THE CONTENTS OF MACROMOLECULE SOLUTES IN FLEXOR TENDON SHEATH FLUID AND THEIR RELATION TO SYNOVIAL-FLUID - A QUANTITATIVE-ANALYSIS

被引:35
作者
HAGBERG, L
HEINEGARD, D
OHLSSON, K
机构
[1] Department of Hand Surgery, Malmö Allmänna Sjukhus Malmö, The Department of Physiological Chemistry 2 Lund, The Department of Surgical Pathophysiology, Malmö Allmänna Sjukhus, Malmö, University of Lund
关键词
D O I
10.1016/0266-7681(92)90081-C
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
The importance of synovial environment for minimal adhesion formation in flexor tendon healing has recently gained attention. Various techniques have been used to restore an injured synovial tendon sheath. Therefore a quantitative analysis of flexor tendon sheath fluid is of interest to increase our knowledge about the specific synovial milieu and to evaluate the success of different types of sheath reconstructions from a biochemical point of view. Samples of tendon sheath fluid from trigger digits and tendon sheaths containing ganglions have been assayed for contents of hyaluronic acid and proteins of different molecular weights. The results show concentrations of hyaluronate and several proteins similar to those in normal joint fluid. These results indicate that flexor tendon sheath fluid has a character similar to synovial fluid of joints and apparently has specific functions such as soft tissue lubrication and nutrition of avascular tendon tissue.
引用
收藏
页码:167 / 171
页数:5
相关论文
共 33 条
[1]  
Bentley J.P., Dunphy J.E., Van Winkle W., Mucopolysaccharide synthesis in healing wounds, Repair and Regeneration. The Scientific Basis for Surgical Practice. A centennial symposium, pp. 151-160, (1968)
[2]  
Cohen M.J., Kaplan L., Histology and ultrastructure of the human flexor tendon sheath, Journal of Hand Surgery, 12A, 1, pp. 25-29, (1987)
[3]  
Comper W.D., Laurent T.C., Physiological function of connective tissue polysaccharides, Physiological Reviews, 58, 1, pp. 255-315, (1978)
[4]  
Doyle J.R., Anatomy of the finger tendon sheath and pulley system, Journal of Hand Surgery, 13A, 4, pp. 473-484, (1988)
[5]  
Eiken O., Lundborg G., Rank F., The role of the digital synovial sheath in tendon grafting. An experimental and clinical study on autologous tendon grafting in the digit, Scandinavian Journal of Plastic and Reconstructive Surgery, 9, pp. 182-189, (1975)
[6]  
Eiken O., Hagberg L., Lundborg G., Evolving biologic concepts as applied to tendon surgery, Clinics in Plastic Surgery, 8, 1, pp. 1-12, (1981)
[7]  
Ekerot L., SjoBlom K.G., Ohlsson K., Wollheim F.A., Protease inhibitors in rheumatoid synovial fluid: a quantitative analysis, Clinical and Experimental Rheumatology, 1, pp. 225-231, (1983)
[8]  
Fryksmark U., Ohlsson K., Rosengren M., Tegner H., A radioimmunoassay for measurement and characterization of human antileukoprotease in serum, Hoppe-Seyler's Zeitschrift für Physiologische Chemie, 362, pp. 1273-1277, (1981)
[9]  
Geigy Scientific Tables. Lentner, C. (Ed). CIBA-GEIGY, (1982)
[10]  
HeinegaRd D., Axelsson I., Distribution of keratan sulfate in cartilage proteoglycans, Journal of Biological Chemistry, 252, 6, pp. 1971-1979, (1977)