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PubMed1998

[Sensory innervation of the hip joint capsule in dogs].

The innervation of the canine hip joint has become increasingly important in the treatment of hip dysplasia and hip arthrosis, since investigations proved that simple removal of periosteum around attachment of hip joint capsule, called denervation results in an instant analgesia and allows the dog to regain joyful freedom of movement. A macroscopic-anatomic examination of 16 canine hips furnished new findings and knowledge in the field of veterinary medicine on the sensitive innervation of the canine hip joint capsule. Accordingly, the craniolateral area of hip joint capsule is innervated by rami articulares of N. glutaeus cranialis, the caudolateral area by rami articulares of N. ischiadicus and the medial area by rami articulares of N. femoralis.

Animals↗
PubMed1985

The effect of lysine acetylsalicylate on joint capsule mechanoreceptors in rats with polyarthritis.

Joint capsule mechanoreceptors in arthritic rats are more sensitive to pressure than similar receptors in normal animals. This greater sensitivity was reversed by the intravenous or topical administration of lysine acetylsalicylate in anaesthetised rats in doses of 15 to 50 mgm ASA-equivalent/kg. The reduction in sensitivity began within 5-10 min and reached a minimum mean value of 35% of the control after 35 to 40 min. During this period there was a negative linear or exponential relation between the amplitude of response to a controlled mechanical stimulus and time after administration of lysine acetylsalicylate. Control values of sensitivity were reached about 65-70 min following treatment with lysine acetylsalicylate. The results are interpreted as indicating that the high sensitivity of the arthritic joint capsule receptors is due to locally produced prostaglandins, such as prostacyclin.

Administration, Topical↗
PubMed1990

Fibrous structure of the joint capsule in the human shoulder.

The fibrous structure and arrangement of joint capsules of human shoulders [8 males (7 right, 6 left), 4 females (4 right, 3 left)] were observed under a low magnification microscope as well as a polarized microscope on film preparations (Häutchen-Präparat, Vogt 1935) with reference to stained sections (mainly with H, E and orcein). The joint capsule is composed of synovial and fibrous layers and is classified into three types according to tissue composition [areolar (loose connective tissue-Fawcett, 1986) type, fibrous (dense fibrous- Fawcett, 1986) type and adipose type- (Key 1932)]. In the joint capsule of the shoulder, the areolar type was found in the anterior region, and the fibrous type in the posterior, superior and inferior regions; the adipose type was not found. The author found that the fibrous layer of the fibrous type basically has a 3 layered structure; the composition and arrangement of fibers differ depending on the type of layer. These three layers were named in order from the synovial layer as "Internal fibrous layer (IFL)", "Intermediate fibrous layer (MFL)" and "External fibrous layer (EFL)". The external fibrous layer can normally be directly visualized by peeling off the muscles. The EFL consists of external fascia, tendons and their transitional regions, which compose the joint of the shoulder. IFL and MFL can only be observed under a low magnification microscope and are distinguishable on film preparations. The IFL, which is located immediately under the stratum synoviale, consists of fibrous bundles approximately 20 microns thick. The MFL, which is adjacent to the IFL, consists of 100-400 microns thick fibrous bundles. The IFL and the MFL have a differently fixed arrangement. The fibrous bundle of EFL is slightly thicker than that of IFL and the arrangement of the fibrous bundle is like that of supraspinatus m., infraspinatus m. and teres minor m. in the superior and posterior regions of the joint capsule. The local existence as well as the arrangement of the fibrous layer of these three different types is discussed from the standpoint of mechanical movement of the shoulder joint.

Adult↗
PubMed1976

Innervation of the equine hip and stifle joint capsules.

The hindlimbs of 3 ponies and 3 horses were dissected. The hip joint capsule was found to receive articular nerve fibers from the femoral, obturator, cranial gluteal, and sciatic nerves. The nerve fibers were distributed to the fibrous joint capsule and associated capsular ligaments. The stifle joint capsule was found to receive articular branches from the femoral, saphenous, obturator, common peroneal, and tibial nerves. The fibers terminated in the joint capsule, fat pad, patellar and collateral ligaments, and the internally situated meniscal and cruciate ligaments.

Animals↗
PubMed1987

Topography and ultrastructure of sensory nerve endings in the joint capsules of the Kowari (Dasyuroides byrnei), an Australian marsupial.

