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At least 91 records · Page 5Linked to original sources
PubMed2007

Myofibroblast upregulators are elevated in joint capsules in posttraumatic contractures.

We hypothesized specific growth factors are increased in the elbow capsules of patients with post traumatic elbow contractures. A model of surgically induced joint contracture in rabbit knees was developed to study the growth factor expression in joint contractures. This study demonstrates this model mimics the human condition and analyzes how the growth factor levels decrease with time in rabbit knees with contractures. Reverse transcription polymerase chain reaction was used to measure mRNA levels of transforming growth factor-beta1, connective tissue growth factor, ED-A of fibronectin, and alpha-smooth muscle actin normalized to a housekeeping gene, glyceraldehyde-3-phosphate dehydrogenase. In the joint capsules of patients with elbow contractures, mRNA levels were increased for transforming growth factor- beta1, connective tissue growth factor, and alpha-smooth muscle actin. In the joint capsules of rabbit knees with contractures, mRNA levels were increased for transforming growth factor- beta1, connective tissue growth factor, ED-A of fibronectin, and alpha-smooth muscle actin. The mRNA levels for transforming growth factor-beta1, connective tissue growth factor, and alpha-smooth muscle actin decreased with time in rabbit knees. The elevated levels of these myofibroblast up-regulators and fibrogenic growth factors could explain the previously reported increase in myofibroblasts and collagen mRNA levels. The rabbit knee model correlated well with the human post traumatic elbow contractures.

Actins↗
PubMed1984

Soft tissue collagen in congenital dislocation of the hip. Biochemical studies of the ligamentum teres of the femur and the hip joint capsule.

Collagens of the ligamentum teres of the femur and the hip joint capsule of 14 patients with congenital dislocation of the hip (CDH) were studied biochemically. Collagen was a major component of these tissues. Solubility of collagen was reversely related to age except in two cases. Collagen of both ligamentum teres of the femur and hip joint capsule was composed of type I, III and V collagens except in three cases. In these three cases with nevus or general joint laxity, two additional collagenous components were also found. The ratios of type III collagen to type I collagen were increased in CDH except in one case with short stature. These abnormalities of collagen metabolism could be the underlying cause of CDH and other clinical symptoms in these patients.

Amino Acids↗
PubMed1998

Distribution and origin of nerve fibers in the rat temporomandibular joint capsule.

The distribution and origin of nerve fibers containing neuropeptides and NOS projecting to the temporomandibular joint capsule (TMJ) of the rat were studied by retrograde tracing in combination with immunocytochemistry. Numerous nerve fibers were seen in the TMJ as revealed by the neuronal marker protein gene product 9.5. Nerve fibers containing neuropeptide Y (NPY), vasoactive intestinal peptide (VIP), pituitary adenylate cyclase activating peptide (PACAP), substance P (SP), calcitonin gene-related peptide (CGRP), and nitric oxide synthase (NOS) were seen in the synovial membrane, the joint capsule and entering the articular disc. Injection of the retrograde tracer True Blue (TB) into the TMJ resulted in the appearance of numerous labeled nerve cell bodies in the trigeminal and superior cervical ganglia, and moderate numbers in the nodose, the otic, the sphenopalatine, the stellate and the dorsal root ganglia at levels C2-C5. Most of the TB-labeled cell bodies in the superior cervical and stellate ganglia contained NPY. In the trigeminal ganglion, numerous TB labeled cell bodies contained CGRP and a minor population stored SP, a few cell bodies were seen to store NOS or PACAP. In the sphenopalatine and otic ganglia, TB labeled cell bodies contained NOS or VIP. In the nodose ganglion, labeled cell bodies contained CGRP; other labeled cell bodies harbored NOS. In the cervical dorsal root ganglia, the majority of the labeled cell bodies stored CGRP and smaller populations stored SP and PACAP. Thus, the innervation of the TMJ is complex and many different ganglia are involved.

Animals↗
PubMedDate not supplied

The effect of radiofrequency energy on the length and temperature properties of the glenohumeral joint capsule.

