The effects caused to articular cartilage by the remote use of arthroscopically-delivered RF energy to soft tissues in the joint are unknown. This investigation reported the short and long-term effects of bRF and mRF energy on the biomechanical properties and metabolic activity of articular cartilage. In addition, the effect of Cosequin® therapy was addressed. Thirty New Zealand white rabbits were randomly assigned to one of two treatment groups (Group 1 - placebo; Group 2 - Cosequin®). Histopathology, cell viability, GAG synthesis, and mechanical function of the articular cartilage were compared between groups. Data were analyzed using a mixed model ANOVA (p=0.05). Immediate chondrocyte death was created by both RF devices. This damage was noted to be superficial and did not lead to the progressive deterioration of the extracellular matrix or mechanical function of the articular cartilage. Cosequin® therapy was unable to demonstrate significant differences compared to the control group.

This observational study was conducted to evaluate the anatomic relationship between the proximocaudal femoral joint capsule insertion and the femoral caudolateral curvilinear osteophyte (CCO), across ancient and modern domestic and non-domestic canids. Museum specimens of proximal femora were screened for presence of remnant enthesophytes of the caudal joint capsule insertion (first inclusion criterion) and then for the CCO (second inclusion criterion). The initially screened population included 267 dry bone specimens: Six Canis species, hybrid coyote × domestic dog, and five vulpines (three Vulpes species, one Urocyon, and one Nyctereutes). Proximocaudal joint capsule insertion remnant enthesophytes were limiting at n = 19 specimens: Seven ancient domestic dogs, four modern coyotes, two ancient coyotes, two modern hybrid coyote × dog, two modern red foxes, and two modern raccoon dogs. The joint capsule enthesophytes are associated with inflammation, but are observed far less frequently than the CCO. The CCO is seen radiographically but is visible more frequently by direct inspection. The primary inclusion criterion necessarily was a visible caudal joint capsule insertion; spatial relationships of the CCO can be assigned with confidence only when a capsule insertion line can be recognized clearly. We demonstrate that the anatomic CCO associates with the joint capsule insertion being nonspecific and species-independent. A joint capsule insertion-CCO spatial relationship across species is an important new observation, strongly indicating that both are pathological features. Our data indicate need for new research to characterize the canid coxofemoral joint and its overt and incipient pathology in a phylogenetic context. Anat Rec, 302:2164–2170, 2019.

Submitted by (lucia.rodrigues@ufrpe.br) on 2017-02-09T14:23:37Z No. of bitstreams: 1 Jomel Francisco dos Santos.pdf: 1033055 bytes, checksum: 0882131c9f37caac6cc396d21eb8c175 (MD5) / Made available in DSpace on 2017-02-09T14:23:37Z (GMT). No. of bitstreams: 1 Jomel Francisco dos Santos.pdf: 1033055 bytes, checksum: 0882131c9f37caac6cc396d21eb8c175 (MD5) Previous issue date: 2013-06-03 / Joint contractures are a severe complication of joint injuries that can permanently limit the extremity function. Current treatments for contractures in humans have little effect and there is an obvious need for clarification of the pathophysiology of this chronic and disabling dysfunction. Sheep joint is a promising model for the investigation of normal and pathologic states by the similarity with the biomechanics of certain human joints. The aim of this study was to investigate by the techniques of immunohistochemistry and cytochemistry the presence of key components for the development of joint contractures in sheep and to evaluate the potential of this species as an experimental model to study this disease. Therefore, we used 15 knee joint capsules of healthy Santa Inês ewes to identify myofibroblasts and mast cells. For investigation of myofibroblasts was performed immunohistochemical technique. Following histologic routine preparation, the antigen retrieval was performed by heating in citrate, followed by peroxidases blockage, blocking nonspecific protein and then primary antibody was incubated. After the secondary antibody was added to the cuts, and DAB chromogen was added. Slides were counterstained with Harris Hematoxylin and mounted. In cytochemical technique was applied the stain Toluidine Blue to disclosure mast cells. Analysis of the cuts was made under a light microscope. Positive