The present investigation in concerned with the topography and ultrastructure of sensory nerve endings in the joint capsules of the Kowari (Dasyuroides byrnei), an Australian marsupial. Material for light and electron microscopy was obtained from shoulder, elbow and knee joint capsules. On the basis of differences in the organization of the connective tissue belonging to the fibrous layer, 3 variants of capsule structure have been distinguished: a rigid, a flaccid and an intermediate type. Whilst the rigid type is characterized by dense connective tissue in the clearly demarcated fibrous layer, the flaccid type shows loose, irregularly arranged connective tissue in the fibrous layer which merges into the synovial layer of the joint capsule. The morphology of the intermediate type corresponds to an intermediate stage between the former two types. In the fibrous layer of the joint capsules three different types of sensory nerve endings were observed: free nerve endings, Ruffini corpuscles and lamellated corpuscles. The free nerve endings are supplied by myelinated afferent axons (1-2 microns in diameter); the terminal thickenings of which are incompletely surrounded by a terminal Schwann cell. Ruffini corpuscles are present in three different varieties: small corpuscles without a perineural capsule predominantly within the flaccid part of the capsule; slightly larger corpuscles with an incomplete perineural capsule and large corpuscles resembling Golgi tendon organs which predominantly occur in the rigid parts of the capsule. The afferent myelinated axons measure 2-4 microns in diameter. The lamellated corpuscles show two variants: small corpuscles with a 2 to 4-layered perineural capsule in the rigid parts of the joint capsules and large corpuscles with two longitudinal clefts of the inner core in the flaccid parts. Both types are supplied by myelinated axons of 3-5 microns in diameter. Thus, in the fibrous layer of the rigid type of joint capsules large Ruffini and small lamellated corpuscles predominate, whereas the fibrous layer of the flaccid type coincides with small Ruffini and large lamellated corpuscles. The present data, therefore, corroborate the concept that the morphology of mechanoreceptors depends upon the texture of the surrounding connective tissue.

Animals↗
PubMed2004

Stability of the distal radioulnar joint contributed by the joint capsule.

PURPOSE: The distal radioulnar joint (DRUJ) capsule is assumed to be an important stabilizer of the DRUJ. There are few published data regarding the capsule and its specific contribution to stability of the DRUJ. METHODS: We analyzed the contribution of the joint capsule to DRUJ stability in a biomechanical study consisting of collection of force/displacement data from 16 adult human cadaveric upper extremities. Each specimen was subjected to anteroposterior translation testing of the radius relative to the ulna in 3 positions of forearm rotation (neutral, 60 degrees pronation, 60 degrees supination) by serial sectioning of the DRUJ capsule. The experimental conditions tested included intact capsule, sectioned dorsal capsule, sectioned volar capsule, and repaired capsule. RESULTS: Isolated dorsal capsule sectioning resulted in volar instability of the radius to the ulna primarily in the maximum pronated position. Significant dorsal instability of the radius was observed after isolated volar capsule sectioning in the maximum supinated position. The restabilizing effect of capsule shortening was observed near the maximums of forearm rotation. The additional stability owing to capsule shortening surpassed that of the distal radioulnar ligament at these positions. CONCLUSIONS: We showed the effect of capsular injury on DRUJ joint stability and the restabilizing effect of capsule shortening. The importance of the capsule to DRUJ stability should be considered when planning surgical procedures to restore the unstable DRUJ.

Humans↗
PubMed1983

Surgical treatment of ganglions of the wrist by partial excision of the joint capsule. Report on 303 cases.

Histologic examination confirms the nonsynovial nature of cysts of the wrist, generally located on the dorsal surface. There is found a mucoid degeneration of the capsule and surrounding tissue with numerous neighboring microcysts. This is why it is irrational and usually ineffective to treat these cysts by crushing, aspiration or simple excision. These three methods result in frequent recurrences. One hundred and eighty cases were operated by excision of the cyst and all the neighboring involved tissue including in particular a disk 2 to 4 cm in diameter from the capsule of the joint. Almost all were cured, except for 3 recurrences, and any stiffness or weakness found was present preoperatively. A very detailed radiologic study (an average of 9 films per patient) made 3 years or more after operation showed there was no resultant carpal instability. In spite of its radial character this is the operation of choice in view of its efficacy and in cases where treatment is justified because of appearance or interference with function.

