Animal and clinical studies have shown an acceleration of bone healing by the application of pulsed low-intensity ultrasound (PLIUS). Several studies have reported that pulsed low-intensity ultrasound increase the synthesis of proteoglycan and type II collagen of cultured animal chondrocytes. The objectives of this study were to exam the bioeffect of pulsed low-intensity ultrasound on in vitro cultured human chondrocytes. Human chondrocytes were isolated from the amputated polydactyly digit of six different 1 to 10 years patients and cultured in agarose suspension for 3 days before treatment. PLIUS with intensities of 3.6, 18, 48, 72 and 98 mW/cm2was respectively applied to human chondrocytes for a single 10-min per day treatment. A control group was treated without PLIUS. The results demonstrated that PLIUS-treated human chondrocytes increased the proteoglycan synthesis compared with the control in a time-dependent manner. It is shown that the effect of 48 mW/cm2 is the most potent among a variety of PLIUS intensities tested determined by ELISA method. PLIUS at 48 mW/cm2 also increased type II collagen synthesis by up to 48.5+8.0% of the control determined by western blotting analysis. However, PLIUS has no significant influence on the cell proliferation of human chondrocytes compared with the control. It revealed that the PLIUS can enhance extracellular matrix synthesis. The response to PLIUS of chondrocytes harvested from 1 year old donor was significantly better than that of chondrocytes of 10 years old patient. These observations may lead to a better understanding of the bioeffect of PLIUS on in vitro cultured human chondrovytes.