controls of myofibroblasts (ovine cervix) and mast cells (umbilical cord) were stained satisfactorily by the standard techniques. In joint capsules, α-SMA protein was observed in the wall of arteries and rare myofibroblasts were observed in each section, as well as few mast cells were scored. Other studies about ovine joint capsule injuries must be conducted to confirm the presence of myofibroblasts and the development of joint contracture. / As contraturas articulares são complicações severas de doenças articulares que podem limitar permanentemente a função de extremidades. Os tratamentos atuais para contratura em seres humanos têm pouca eficácia e há uma evidente necessidade de esclarecimento sobre a patofisiologia dessa disfunção crônica e incapacitante. A articulação do ovino é um modelo promissor para a investigação dos estados normais e patológicos, pela semelhança com a biomecânica de determinadas articulações humanas. O objetivo deste trabalho foi investigar por meio das técnicas de imuno-histoquímica e citoquímica a presença de componentes-chave para o desenvolvimento da contratura articular na espécie ovina e avaliar a potencialidade desta espécie como modelo experimental para estudo desta patologia. Para tanto, foram utilizadas 15 cápsulas articulares de joelhos de ovelhas Santa Inês sadias para localização de miofibroblastos e mastócitos. Para investigação de miofibroblastos foi realizada a técnica de imuno-histoquímica. Após a preparação para rotina histológica, a recuperação antigênica foi realizada por aquecimento em citrato, seguida pelo bloqueio das peroxidades, bloqueio de proteínas inespecíficas e então, o anticorpo primário foi incubado. Após, o anticorpo secundário foi acrescentado aos cortes, e o cromógeno DAB foi adicionado. As lâminas foram contracoradas com Hematoxilina de Harris e montadas. Na técnica citoquímica, foi aplicada a coloração de Azul de Toluidina para evidenciação dos mastócitos. As análises dos cortes foram feitas em microscópio de luz. Os controles positivos da pesquisa de α-SMA (cérvix ovina) e de mastócitos (cordão umbilical) foram marcados ou corados satisfatoriamente pelas respectivas técnicas. Nas cápsulas articulares, a proteína foi observada na parede de artérias e raros miofibroblastos foram observados em cada corte, assim como poucos mastócitos foram corados. Outros estudos sobre lesões de cápsula articular de ovinos devem ser conduzidos para confirmar a presença de miofibroblastos e o desenvolvimento da contratura articular.

Orientador: Frederico Andrade e Silva / Tese (doutorado) - Universidade Estadual de Campinas, Faculdade de Odontologia de Piracicaba / Made available in DSpace on 2018-08-08T12:40:24Z (GMT). No. of bitstreams: 1 Ramos_GuilhermedaGama_D.pdf: 1761630 bytes, checksum: 72bd7cf357aeaf44614f32847aebecdf (MD5) Previous issue date: 2007 / Resumo: Este estudo teve como objetivo comparar, por meio de radiografias transcranianas (técnica Accurad), duas técnicas descritas na literatura para a obtenção da relação centrica e posição das cabeças da mandibula nas fossas mandibulares. Uma delas, a manipulação bilateral descrita por DAWSON em 1974. A outra, um traçado gráfico dos movimentos mandibulares no plano horizontal, denominado por GYSI, em 1910, de arco gotico, obtido por meio de um dispositivo, chamado de registro intra-oral. Foi utilizada uma amostra composta de vinte voluntarios (10 homens e 10 mulheres). Os resultados foram submetidos a uma analise estatística pelo teste não paramétrico de Wilkocson com significância de 5%. O alto valor do coeficiente de variação mostrou que a técnica que utiliza a manipulação bilateral, apresentou maiores variações quando comparada à técnica que utiliza o registro intra-oral para a obtenção do arco gótico de Gysi. A técnica que utiliza o registro intra-oral do arco gótico de Gysi posicionou as cabeças da mandíbula aproximadamente 1,5mm para tres em relação a posição das cabeças da mandíbula, quando as mesmas estavam em oclusão centrica. A tecnica da manipulação não posicionou as cabeças da mandibula na região mais superior e anterior como o preconizado pela técnica / Abstract: The purpose of this study was a radiographs investigate variations in condilar positions using two different methods of determining centric relation; bilateral mandibular manipulation advocated by DAWSON since 1974 and the arch tracing for the mandible movements in horizontal plane. This arch was denominate arch gothic in 1910 by Gysi. The sample consisted of 20 adults, 10 females and 10 males. On the basis of the analysis of the Wilkocson test (sampling error of 5%), it can be concluded that high coefficient of variation showed the most variation of bilateral mandibular manipulation method when compareted with Gysi gothic arch method. Both techniques showed condyles positioned more posteriorly and inferiorly than the mandibular position of maximum intercuspation. The distance existent between centric oclusion and the vertex of the gothic arc was approximately 1,5 mm / Doutorado / Protese Dental / Doutor em Clínica Odontológica