Adolescent↗
PubMed2005

Recording of neural activity from goat cervical facet joint capsule using custom-designed miniature electrodes.

STUDY DESIGN: To establish a methodology for the neurophysiologic study of mechanoreceptors in the cervical facet joint capsule. OBJECTIVES: To test a custom designed miniature dual bipolar electrode for recording the neural activity in cervical dorsal roots. To determine if the neural activity from different receptors in the capsule can be differentiated using this methodology. SUMMARY OF BACKGROUND DATA: Injury to cervical facet joint capsules has been regarded as an important source of whiplash pain, but no neurophysiologic study has been performed to demonstrate or characterize sensory nerve function in the capsule. METHODS: Nineteen goats weighing 34 to 55 kg were used under general anesthesia. A C4-C6 laminectomy was performed to expose the C6 nerve root. Custom designed miniature dual bipolar electrodes were used to record neural activity in the left C6 branches. Electrical and mechanical stimuli were used to evoke receptor activity in the dorsal aspect of the C5/6 capsule. Conduction velocities (CVs) of evoked units were determined by electrical stimulation and dual-bipolar-electrode recording methods. The units were classified based on their CVs. The waveform of each classified unit was saved as a template for later single unit discharge search among multiunit discharges during the stretch of the capsule. The C5/6 facet joint with capsule was pulled by a computer-controlled actuator instrumented with a load cell at a rate of 0.5 mm per second. The evoked neural activity and load were recorded, digitized, and analyzed to determine CV, discharge rate, and response to the stretch. RESULTS: Miniature bipolar electrodes recorded the neural activity in both channels, with single unit CVs being measured. There was no discernible motion between the electrode and dorsal root when the capsule was pulled. Both local compression and stretch on capsule evoked multiunit discharges. A-beta, A-delta, and C-fiber units were found among these multiunit discharges. The rate of single unit and multiunit discharges increased during capsule stretch in the physiologic range and afterdischarges occurred beyond the physiologic range. CONCLUSIONS: The novel miniature electrodes not requiring a micromanipulator made it feasible and reliable to record neural activity from short cervical spinal roots. Waveforms of different units could be identified, making it possible to study sensory functions of the facet joint capsule. A-beta, A-delta, and C-fiber units were found responding to mechanical stimuli, indicating that facet joint capsule has functional proprioceptors and nociceptors.

Action Potentials↗
PubMed2005

Advanced glycation end products in intervertebral discs and hip joint capsules: correlation with senile amyloid?

Advanced glycation end-products (AGEs) may be involved in either amyloidogenesis or complications related to amyloid. The incidence of AGE increases with age as does the prevalence of amyloid affecting the hip joint capsule and intervertebral discs. We hypothesized that AGEs may be involved in the pathology of these amyloidoses and investigated the spatial and temporal relationship between AGEs and amyloid of intervertebral discs and hip joint capsules. Using immunohistochemistry, AGEs were found in all 71 intervertebral discs and all 87 hip joint capsules. Amyloid was present in 59 (83%) intervertebral discs and 65 (75%) hip joint capsules. AGEs were found in the immediate vicinity of amyloid deposits in 104 of 253 (41%) investigated amyloid deposits of the intervertebral discs and 159 of 311 (51%) investigated amyloid deposits of the hip joint capsules. However, only rarely were AGEs demonstrated within amyloid deposits. No linear correlation was found between the amount of AGEs and the amount of amyloid deposited. As AGEs are more common than amyloid in intervertebral discs and hip joint capsules, it is conceivable to suggest that AGEs might be involved in the pathogenesis of amyloid at these anatomical sites. However, the amyloid proteins appear not to be modified and AGE modification is not a general characteristic of senile amyloidoses.

Adult↗
PubMed1998

Anatomic and functional aspects of the kinetics of the shoulder joint capsule and the subacromial bursa.

