Study of the Nerve Endings and Mechanoreceptors of the Anterolateral Ligament of the Knee

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art_LIMA_Study_of_the_Nerve_Endings_and_Mechanoreceptors_of_2019.PDF (2.64 MB)
Citações na Scopus
15
Tipo de produção
article
Data de publicação
2019
DOI
Scopus
Web of Science
PubMed
Título da Revista
ISSN da Revista
Título do Volume
Editora
W B SAUNDERS CO-ELSEVIER INC
Autores
LIMA, Diego Ariel de
LIMA, Lana Lacerda de
LEITE, Jose Alberto Dias
CAVALCANTE, Maria Luzete Costa
Citação
ARTHROSCOPY-THE JOURNAL OF ARTHROSCOPIC AND RELATED SURGERY, v.35, n.10, p.2918-2927, 2019
Projetos de Pesquisa
Unidades Organizacionais
Fascículo
Resumo
Purpose: To describe the morphology and distribution of the anterolateral ligament of the knee (ALL) nerve endings, aiming to understand the interaction between the proprioceptive system and knee mechanics. Methods: Twenty ALLs were obtained from fresh frozen cadavers. The ligaments were measured, weighed, and cut. Sections (10 mu m) were prepared in hematoxylin and eosin-stained slides to analyze tissue integrity, and 50-mu m sections were subjected to immunofluorescence with the protein gene product 9.5 as primary antibody and Alexa Fluor 488 as secondary antibody, followed by microscopic analysis. Results: The ALL was identified in 100% of the dissections, exhibiting a mean (+/- standard deviation) length of 4.0 +/- 0.4 cm, a mean width of 5.5 +/- 0.8 mm, and a mean weight of 0.9 +/- 0.2 g. The histological sections in hematoxylin and eosin showed dense, well-organized collagen and the presence of vascular tissue. All the specimens analyzed contained type I (Ruffin-like) mechanoreceptors and free nerve endings (type IV), varying from parallel to intertwined fibers. Unclassified nerve endings with different irregular shapes were also found. The neural elements occupied 0.6% +/- 0.3% of the ligament area, and most were observed near the origin of ALL insertions. Conclusion: The ALL exhibits a peripheral nerve structure, primarily type I and IV mechanoreceptors. These findings suggest that the ALL is important for the proprioception and anterolateral stabilization of the knee.
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URI
https://observatorio.fm.usp.br/handle/OPI/34203
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Coleções
Artigos e Materiais de Revistas Científicas - HC/IOT
Artigos e Materiais de Revistas Científicas - LIM/41