The knee joint is a diarthrodial joint that rotates in the flexion-extension axis to provide individuals mobility. A limitation in the passive range of motion (ROM) is detrimental for function and this limitation is termed a joint contracture. A commonly shared characteristic between conditions that lead to contracture formation is prolonged periods of immobilization. However, the etiology of immobility-induced joint contractures is not well described and requires quantitative data on anatomical structures limiting knee mobility to design new interventions aimed at restoring function. In turn, our research group has developed an experimental animal model to study the temporal pathophysiology of knee immobilization and reversibility through unassisted remobilization. With durations of immobilization ranging from 1 to 32 weeks and remobilization up to 48 weeks, our experimental design provides a comprehensive temporal overview on the various stages of contracture formation: initiation, progression, and severity. A combination of muscles and articular structures are involved in the pathophysiology of knee flexion contractures, but the posterior joint capsule is of particular interest. Through histomorphological analysis, we provided quantitative data on the contribution of the reduced posterior capsule length in the limitation of knee extension and increased joint stiffness. Moreover, elucidation of synoviocyte profiles within the synovium of the capsule provided insights to potential mechanisms of capsule shortening. Our novel measurable outcome of mechanical joint stiffness revealed distinct temporal differences with ROM measurements after joint immobilization and remobilization, suggesting that alterations in the biomechanical properties of articular tissue structures are also contributing to the limitation in function. Malleability of the dynamic reciprocal relationship between trabecular bone loss and accumulation of marrow adipose tissue (predominately through adipocyte hyperplasia) after knee immobilization underscores the sensitivity of the bone marrow microenvironment in response to mechanical stimuli and lack thereof. Remobilization of the knee joint is limited in its capacity to reverse detriments induced by extended periods of joint immobilization. Findings from this work point to the temporal changes detected in different musculoskeletal tissues during knee immobilization and emphasizes the contribution of the joint capsule in limiting joint mobility.

INTRODUÇÃO: Pacientes com rigidez pós-traumática do cotovelo que falharam à fisioterapia convencional têm como possibilidades de tratamento protocolos de reabilitação associado ao uso de órtese ou à liberação cirúrgica do cotovelo. Na literatura não existem artigos comparativos entre essas duas formas de tratamento. O objetivo primário deste estudo foi comparar a amplitude de movimento de flexoextensão do cotovelo entre os pacientes submetidos ao tratamento cirúrgico ou à reabilitação. Os objetivos secundários foram comparar os resultados clínicos, de acordo com a escala \"Mayo Elbow Performance Score\", o questionário \"Disability of Arm, Shoulder and Hand\" e a escala visual analógica de dor, além de comparar o ganho absoluto e relativo da flexoextensão, a flexão e extensão máxima, a amplitude de pronossupinação e a taxa de complicações. MÉTODOS: Estudo clínico randomizado, com avaliador cego, de pacientes com rigidez póstraumática do cotovelo que apresentaram falha ao tratamento fisioterápico convencional. Os pacientes foram alocados aleatoriamente em dois grupos de tratamento: conservador e cirúrgico. O grupo conservador foi submetido ao protocolo de reabilitação envolvendo a equipe de terapia ocupacional, com exercícios e alongamentos associados ao uso de órteses estáticas seriadas de extensão, dinâmicas de flexão, além de sessões de movimentação contínua passiva. O grupo cirúrgico foi submetido à liberação cirúrgica por via posterior, seguido do mesmo protocolo de reabilitação do grupo conservador. As escalas clínicas foram