This anatomic study was devoted to the kinetics of the shoulder joint and especially the subacromial region. Following dissection of the shoulder joint capsule and subacromial region of 80 unpreserved shoulder joints, the anatomic relationships of the subacromial space in the neutral position and in continuous abduction (30 degrees, 60 degrees and 90 degrees with fixed scapulae) were examined. These investigations were supplemented by histologic preparations. In the course of our examinations we discovered a gliding mechanism of the subacromial bursa. Moreover, we found a subcoracoid attachment of the shoulder joint capsule and a precoracoid ligamentous connection running between the short head of the biceps brachii m. and the coracoacromial ligament. We termed this the coracoid aponeurosis, which facilitates gliding behaviour of the shoulder joint capsule beneath the coracoid process. In view of this gliding mechanism of the subacromial bursa and the coracoid aponeurosis, discovered in the course of our investigations, we have to reassess the kinetics of the sub-acromial and subcoracoid space. Further, we should reconsider our operative technique in cases of the subacromial or subcoracoid impingement syndrome.

Bursa, Synovial↗
PubMedDate not supplied

Human lumbar facet joint capsule strains: I. During physiological motions.

BACKGROUND CONTEXT: The lumbar facet joint capsule is innervated with nociceptors and mechanoreceptors, and is thought to play a role in low back pain as well as to function proprioceptively. PURPOSE: In order to examine the facet capsule's potential proprioceptive role, relationships between intracapsular strain and relative spine position were examined. STUDY DESIGN/SETTING: Lumbar facet joint capsule strains were measured in human cadaveric specimens during displacement-controlled motions. METHODS: Ligamentous lumbar spine specimens (n=7) were potted and actuated without inducing a moment at the point of application. Spines were tested during physiological motions of extension, flexion, left and right lateral bending. Intervertebral angulations (IVA) were measured using biaxial inclinometers mounted on adjacent vertebrae. Joint moments were determined from the applied load at T12 and the respective moment arms. Capsule plane strains were measured by optically tracking the displacements of infrared reflective markers glued to capsule surfaces. Statistical differences (p<.05) in moment, IVA and strain were assessed across facet joint levels using analysis of variance and comparison of linear regressions. RESULTS: The developed moments and IVAs increased monotonically with increasing displacements; the relationships were highly correlated for all four motion types. Although highly variable among specimens, principal strains also increased monotonically in magnitude with increasing displacements during extension and flexion, but were more complex during lateral bending. At a given joint level, the absolute magnitudes of principal strains and IVA were largest during the same motion type. CONCLUSIONS: Distinct patterns in principal strains and IVA were identified during physiological motions, lending biomechanical support to the theory that lumbar facet joint capsules could function proprioceptively.

Adult↗
PubMed2005

The significance of extensor tendon tethering and dorsal joint capsule tightening after injury to the hand.

This paper examines the clinical problem of extensor tendon tethering and/or dorsal joint capsule tightening secondary to hand injury. One hundred and forty-one patients were examined 13 to 51 months after hand injuries of varying severity. Fifty-six patients (40%) had suffered simple and eighty-five patients (60%) complex injuries. Seventy-four (52%) of the 141 patients had no extensor tendon tethering and/or dorsal joint capsule tightening. In 30 (21%), the extensor tendon tethering and/or dorsal joint capsule tightening was considered to be "obvious" in that it was easily seen on examination using various commonly used clinical tests of finger flexion and extension. In 37 (26%), the extensor tendon tethering and/or dorsal joint capsule tightening was considered to be of "lesser degree" because it was only evident on application of specific tests which are described in this paper. Of the 37, 21 (56%) described themselves as being unable to make a "proper" fist with the injured hand, 33 (89%) had pain or discomfort on the dorsum of the injured hand and/or fingers on gripping (P < 0.01) and 25 (70%) had weakness of power of gripping (P < 0.01). Thirty-two (87%) complained of functional problems at work, with activities of daily living or with the pursuit of their hobbies.

Activities of Daily Living↗
PubMed1996

The structure of sensory nerve endings in the knee joint capsule of the dog.