The purpose of this in vitro study was to evaluate the effect of radiofrequency energy on the length and temperature properties of the glenohumeral joint capsule in a sheep model. Dissected glenohumeral joint capsules were placed in a 37 degrees C tissue bath and treated with radiofrequency energy at temperature settings of 60 degrees, 65 degrees, 70 degrees, 75 degrees and 80 degrees C. Pretreatment and posttreatment tissue length was measured, and tissue temperature changes were recorded at distances of 0.0, 0.5, 1.0, 1.5 mm away from the probe path. Tissue shrinkage was found to be less than 4% for treatments below 65 degrees C, and increased to 14% for treatments at 80 degrees C. Posttreatment lengths of tissues treated at 65 degrees, 70 degrees, 75 degrees, 80 degrees C were significantly shorter than pretreatment lengths. The maximum tissue temperatures directly below the probe were observed to be 3.7 degrees to 6.7 degrees C lower than the set temperatures. As the distance from the probe was increased, the tissue temperature was found to decrease, reaching a value of less than 45 degrees C at 1.5 mm for all five treatment temperature settings. This study provided basic information on temperature settings, tissue shrinkage, and tissue temperature distribution of radiofrequency treatment.

Animals↗
PubMed2004

Mechanoreceptor evaluation of hip joint capsule and ligamentum capitis femoris in developmental hip dysplasia: a preliminary study.

We aimed to determine if there are mechanoreceptors in the hip joint capsule and ligamentum capitis femoris (LCF) of patients with developmental dysplasia of the hip (DDH). We took capsule and LCF biopsies from 20 hips of 20 patients who were operated on because of DDH. The mean age was 10.2 months (range 6-20 months) at the time of surgery. There were 12 girls and eight boys. Teratologic and secondary hip dislocations were not included in this study. Full thickness, 0.5 x 0.5 cm anterior capsule and LCF portions were taken for biopsy specimen. Specimens were stained with hemotoxylin eosin and examined immunohistochemically using monoclonal antibody against S-100 protein. In both analyses no mechanoreceptor was found in any samples of capsule or LCF. In this preliminary study we could not find mechanoreceptors in the local anterior joint capsule and LCF of the hip in children with DDH. We think that additional studies are necessary in order to understand the mechanoreceptor characteristics of the hip joint in children not only with DDH but also in children with healthy hips.

Biopsy, Needle↗
PubMed1990

Responses of blood vessels in the rabbit knee to electrical stimulation of the joint capsule.

1. An in vitro preparation of the rabbit knee joint, perfused with oxygenated Locke's solution, was used to study the response of articular blood vessels to electrical stimulation of the joint capsule. 2. Using trains of stimulus pulses of different durations, frequency-response curves were obtained. Electrical stimulation always produced vasoconstriction of joint blood vessels, which increased as a function of both frequency and pulse width. 3. This vasoconstrictor response was neurally mediated as it was markedly inhibited after addition to both bath and perfusate of tetrodotoxin. In addition, the response to field stimulation of the capsule was virtually abolished in animals pretreated with reserpine which depletes sympathetic nerve endings of noradrenaline. 4. The response to electrical stimulation was substantially reduced by the alpha-adrenergic antagonist phenoxybenzamine (10(-5) M), the alpha 1-blocker prazosin (10(-6) M), and by guanethidine (10(-5) M) which inhibits the release of noradrenaline, ATP and neuropeptide Y from sympathetic nerve endings. 5. The attenuation of the vasoconstrictor response to field stimulation by prazosin (10(-6) M) was little altered by addition of the alpha 2-adrenoceptor blocker rauwolscine (10(-6) M) to the perfusate. 6. alpha, beta-Methylene ATP (10(-6) M), a P2-purinoceptor desensitizer, had no effect on the vasoconstrictor response to electrical stimulation. 7. These results indicate that the vasoconstrictor response to electrical stimulation of the rabbit knee joint capsule is mediated via noradrenaline acting upon alpha 1-adrenoceptors.

Adenosine Triphosphate↗
PubMed1998

Coexistence of enkephalin- and tyrosine hydroxylase-like immunoreactivities in nerve fibers of the temporomandibular joint capsule of the guinea pig.

BACKGROUND: The innervation of joints has been suggested to play an important role for their normal function as well as for the pathogenesis of chronic arthritic conditions. It is therefore important to elucidate the functional anatomy of this innervation. METHODS: The expression of methionine enkephalin-like immunoreactivity (ENK-LI) and tyrosine hydroxylase (TH)-LI as well as their possible colocalization were examined in the temporomandibular joint of the guinea pig: RESULTS: Nerve fibers with ENK-LI were demonstrated in the synovium of the guinea pig temporomandibular joint capsule with the use of indirect immunofluorescence. The ENK+ fibers were found close to the surface of the synovial membrane, deeper in the synovium, and at the walls of blood vessels. Coexistence of ENK- and TH-LI was observed frequently in the synovial nerve fibers. After removal of the superior cervical ganglion (SCG), the ENK-containing nerve fibers were reduced substantially in number on the operated side or were completely absent if the cervical sympathetic trunk was also excised. CONCLUSIONS: The findings indicate that the majority of fibers with ENK-LI derive from the SCG ENK may act as a neuromodulator on the catecholaminergic nerves and may also have an analgesic effect in the joint.

