

Anatomy and clinical significance of the tissues separating the deep infrapatellar bursa and knee joint cavity
YONG Liu-Jun, ZHONG He-Qing, DU Xin-Yu, LUO Ying, TUN Shao-Beng
Chinese Journal of Clinical Anatomy ›› 2011, Vol. 29 ›› Issue (4) : 389-391.
Anatomy and clinical significance of the tissues separating the deep infrapatellar bursa and knee joint cavity
Objective To investigate structural features of the soft tissues separating the deep infrapatellar bursa and knee joint cavity, and provide anatomic basis for imaging diagnosis of knee joint diseases. Methods 20 specimens of antiseptic knee joint were dissected. Synovial membrane of knee joint cavity and deep infrapatellar bursa, and the related connective tissue were observed and analyzed. Meanwhile, 20 knee cast samples were used to explore the origin, branches, and distribution of the blood vessels in knee joint cavity and deep infrapatellar bursa. Results Synovial tissues covered the internal surface of knee joint cavity and deep infrapatellar bursa, however, synovial membrane of deep infrapatellar bursa was separated from that of knee joint cavity by infrapatellar adipose tissue. Different arteries, including descending genicular artery, inferior-internal arteries of knee, superior-external artery of knee, inferior-external arteries of knee and its branches passed through knee joint cavity and deep infrapatellar bursa. Conclusions The synovial tissue of knee joint cavity is divided from that of deep infrapatellar bursa, however, arterial connection occurs between them. Different pathological and imaging changes maybe appear in knee joint cavity and deep infrapatellar bursa for different kinds of diseases.
Deep infrapatellar bursa / Knee joint cavity / Tissue structure / Clinical significanc
[1] 雍刘军, 罗天友, 吴少平. 膝关节腔及周围滑膜囊积液的MRI定量测定
[J].中国组织工程研究与临床康复, 2009, 13(39): 7796-7800.
[2] O’connell JX. Pathology of the synovium
[J].Am J Clin Pathol, 2000, 114(5):773-784.
[3] Iwanaga T, Shikichi M, Kitamura H, et al. Morphology and functional roles of synoviocytes in the joint
[J]. Arch Histol Cytol, 2000,63(1):17-31.
[4] 窦肇华, 张远强, 郭顺根. 免疫细胞学与疾病
[M].北京:中国医药科技出版社, 2004:455.
[5] 黄世峰, 肖长虹, 顾为望, 等.人类风湿性关节炎B型滑膜细胞的分离、培养和纯化
[J].广东医学, 2007, 28(2):197-199.
[6] Magilavy DB. Animal models of chronic inflammatory arthritis
[J].Clin Orthop,1990,259(10):38-45.
[7] Edwards JC. The nature and origins of synovium:experimental approaches to the study of synoviocytes differentiation
[J].J Anat, 1994,184(Pt3):493-501.
[8] Barland P, Novikoff AB, Hamerman D. Electron microscopy of the human synovial membrane
[J].J Cell Biol,1962,14(3): 207-216.
[9] 蒋建平, 朱志刚, 易朝辉, 等. 人关节滑膜A型和B型细胞的纯化分离和体外培养
[J].解放军医学杂志,2001, 26(5):387-388.
[10]李健, 柯金, 龙星. 滑膜B型细胞体外培养和纯化分离的研究进展
[J].国外医学口腔医学分册,2004,3l(4):177-179.
[11] 潘险峰, 张正治, 苟俊, 等. 皮下滑膜囊动物模型的建立及其生物学特性实验研究
[J].第三军医大学学报, 2004, 26(13):1187-1190.
[12] 李文春,李振强, 陈尔瑜. 膝关节滑膜囊的应用解剖
[J].中国临床解剖学杂志, 1994, 12(3):189-191.
[13] 王哲彦, 王文雅, 张柳. 骨性关节炎的发病机制及其与Wnt/β-catenin信号通路的关系
[J].中国矫形外科杂志, 2009, 17(23): 1800-1803.
[14] 明玉德. 膝骨性关节炎临床治疗进展
[J].中国临床进展, 2010,12(12):237.
[15]雷新玮, 展影, 周海昱, 等. 膝关节类风湿性关节炎与退行性骨关节炎的MRI诊断与鉴别
[J].中国CT和MRI杂志, 2007, 5(4):45-47.
[16]胡萍, 张天艳, 周星, 等. 膝关节类风湿性关节炎的三维超声诊断
[J].上海医学影像,2004,13(4):285-286.
/
〈 |
|
〉 |