Use of dermis to reconstruct hand joint capsules.
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The vertical loading in the posterior capsule of the cat knee has been measured while the knee is rotated into hyperextension. Tissue loading was determined using a previously verified model of the capsule that represents its upper edge as a catenary suspension cable. Tensile loads in the cable were measured using the discharge of mechanoreceptive sensory neurons that had been calibrated as load sensors. The results revealed that the capsule is very lightly loaded in extension rotations. Less than 4% of the applied moment is sustained by the capsule.
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The authors describe 5 patients with rheumatoid arthritis; in 3 patients rupture of the synovial membrane and in 2 patients a calf cyst caused symptoms resembling a deep vein thrombosis. Contrast arthrography is of great help in differential diagnosis in conjunction with thorough anamnesis and clinical examination. The joint effusion plays a dominating role in the disease process, and treatment of the effusion is of the greatest importance for both prophylaxis and therapy of membrane rupture and calf cysts.