Animals↗
PubMed1997

Intraoperative EMG response of the musculature after stimulation of the glenohumeral joint capsule.

UNLABELLED: In an experimental study we investigated the EMG response in 10 human subjects after intraarticular stimulation of the shoulder joint capsule following arthroscopic insertion of the stimulating electrode in the anterior glenohumeral ligaments. The muscle response was documented by mono- or bipolar electrodes. Reproducible EMG response patterns were present in superficial as well as in deep muscle layers. The response time ranged from 100 to 516 msec. The earliest muscle response was found in the anterior part of the deltoid muscle and the latest one in the supraspinatus muscle and the lateral part of the deltoid muscle. CLINICAL RELEVANCE: The results of this study suggest a significant influence of the tension in the joint capsule on the activity of the stabilizing musculature.

Adult↗
PubMed1993

[Distribution and three-dimensional reconstruction of lymphatic vessels of the elbow joint capsule of rabbits].

Lymphatic vessels are believed to be distributed in the the depth of synovial membrane, but the details of this distribution remain to be fully elucidated. The synovial membrane is classified in part on the basis of histological characteristics, even in the same joint capsule, into three fundamental types: adipose type, areolar type, and fibrous type. In addition, the adipose and areolar types are involved in the absorption of synovial fluid. In this study, the distribution of lymphatic vessels was investigated with special reference to histological structure of the synovial membrane. The materials were prepared from 11 elbow joint capsules of male 8 rabbits weighting 2-3 kg. Five specimens were stained with silver nitrate, and the remainder were stained with trichrome. All of the materials were serially sectioned and observed by light microscopy. Three-dimensional reconstructions of lymphatic vessels were performed using Cosmozone 2SA software (Nikon Co.) with a PC-9800 series microcomputer (NEC Co.) When the joint capsule is divided into synovial and fibrous layers in accordance with the Nomina Histologica Japonica, the fibrous layer is frequently connected with the epimysium of neighboring muscles. The synovial and fibrous layers are occasionally continuous with each other, without a distinct boundary. The number of lymphatic vessels in the synovial layer is small, and they originate in the vicinity of the border of the fibrous layer and pass over into the lymphatic vessels of the fibrous layer. Many lymphatic vessels were found in the fibrous layer, the majority of which come from the epimysium or perimysium close to the outer surface of the fibrous layer.(ABSTRACT TRUNCATED AT 250 WORDS)

Animals↗
PubMed2004

The anterior glenohumeral joint capsule: macroscopic and MRI anatomy of the fasciculus obliquus or so-called ligamentum glenohumerale spirale.

The purpose of this study was to demonstrate the macroscopic and MRI anatomy of the fasciculus obliquus, otherwise known as the ligamentum glenohumerale spirale or spiral GHL of the anterior shoulder joint capsule. Conventional and MR arthrography (1.5-T device Somatom Symphony, Siemens with shoulder coil) images in standard planes were compared with gross anatomic dissection findings in six fresh shoulder specimens from three cadavers. The MR imaging protocol included T1, PD and DESS 3D WI sequences. The macroscopically recognisable band-the spiral GHL-was identified by anatomic dissection and MRI in all the specimens. It was best visualised by MR arthrography on axial and oblique sagittal planes (T1; PD WI) and appeared as a low signal intensity stripe within the superficial layer of the anterior joint capsule. The absence of the variable middle glenohumeral ligament did not influence the anatomic properties and the MR imaging of the spiral GHL. Diagnostic visualisation of the normal anatomic structures is a prerequisite to distinguish between normal and pathologic conditions. Anatomy of the spiral GHL can be used by radiologists for more detailed interpretation of the anterior shoulder joint capsule ligaments on MR images.

Aged↗
PubMed1995

[Intraoperative EMG recording in stimulation of the glenohumeral joint capsule].

