Funktionelle Anatomie des menschlichen Hüftgelenkes

Tillmann, Bernhard; Schleicher, Axel

doi:10.1007/978-3-642-70732-2_94

Cited by 2 publications

(6 citation statements)

References 9 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…This study is the first to show their appearance at a very young age, i.e., at weaning time (8 weeks). In humans, the articular cartilage covers the trochlear notch completely during childhood, but at 12-15 years of age the lining starts to thin (Tillmann and Bartz, 1989). The younger dogs in this study showed no cartilage-free areas, cartilage depressions, or any other possible preliminary stage of these defects, which is in contrast to the developmental stages described in pigs (Loeffler and Bidier, 1984).…”

Section: Discussioncontrasting

confidence: 76%

“…The macroscopic and histologic descriptions of the fullthickness defects correlate with those in humans (Tillmann and Bartz, 1989). In our small sample of specimens we were unable to find early stages of formation of cartilage-free areas macroscopically and/or microscopically.…”

Section: Discussionmentioning

confidence: 67%

“…Some investigators believe that hyaline articular cartilage exists only at those locations where the exerted pressures are within a specific range: if the pressure is below a certain threshold, the cartilage will disappear (Tillmann and Bartz, 1989), or will not be formed (Hamrick, 1999). On the other hand, abnormally high pressures may result in the development of nutritional deficits, eventually leading to the formation of synovial fossae (Buerki, 1904;Hamrick, 1999).…”

Section: Discussionmentioning

confidence: 99%

“…These cartilage-free areas have also been observed in humans. For instance, a cartilage-free zone across the trochlear notch was found in human elbow joints without concomitant pathology or symptoms of disease (Tillmann and Bartz, 1989;Soames, 1995). A cartilage-free area, or synovial fossa, can best be characterized as a macroscopically visible interruption of the articular cartilage.…”

mentioning

confidence: 99%

“…In young animals, the complete elbow joint surface is covered with articular cartilage. During maturation, this cartilage becomes thinner and finally results in full-thickness defects (Loeffler and Bidier, 1984;Tillmann and Bartz, 1989).…”

mentioning

confidence: 99%

See 4 more Smart Citations

Cartilage‐free areas in the elbow joint of young golden retrievers

2003

View full text Add to dashboard Cite

The present study describes cartilage-free areas on the ulnar trochlear notch and the humeral condyle of eight very young golden retrievers with otherwise healthy elbow joints. Remarkably, the youngest dog with fullthickness cartilage-free areas was only 8 weeks old. The younger dogs showed no macroscopic abnormalities on the locations that were affected in the older dogs. Two kinds of cartilage modifications were found. Cartilagefree areas at the edges of the articular cartilage layer were present on the humeral capitulum and on two locations of the ulna, (the medial and lateral at the base of the anconeal process, and the trochlear notch near the lateral coronoid process, which was fractured in two cases). Histological examination showed that these cartilage-free areas were filled with dense supportive tissue. Synovial cells covered this tissue as well as the surrounding hyaline cartilage. The synovial membrane covering the areas was macroscopically enlarged, but histological examination revealed no signs of inflammation. The second type of modification consisted of discoloration of the articular surface at the humeral trochlea. Histological examination revealed that in this area the articular surface was composed of fibrocartilage instead of hyaline cartilage. Apparently, there are locations within the elbow joint in which articular cartilage is not necessary for normal joint functioning. The presence of fibrocartilage on the articular surface of the humeral condyle is a surprising finding, for which no explanation has yet been found. Anat Rec Part A 275A: 990 -996, 2003.

show abstract

Section: Discussioncontrasting

confidence: 76%

Section: Discussionmentioning

confidence: 67%

Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

mentioning

confidence: 99%

See 3 more Smart Citations

Cartilage‐free areas in the elbow joint of young golden retrievers

2003

View full text Add to dashboard Cite

show abstract

Shoulder joint stability after arthroscopic subacromial decompression

Schneider

Strauß

Hoffstetter

et al. 1994

Arch Orthop Trauma Surg

View full text Add to dashboard Cite

In 55 patients with type I or type II impingement lesions we performed arthroscopic subacromial decompression. Fifty-two patients are followed up 1 year postoperatively. In all patients the condition of the affected shoulder before and after decompression was documented using a 100-point shoulder score (pain on activity, 15 points; pain without activity, 15 points; function, 20 points; weight lifting, 10 points; muscle strength, 15 points; range of motion, 25 points). At follow-up we also documented the extent of passive inferior shift of the humeral head by ultrasound. The mean score preoperatively was 60.9 (+/- 13.8). Postoperatively there was a significant increase to 84.7 (+/- 12.5). The average postoperative hospital stay was 8.8 days (+/- 2.1). In 12 patients (23%) the postoperative score was less than 85 points, and in these the treatment was considered to have failed. Comparison of these patients as a group with those in whom the treatment was successful revealed no difference in age, a small but not significant difference in the preoperative duration of shoulder complaints, and no difference in the postoperative length of stay in hospital. However, there was a significant difference in the extent of passive inferior shift of the humeral head: in the failure group the mean inferior shift was 4.6 +/- 1.9 mm, while in the other patients the shift was only 2.7 +/- 1.0 mm. This difference was statistically highly significant. There was a statistical highly significant negative Pearson correlation coefficient of -5.56 between postoperative score and inferior shift of the humeral head. We conclude that patients with subacromial pathology and hypermobile glenohumeral joints may not be good candidates for subacromial decompression.

show abstract

Funktionelle Anatomie des menschlichen Hüftgelenkes

Cited by 2 publications

References 9 publications

Cartilage‐free areas in the elbow joint of young golden retrievers

Cartilage‐free areas in the elbow joint of young golden retrievers

Shoulder joint stability after arthroscopic subacromial decompression

Contact Info

Product

Resources

About