Document Detail


Indentation diagnostics of cartilage degeneration.
MedLine Citation:
PMID:  18222712     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: Mechanical indentation and ultrasound (US) indentation instruments have been introduced for quantitative assessment of cartilage properties in vivo. In this study, we compared capabilities of these instruments to determine properties of healthy and spontaneously degenerated human patellar cartilage in situ and to diagnose the early stages of osteoarthritis (OA). DESIGN: Six anatomical sites were localized from human patellae (N=14). By determining the force by which the tissue resists constant deformation (F(IND)), a mechanical indentation instrument was used to measure the compressive dynamic stiffness of cartilage. Further, the dynamic modulus (E(US)) and the US reflection coefficient of cartilage surface (R(US)) were measured with an US indentation instrument. For reference, Young's modulus and dynamic modulus were determined from cartilage disks using unconfined compression geometry. Proteoglycan and collagen contents of samples were analyzed microscopically. The samples were divided into three categories (healthy, early degeneration, and advanced degeneration) based on the Osteoarthritis Research Society International (OARSI) OA-grading. RESULTS: Parameters R(US), E(US) and F(IND) were significantly associated with the histological, compositional and mechanical properties of cartilage (|r|=0.28-0.72, n=73-75, P<0.05). Particularly, R(US) was able to discern degeneration of the samples with high sensitivity (0.77) and specificity (0.98). All parameters, except R(US,) showed statistically significant site-dependent variation in healthy cartilage. CONCLUSIONS: US reflection measurement shows potential for diagnostics of early OA as no site-matched reference values are needed. In addition, the high linear correlations between indentation and reference measurements suggest that these arthroscopic indentation instruments can be used for quantitative evaluation of cartilage mechanical properties, e.g., after cartilage repair surgery.
Authors:
P Kiviranta; E Lammentausta; J Töyräs; I Kiviranta; J S Jurvelin
Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't     Date:  2008-01-28
Journal Detail:
Title:  Osteoarthritis and cartilage / OARS, Osteoarthritis Research Society     Volume:  16     ISSN:  1063-4584     ISO Abbreviation:  Osteoarthr. Cartil.     Publication Date:  2008 Jul 
Date Detail:
Created Date:  2008-06-23     Completed Date:  2008-12-05     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9305697     Medline TA:  Osteoarthritis Cartilage     Country:  England    
Other Details:
Languages:  eng     Pagination:  796-804     Citation Subset:  IM    
Affiliation:
Department of Physics, University of Kuopio, Kuopio, Finland. panu.kiviranta@uku.fi
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Arthroscopy
Cartilage, Articular / chemistry,  physiopathology,  ultrasonography*
Collagen / analysis
Disease Progression
Female
Humans
Male
Middle Aged
Osteoarthritis, Knee / metabolism,  physiopathology,  ultrasonography*
Patella / chemistry,  physiopathology,  ultrasonography*
Proteoglycans / analysis
Stress, Mechanical
Chemical
Reg. No./Substance:
0/Proteoglycans; 9007-34-5/Collagen

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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