It has been suggested that the distribution of the subchondral bone density may be regarded as the expression of the long-term effective stress in a joint, and previous results indicate the regularity of the distribution of subchondral bone density as a function of the passing demands made upon a joint. Computed tomography-osteoabsorptiometry has been developed to visualize the area distribution of subchondral mineralization in the major joints in vivo. The purpose of this study was to display the distribution of subchondral bone density in the acetabular cup of patients of different ages. Computer tomography data files of hip joints of 27 patients (18-89 years) were used. Density ranges, image analysis, and area presentation of the distribution of subchondral mineralization are presented. The maximal subchondral mineralization in young persons is found both in the ventral and dorsal part of the acetabular roof. In older people, however, the densest areas are most often found at the zenith of the acetabulum. These morphological results could be well explained by the experimental results of other authors who found a joint incongruity in young persons with contact areas in the ventral and dorsal part of the acetabulum. With advancing age a decrease in incongruence is found, leading to an increased stress in the dome, i.e. in the area where degenerative changes are often found.
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http://dx.doi.org/10.1016/S0268-0033(93)90035-G | DOI Listing |
J Exp Orthop
January 2025
Service of Orthopaedics and Traumatology, Department of Surgery EOC Lugano Switzerland.
Purpose: Subchondral bone marrow lesions (BMLs) are present in a wide range of pathologies with different prognoses. Thus, a careful diagnosis is mandatory to address them with the proper treatment. The aim of this review was to examine BMLs aetiology and their relationship with biomechanical and biological factors, to identify BMLs and help clinicians to properly recognize and treat each of these common alterations.
View Article and Find Full Text PDFJ Orthop Translat
July 2024
Guizhou Medical University, Guizhou Province, 550004, PR China.
Objective: To investigate the characteristics of three-dimensional distribution of subchondral fracture lines on the surface of the osteonecrosis femoral head, and to discuss the underlying mechanisms that contribute to its collapse.
Methods: We retrospectively analyzed computed tomography (CT) images from 75 patients (comprising a total of 77 femoral heads) diagnosed with Association Research Circulation Osseous (ARCO) stage IIIA or IIIB femoral head necrosis. The three-dimensional structures of both the femoral head and the subchondral fracture line were reconstructed and subsequently fitted into normal femoral head model.
J Orthop Traumatol
November 2024
Department of Orthopaedic Surgery, National Taiwan University Hospital, 7 Chungsan South Road, Taipei City, 10002, Taiwan.
Background: Autologous minced cartilage is a method for cartilage defect repair, and our study focuses on a newly developed biphasic cylindrical osteochondral construct designed for use in human knees. We aimed to compare its clinical effectiveness and safety with microfracture, the commonly utilized reparative treatment for knee chondral or osteochondral defects.
Materials And Methods: Conducted as a prospective multicenter, randomized controlled, non-inferiority trial across nine hospitals, the study involved 92 patients with International Cartilage Repair Society (ICRS) grade 3 to 4 chondral or osteochondral lesions on femoral condyles.
bioRxiv
November 2024
Preventive and Restorative Dent. Sci., San Francisco, CA.
In this study, we performed synchrotron-based micro-X-ray fluorescence (μ-XRF) imaging of elements Zn and S, and X-ray absorption near edge spectroscopy (XANES) coupled with μ-XRF for identification of Zn and S species in the condylar zones of a rat temporomandibular joint (TMJ). Histologic localization of Zn and hypoxia-inducible factor-1α (HIF-1α) were mapped using an optical microscope. These data were visually correlated with μ-XRF and XANES data to provide insights into plausible biological S-species in Z-enriched condylar zones of a rat TMJ.
View Article and Find Full Text PDFJ Orthop Surg Res
November 2024
Department of Orthopaedic Surgery, Kyoto University Graduate School of Medicine, Sakyo, Kyoto, 606- 8507, Japan.
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