The ultrastructure and distribution patterns of sensory nerve endings in the dorsal knee joint capsules of the beagle dog (Canis familiaris) have been investigated using light and electron microscopy. Each dorsal knee joint capsule was divided into four quadrants, cut into small pieces and then processed for electron microscopy. Free nerve endings and corpuscular nerve endings (Ruffini and lamellated corpuscles) were found. They were most frequently observed in the medial-proximal quadrant of the dorsal joint capsule. All nerve endings were found to be situated within or adjacent to the fibrous layer of the capsule. No nerve endings were found within the synovial layer. Free nerve endings were usually situated at the border between the fibrous layer and the synovial layer near blood vessels. Their associated afferent axon was myelinated (1.5-2.5 microns in diameter) or non-myelinated (0.3-1.5 microns in diameter). Ruffini corpuscles were found in the fibrous layer and within the dorsal ligamentous apparatus. Each Ruffini corpuscle was surrounded by a multilayered perineural capsule which was usually incompletely developed. The perineural capsule is the continuation of the perineurium of the afferent axon and gives a cylindrical form to the corpuscles. Ruffini corpuscles were present as single, cylindrical structures (small corpuscles) or as aggregates of these cylinders (large corpuscles). Both varieties consist of terminal nerve endings surrounded by collagen fibres which pass through the opened ends of the cylinders. The diameter and length of the small Ruffini corpuscles were 80 microns and 400 microns, as compared to 200 microns and 800 microns for the large aggregated forms. The supplying afferent axons of both types were 4-5 microns in diameter. Two types of small lamellated corpuscles could be observed in the fibrous layer: very small corpuscles, 55 microns long, 25 microns wide and medium corpuscles, 100 microns long, 40 microns wide. Each consists of an inner core of terminal Schwann cells, a nerve terminal and a perineural capsule. Some lamellated corpuscles had two inner cores and two nerve terminals. The diameter of the afferent axon was approximately 6 microns. Vater-Pacini corpuscles were not found in the dorsal knee joint capsule of the dog.

Animals↗
PubMed2004

Intra-articular ganglia arising from the posterior joint capsule of the knee.

Magnetic resonance imaging (MRI) is an effective method to evaluate cystic lesions of the knee. Intra-articular ganglia of the knee joint was considered to be rare before the advent of MRI. However, because an MRI is often used to diagnose knee pathology, the reported prevalence of intra-articular ganglia has increased. We describe two cases of an intra-articular ganglion arising from the posterior joint capsule. Both cysts appeared to be arising from the posterior cruciate ligament by both MRI as well as arthroscopy through a lateral infrapatellar portal. However, arthroscopy through a posteromedial portal revealed the cysts to originate from the posterior joint capsule. It suggests that some of the ganglion arising from the posterior cruciate ligament reported in the literature might actually be from the posterior joint capsule. To prevent recurrence of a ganglion cyst, when preoperative MRI shows the mass to be located posterior to the cruciate ligaments, we recommend that the relationship of the ganglion cyst to the posterior joint capsule be evaluated at arthroscopy through the posteromedial or posterolateral portal.

Adult↗
PubMed2007

The posterior segment of the temporomandibular joint capsule and its anatomic relationship.

PURPOSE: The aim of this work was to clarify the arrangement of the posterior segment of the temporomandibular joint capsule and its pertinent relationships. MATERIALS AND METHODS: The temporomandibular region was dissected bilaterally in 20 adult cadavers. Natural stained latex was injected into 16 cadavers through the external carotid artery to facilitate the dissection of the arterial vessels. RESULTS: The posterior segment of the joint capsule is made up of the so-called "bilaminar zone" of the articular disc. The upper internal portion of the posterior segment of the capsule was reinforced by the discomalleolar ligament. The retroarticular space was filled with loose connective tissue and the anterior branches of the anterior tympanic artery were distributed throughout the posterior segment of the joint capsule. CONCLUSION: The posterior segment of the temporomandibular joint capsule corresponds to the bilaminar zone of the articular disc. The structures of the retroarticular space are extracapsular.

Aged↗
PubMed1999

Sensory neuropeptidergic pattern in tendon, ligament and joint capsule. A study in the rat.

The normal occurrence of sensory neuropeptides in tendons, ligaments and joint capsules in the rat was analyzed by immunohistochemistry and radioimmunoassay (RIA). Nerve fibres immunoreactive to substance P (SP), calcitonin gene-related peptide (CGRP), neurokinin A, galanin and somatostatin were identified in the Achilles tendon as well as the collateral ligaments and joint capsule of the knee. The neuropeptidergic fibres were predominantly found in the epiligament and paratenon. However, SP- and CGRP-positive fibres were also seen in the proper ligament and tendon tissues. RIA showed higher concentrations of SP and CGRP in tendons than in ligaments and capsules. The morphological and quantitative data obtained on sensory neuropeptides in normal tendons, ligaments and joint capsules may be used as a reference for tissue analysis in painful and inflammatory conditions of the locomotor apparatus.

