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At least 1,423 records · Page 79Linked to original sources
PubMed2004

Molecular composition and pathology of entheses on the medial and lateral epicondyles of the humerus: a structural basis for epicondylitis.

OBJECTIVES: To improve the understanding of epicondylitis by describing the normal structure and composition of the entheses associated with the medial and lateral epicondyles and their histopathology in elderly cadavers. METHODS: Medial and lateral epicondyles were obtained from 12 cadavers. Six middle aged cadavers (mean 47 years) were used to assess the molecular composition of "normal" entheses from people within an age range vulnerable to epicondylitis. Cryosections of epicondylar entheses were immunolabelled with monoclonal antibodies against molecules associated with fibrocartilage and related tissues. A further six elderly cadavers (mean 84 years) were used for histology to assess features of entheses related to increasing age. RESULTS: Tendon entheses on both epicondyles fused with those of the collateral ligaments and formed a more extensive structure than hitherto appreciated. Fibrocartilage (which labelled for type II collagen and aggrecan) was a constant feature of all entheses. Entheses from elderly subjects showed extensive microscopic damage, hitherto regarded as a hallmark of epicondylitis. CONCLUSIONS: Fibrocartilage is a normal feature and not always a sign of enthesopathy. Furthermore, pathological changes documented in patients with epicondylitis may also be seen in elderly people. The fusion of the common extensor and flexor tendon entheses with those of the collateral ligaments suggests that the latter may be implicated as well. This may explain why pain and tenderness in epicondylitis may extend locally beyond the tendon enthesis and why some patients are refractory to local treatments.

Adult↗
PubMed1980

Locomotor adaptations as reflected on the humerus of paleogene primates.

Examination of Paleogene distal humeri and a survey of homologous articulations in living primates allows some anatomical correlation with elbow mechanics and the occurrence of these during specific locomotor behaviors in living species. Claw climbing is postulated to be the ancestral primate locomotor mode from which the ancestral euprimate (strepsirhines and haplorhines) evolved a grasp leaping locomotor pattern. This pattern, which depends on a powerful grasp either during climbing or when landing after a jump, is still the most pervasive form of primate locomotion. Morphological evidence of Paleogene humeri suggest that vertical clinging and leaping behavior derived from grasp leaping at least six times independently.

Adaptation, Biological↗
PubMed1995

Longitudinal variation in mechanical competence of bone along the avian humerus.

Vickers microhardness tests were used to gauge the mechanical "competence" (ability to resist bending and failure) of cortical and trabecular bone along the humeri of three bird species. Hardness was greatest at the mid-length portion of the shaft. The mean hardness of trabeculae, where present, was between 78.7 and 90.9% of that of the adjacent cortical bone. The possible causes of this are briefly discussed. Microhardness tests offer the opportunity to gauge differences in mechanical properties over small distances and might usefully be applied to test the homogeneity of mechanical properties within specimens for tensile or compressive tests.

Animals↗