aplicadas pré-operatoriamente, aos 3 e 6 meses de seguimento. A amplitude de movimento foi avaliada nos mesmos períodos e adicionalmente com 6 semanas. As complicações foram avaliadas até os 6 meses de tratamento. O desfecho primário do estudo foi a amplitude de movimento de flexoextensão aos 6 meses de seguimento. RESULTADOS: Trinta pacientes foram incluídos no estudo, sendo 15 em cada grupo. A amplitude de movimento de flexoextensão do cotovelo, ao final dos 6 meses de seguimento, foi de 108,4º para o grupo cirúrgico e de 88,1º para o grupo conservador (p=0,002). O ganho absoluto e relativo da flexoextensão do cotovelo aos 6 meses foram respectivamente de 17,2º e 26,8% para o grupo conservador e de 40,8º e 58,8% para o grupo cirúrgico (p < 0,001). A pontuação da escala visual analógica de dor, escala \"Mayo Elbow Performance Score\" e o questionário \"Disability of Arm, Shoulder and Hand\" foram respectivamente de 4,4, 70,6 e 35,3 para o grupo conservador e de 3,9, 77,3 e 27,6 para o grupo cirúrgico (p=0,486, p=0,342 e p=0,361). O grupo conservador apresentou uma complicação, enquanto o grupo cirúrgico quatro (p=0,598). CONCLUSÕES: A liberação cirúrgica do cotovelo associada ao protocolo de reabilitação resultou em uma maior amplitude de flexoextensão, além de um maior ganho absoluto e relativo quando comparada à reabilitação isolada após 6 meses. A extensão máxima obtida foi superior no grupo cirúrgico, sem diferença para a flexão máxima e amplitude de movimento de pronossupinação. Os grupos não diferiram nas escalas funcionais e na taxa de complicações / INTRODUCTION: Patients with post-traumatic elbow stiffness who have failed conventional physiotherapy have two options of treatment: rehabilitation protocols associated with the use of bracing or surgical elbow release. In the literature there are no comparative studies between those forms of treatment. The primary objective of this study was to compare the elbow flexion-extension range of motion between patients submitted to surgical treatment or rehabilitation. The secondary objectives were to compare the clinical outcomes according to the Mayo Elbow Performance Score, the Disability of Arm, Shoulder and Hand questionnaire and the visual analogue pain scale, in addition to comparing the absolute and relative gain of elbow flexion-extension, maximal flexion and extension, pronosupination range of motion and complications rate. METHODS: Randomized clinical trial with blind evaluator of patients with post-traumatic elbow stiffness who presented failure to conventional physiotherapeutic treatment. Patients were randomly assigned to two treatment groups: non surgical and surgical. The non surgical group was submitted to a rehabilitation protocol involving the occupational therapy team, with exercises and stretching associated with the use of serial extension static braces, dynamics braces and continuous passive movement sessions. The surgical group was submitted to surgical release, followed by the same protocol of rehabilitation of the non surgical group. The clinical scales were applied preoperatively, at 3 and 6 months of follow-up. The range of motion was assessed at the same periods and additionally at 6 weeks. Complications were assessed up to 6 months of treatment. The study primary outcome was the flexion-extension range of motion at 6 months of follow-up. RESULTS: Thirty patients were included in the study, 15 in each group. The elbow flexion-extension range of motion at 6 months of follow-up was 108.4º for the surgical group and 88.1º for the non surgical group (p=0.002). The absolute and relative gain of elbow flexion-extension at 6 months were 17.2º and 26.8% for the non surgical group and 40.8º and 58.8% for the surgical group (p < 0.001). The visual analogue pain scale, the Mayo Elbow Performance Score and the Disability of Arm, Shoulder and Hand questionnaire were respectively 4.4, 70.6 and 35.3 for the non surgical group and 3.9, 77.3 and 27.6 for the surgical group (p=0.486, p=0.342 and p=0.361). The non surgical group presented one complication, while the surgical group had four (p=0.598). CONCLUSIONS: The elbow surgical release associated with the rehabilitation protocol resulted in a greater flexion-extension range of motion and greater absolute and relative gain when compared to the isolated rehabilitation after 6 months. The maximal extension obtained was superior in the surgical group, with no difference for maximal flexion and pronosupination range of motion. The groups did not differ on functional scales and complication rates