The innervation of the knee joint

Gardner, Ernest

doi:10.1002/ar.1091010111

Cited by 205 publications

(147 citation statements)

References 8 publications

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“…It is already known that inflammation leads to angiogenesis and sensory nerve growth along new blood vessels in osteoarthritic joints [13]. In the immunohistochemical analysis, neovessels and accompanying nerve growth have been reported in synovium [14] and fat pads [15,16] of osteoarthritic joints. However, to our knowledge, nobody has clearly demonstrated that these sensory nerves along vessels play an important role in patients' symptoms.…”

Section: Discussionmentioning

confidence: 99%

Transcatheter Arterial Embolization as a Treatment for Medial Knee Pain in Patients with Mild to Moderate Osteoarthritis

Okuno

Korchi

Shinjo

et al. 2014

Cardiovasc Intervent Radiol

116

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Purpose Osteoarthritis is a common cause of pain and disability. Mild to moderate knee osteoarthritis that is resistant to nonsurgical options and not severe enough to warrant joint replacement represents a challenge in its management. On the basis of the hypothesis that neovessels and accompanying nerves are possible sources of pain, previous work demonstrated that transcatheter arterial embolization for chronic painful conditions resulted in excellent pain relief. We hypothesized that transcatheter arterial embolization can relieve pain associated with knee osteoarthritis. Methods Transcatheter arterial embolization for mild to moderate knee osteoarthritis using imipenem/cilastatin sodium or 75 lm calibrated Embozene microspheres as an embolic agent has been performed in 11 and three patients, respectively. We assessed adverse events and changes in Western Ontario and McMaster University Osteoarthritis Index (WOMAC) scores. Results Abnormal neovessels were identified within soft tissue surrounding knee joint in all cases by arteriography. No major adverse events were related to the procedures. Transcatheter arterial embolization rapidly improved WOMAC pain scores from 12.2 ± 1.9 to 3.3 ± 2.1 at 1 month after the procedure, with further improvement at 4 months (1.7 ± 2.2) and WOMAC total scores from 47.3 ± 5.8 to 11.6 ± 5.4 at 1 month, and to 6.3 ± 6.0 at 4 months. These improvements were maintained in most cases at the final follow-up examination at a mean of 12 ± 5 months (range 4-19 months). Conclusion Transcatheter arterial embolization for mild to moderate knee osteoarthritis was feasible, rapidly relieved resistant pain, and restored knee function.

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Section: Discussionmentioning

confidence: 99%

Transcatheter Arterial Embolization as a Treatment for Medial Knee Pain in Patients with Mild to Moderate Osteoarthritis

Okuno

Korchi

Shinjo

et al. 2014

Cardiovasc Intervent Radiol

116

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“…Anatomically, however, our understanding of the innervation of the posterior knee is relatively incomplete as it is based primarily on anatomical descriptions dating back to more than six decades ago. 46 Hence, designing trials to quantify the effect of SNB accurately when its distribution is not clearly delineated is difficult at best. Additionally, the combined innervation of the knee joint by both the femoral and sciatic nerves, and the overlap in their innervation of the anterolateral aspect of the knee, 46 further complicate accurate assessment.…”

Section: Discussionmentioning

confidence: 99%

“…46 Hence, designing trials to quantify the effect of SNB accurately when its distribution is not clearly delineated is difficult at best. Additionally, the combined innervation of the knee joint by both the femoral and sciatic nerves, and the overlap in their innervation of the anterolateral aspect of the knee, 46 further complicate accurate assessment. In fact, few studies 12 have conceived designs capable of reliably isolating pain transmitted by the femoral and sciatic nerves, which would permit accurate quantification of a block's analgesic effects on the individual nerves.…”

Section: Discussionmentioning

confidence: 99%

Is sciatic nerve block advantageous when combined with femoral nerve block for postoperative analgesia following total knee arthroplasty? a meta-analysis

Abdallah

Madjdpour

Brull

2016

Can J Anesth/J Can Anesth

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“…The largest concentration of nerve fibres seen histologically in a synovial joint is found in those parts of the joint most subjected to mechanical change during movement (Gardner, 1948). In the costo-transverse joint this would be the rostral and caudal aspects of the joint capsule.…”

Section: Discussionmentioning

confidence: 99%

The mechanoreceptors of the costo‐vertebral joints

Godwin-Austen¹

1969

The Journal of Physiology

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SUMMARY1. Unitary recording in the thoracic dorsal roots of mechanoreceptor discharges from the costo-vertebral joints was carried out in the cat and rabbit. Criteria for the identification of costo-vertebral joint mechanoreceptors were established.2. The majority of rib joint mechanoreceptors are slowly adapting and fifty-three such receptors were studied. Five rapidly adapting receptors were also identified.3. The responses of these receptors have been correlated with rib position and movement. The slowly adapting receptors gave a monotonic response to different rib positions. 72 % showed an increase of discharge rate with displacements towards expiratory rib positions.4. In response to manually imposed rib movements slowly adapting joint mechanoreceptors gave a dynamic response which was directly related to the velocity of the movement and adapted within 2 sec. The movements of breathing produced a corresponding alteration of the discharge frequency of the slowly adapting receptors.5. Slowly adapting receptors were localized to the capsule of the costotransverse joint by probing. They responded to increased intra-articular pressure with an increase of discharge rate and were silenced by intraarticular lignocaine, 04 %.

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The innervation of the knee joint

Cited by 205 publications

References 8 publications

Transcatheter Arterial Embolization as a Treatment for Medial Knee Pain in Patients with Mild to Moderate Osteoarthritis

Transcatheter Arterial Embolization as a Treatment for Medial Knee Pain in Patients with Mild to Moderate Osteoarthritis

Is sciatic nerve block advantageous when combined with femoral nerve block for postoperative analgesia following total knee arthroplasty? a meta-analysis

The mechanoreceptors of the costo‐vertebral joints

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