In an experimental study we investigated the EMG response in 10 patients after intraarticular stimulation of the joint capsule. Intraoperative stimulation was achieved by arthroscopic placement of the stimulation catheter at the anterior joint capsule. The muscle response was documented by mono- or bipolar electrodes. We found reproducible EMG muscle responses in both superficial and deep muscle layers. The response time was between 100 and 516 ms. The shortest muscle response was found at the anterior part of the deltoid muscle and the longest at the supraspinatus muscle and the lateral part of the deltoid muscle.

Adult↗
PubMed1990

The relationship of the glenohumeral joint capsule to the rotator cuff.

The glenohumeral joint capsules of 23 shoulders in which the rotator cuff was not torn were studied by gross dissection and histologic methods. The cuff tendons were resected, leaving the intact capsule attached to the bones. This dissection method provided a unique overview of the capsule in situ and allowed the areas of cuff tendon and muscle attachment to be mapped. The capsule was found to be a continuous cylinder between humerus and glenoid. On approximately one-third of the capsule (the portion adjacent to the humeral tuberosities), tight insertions of cuff tendons were noted. The superior segment between subscapularis and supraspinatus contained the coracohumeral ligament. This segment appeared to reinforce the cuff through a transversely oriented band similar to the glenohumeral ligaments.

Aged↗
PubMedDate not supplied

The effect of thermal heating on the length and histologic properties of the glenohumeral joint capsule.

The purpose of this study was to evaluate the effect of temperature on shrinkage and the histologic properties of glenohumeral joint capsular tissue. Six fresh-frozen cadaveric shoulders were used for this study. Seven joint capsule specimens were taken from different regions from each glenohumeral joint and assigned to one of seven treatment groups (37 degrees, 55 degrees, 60 degrees, 65 degrees, 70 degrees, 75 degrees, 80 degrees C) using a randomized block design. Specimens were placed in a tissue bath heated to one of the designated temperatures for 10 minutes. Specimens treated with temperatures at or above 65 degrees C experienced significant shrinkage compared with those treated with a 37 degrees C bath. The posttreatment lengths in the 70 degrees, 75 degrees, and 80 degrees C groups were significantly less than the pretreatment lengths. Histologic analysis revealed significant thermal alteration characterized by hyalinization of collagen in the 65 degrees, 70 degrees, 75 degrees, and 80 degrees C groups. This study demonstrated that temperatures at or above 65 degrees C caused significant shrinkage of glenohumeral joint capsular tissue. These results are consistent with histologic findings, which revealed significant thermal changes of collagen in the 65 degrees, 70 degrees, 75 degrees, and 80 degrees C groups. To verify the validity of laser application for shrinkage of joint capsule, studies designed to compare these findings with the effects of laser energy must be performed.

Cadaver↗
PubMed1995

Sensory receptors situated in the interphalangeal joint capsule of the fingers of the bonnet monkey (Macaca radiata).

Using bonnet monkeys (Macaca radiata) the content, location and types of sensory endings with regard to interphalangeal joints of the fingers of the hand were studied. Use of the modification of Barker and Ip [J Physiol (Lond) 1963;124: 476-488] of the de Castros silver method showed that the Paciniform/Pacinian corpuscles are almost the exclusive encapsulated receptors in this tissue. Free nerve endings are present. Using serial paraffin sections stained with the May-Grünwald-Giemsa stain, the proximal interphalangeal joint capsules were reconstructed. This confirmed the results of the study using teased preparations stained by the Barker and Ip method. In addition it was shown that the encapsulated endings were situated exclusively in the lateral and ventral aspects of the joint capsule. The number of lamellae of these encapsulated endings varied from as few as three to more than fifty. It is suggested that the contribution of these various receptors to kinaesthesis can depend on such factors as their relationship with tendons and skin.

Animals↗
PubMed1983

Computed tomography of the hip joint capsule.

In 95% of cases, computed tomography (CT) enables the articular capsule of the hip joint to be directly visualized. Articular effusion in the hip joint can also be recognized in the CT image. In inflammatory arthritis and active osteoarthrosis of the hip joint, thickening of the articular capsule or articular effusion appears in the CT image. In addition, "undulation" of the articular capsule sometimes occurs. However, we have also observed this wavy configuration of the hip joint capsule in discrete latent osteoarthrosis of the hip joint. It is, therefore, unequivocally indicative of disease only when seen in association with articular effusion or thickening of the capsule. Focal fatty accumulation of the capsule distinguished from articular capsule tissue by its low density.

Arthritis↗