Achilles Tendon↗
PubMed1999

Confocal laser scanning microscopy of leukocyte adhesion in the microcirculation of the inflamed rat knee joint capsule.

OBJECTIVE: The aim of the study was to develop a model of intravital microscopy of the microcirculation of the rat knee joint capsule in acute inflammation with the help of confocal laser scanning microscopy (CLSM). METHODS: The microvascular architecture of the joint capsule was investigated by the use of corrosion casting techniques. Knee joint capsule microcirculation of anesthetized rats could be visualized by dissection of the ligamentum infrapatellare rectum and application of a CLSM. Rhodamine 6G was used as a leukocyte marker. An acute arthritis was induced by intraarticular injection of 0.1 mL of 1% Carrageenan solution. Each experiment lasted for 3 h. Leukocyte adhesion (LA) was measured in 100 microns of vessel length. Leukocyte-rolling velocity (Vwbc), systemic leukocyte count (WBC), and differential blood count (DBC) were monitored in defined intervals. Finally, myeloperoxidase (MPO) activity in frozen-tissue homogenate served as a parameter of neutrophil content. RESULTS: Leukocyte adhesion in carrageenan-treated animals was 9.9 +/- 0.2 leukocytes/100 microns vessel (mean +/- SD; n = 6), while sham- treated animals had 2.8 +/- 0.2. Monoclonal antibodies (MAb) to alpha 4 integrin (0.2 mg/kg) reduced LA to 2.6 +/- 0.1 (p < 0.01). Vwbc/gamma quotients were 0.37 micron s/s in control animals and 0.53 micron s/s in anti-alpha 4-treated animals (p < 0.01). Changes in DBC were marked by lymphopenia and granulocytosis after 180 min. At this time point-control animals had 5.1 G/L LC and 2.6 G/I PMN. Animals treated with unspecific antibody had 4.7 G/L LC and 4.9 G/L PMN, while anti-alpha 4-treated animals had 10.6 G/L LC and 2.4 G/L PMN. Photometrically determined extinction of oxidized tetramethylbenzidine (TMB; measure for MPO content) was 1.058 +/- 0.555 in control animals and 0.245 +/- 0.093 in sham-treated animals. Tissue homogenate from unspecific IgG treated group had 0.776 +/- 0.140 and from anti-alpha 4-group 0.334 +/- 0.155 (p < 0.05). CONCLUSIONS: Confocal laser scanning microscopy is a tool for the study of the microcirculation in nontransparent organs. The microcirculation of the acutely inflamed rat knee joint capsule can serve as a model of integrin-mediated LA in vivo. Antiadhesive treatment of animals can reduce the tissue infiltration with inflammatory cells.

Animals↗
PubMed1999

Anterior joint capsule of the normal hip and in children with transient synovitis: US study with anatomic and histologic correlation.

PURPOSE: To study the anatomic components of the anterior joint capsule of the normal hip and in children with transient synovitis. MATERIALS AND METHODS: Six cadaveric specimens were imaged with ultrasonography (US) with special attention to the anterior joint capsule. Subsequently, two specimens were analyzed histologically. These anatomic findings were correlated with the US findings in 58 healthy children and 105 children with unilateral transient synovitis. RESULTS: The anterior joint capsule comprises an anterior and posterior layer, mainly composed of fibrous tissue, lined by only a minute synovial membrane. Both fibrous layers were identified separately at US in 98 of 116 (84%) hips of healthy subjects and in all hips with transient synovitis. Overall, the anterior layer was thicker than the posterior layer. In transient synovitis compared with normal hips, no significant thickening of both layers was present (P = .24 and .57 for the anterior and posterior layers, respectively). Normal variants include plicae, local thickening of the capsule, and pseudodiverticula. CONCLUSION: Increased thickness of the anterior joint capsule in transient synovitis is caused entirely by effusion. There is no US evidence for additional capsule swelling or synovial hypertrophy.

Adult↗