteers and of 5 anatomical preparations in neutral position, radial (15 degrees) and ulnar (30 degrees) deviation enables to tackle the qualitative analysis of carpal bone motion. The CT Scans were analyzed and reconstructed in three dimensions by means of the Philips CAMRA S100 computer program. The results show that the capitate, the metacarpals II and III and, to a lesser extent, the trapezium and the trapezoid are poorly mobile. Our study points to the role of the flexor and extensor carpi ulnaris muscles in the stability of the internal carpus, confirming that the pisiform is a sesamoid bone in the flexor carpi ulnaris tendon. A model of longitudinal functional structure of the carpus during lateral deviation, intermediate between those of Navarro and Taleisnik, is proposed.

Adult↗

Correlation of HSP110 expression with all-trans retinoic acid-induced apoptosis.

In a previous study, we observed the strong expression of a stress protein of the HSP100/Clp family (HSP110) in apoptotic mesectodermal cells during early mouse facial development. In the present study, we describe the strong expression of the same HSP110 in mesectodermal cells undergoing apoptosis after all-trans retinoic acid (RA) administration. We used a teratological model known to increase cell deaths mainly in the first and second branchial arches during mammalian cephalogenesis: the treatment of E9 mouse embryos with all-trans RA, which results in craniofacial malformations comparable to those that characterize mandibulofacial dysostosis in man. Pregnant NMRI mice were treated with 60 mg/kg body weight of all-trans RA, given orally on day 9 of gestation; embryos were taken 4, 12 or 24 hr after RA administration. The apoptotic pattern of RA-induced cell deaths was confirmed using the dUTP biotin nick-end labeling (TUNEL) method and transmission electron microscopy (TEM). HSP110 expression was detected using an immunohistochemical approach. The increase in the number of TUNEL-positive cells and HSP110-positive cells after all-trans RA administration was quantified in the first branchial arch using a computerized method. Twelve hours after RA administration, the increase in the number of HSP110-positive cells is greater than the increase in the number of TUNEL-positive cells. Twenty-four hours after RA administration, only TUNEL-positive cells remain strong in number. We suggest that HSP110 expression could represent a biochemical event of apoptotic cell death induced by RA, associated with early stages of the apoptotic process. In order to find out if HSP110 expression resulted from neosynthesis, we performed in situ hybridization, which demonstrated that the expression of HSP110 occurred at the level of mRNA.

Animals↗