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  • 1
    Electronic Resource
    Electronic Resource
    Springer
    Archives of orthopaedic and trauma surgery 105 (1986), S. 163-169 
    ISSN: 1434-3916
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Description / Table of Contents: Zusammenfassung Es wurden an 112 Fällen von Kniegelenkserkrankungen histochemische Muskeluntersuchungen durchgeführt, um festzustellen, ob eine unterschiedliche Anfälligkeit der Muskelfasern des M. vastus lateralis (VL) besteht. Darunter waren 51 Patienten mit Verletzungen des vorderen Kreuzbandes (ACL). Neunundzwanzig Patienten hatten ACL-Verletzungen kombiniert mit Meniscusverlet zung (ACL+ M). Fünfundzwanzig Patienten hatten Meniscusverletzungen und 7 Patienten Verletzungen der Seitenbänder (CL). Zweiundfünfzig Personen waren Sportler, 66 waren Nichtsportler. Bei jeder Biopsie wurde die Verteilung der Fasertypen festgestellt und der Grad der Atrophie jedes Fasertyps anhand von 2 Parametern geschätzt, nämlich dem mittleren Durchmesser und der Prozentzahl der atrophierten Fasern. Das Vorkommen von Typ-1-Fasern zeigte eine große Variationsbreite von 13.5% bis 66.5%, im Durchschnitt 38.0% ± 12.0%. Die beiden Parameter ließen eine verschiedene Anfälligkeit für Atrophie bei Typ-1- und Typ-2-Fasern erkennen. Eine Atrophic der Typ-1-Fasern wurde nur bei Verletzungen der ACL und ACL+ M gefunden. Die Typ-2-Fasern waren bei alien vier Erkrankungen atrophiert. Die Atrophic der Typ-2-Fasern laßt sich als eine unspezifische Veränderung auf Grund der Inaktivität des M. vastus lateralis deuten, während die Typ-1-Faseratrophie eine spezifische Reaktion auf die ACL-Insuffizienz darstellen könnte.
    Notes: Summary In order to determine whether there is a different susceptibility of muscle fiber types in the m. vastus lateralis (VL) in knee-joint disorders, histochemical studies were performed on 112 cases. Anterior cruciate ligament (ACL) injuries affected 51 patients; ACL injuries associated with meniscus (ACL+M) injuries affected 29. Twenty-five patients had sustained meniscus injuries and seven had injuries of the collateral ligaments (CL). Fifty-two were athletic and 60 were not. On each biopsy, fiber-type distribution was obtained and the degree of atrophy of each fiber type was estimated from two parameters, the mean diameter and the percentage of atrophied fibers. The “distribution of type-1 fibers averaged 38.0% ± 12.0%. There were no significant differences among disorders in the distribution of type-1 fibers. Both parameters of fiber atrophy revealed a difference in susceptibility between type-1 and type-2 fibers. Atrophy of type-1 fibers was found only in ACL and ACL+M injuries. Type-2 fibers were atrophied in all four disorders. Atrophy of type-2 fibers could be a nonspecific change due to the inactivity of the VL, but type-1 fiber atrophy may relate specifically to the condition of ACL insufficiency.
    Type of Medium: Electronic Resource
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  • 2
    ISSN: 1432-119X
    Source: Springer Online Journal Archives 1860-2000
    Topics: Biology , Medicine
    Notes: Summary Types 1 and 2C fibers in human skeletal muscle were cross-reactively identified with monoclonal anti-bovine neurofilament (200 kd) antibody. Thirty seven biopsy samples including sixteen vastus lateralis muscles, twelve lumbar paravertebral muscles, six gluteus medius muscles, two flexor carpi ulnaris muscles, and one flexor pollicis longus muscle, were examined. Serial transverse sections were stained histochemically with myofibrillar ATPase (pH 10.4, 4.6, 4.3) and DPNH-tetrazolium reductase reactions, and immunochemically using the avidin-biotin-peroxidase complex with the primary antibodies of monoclonal anti-bovine neurofilament (200 kd, 160 kd, 70 kd) antibodies and anti-bovine glial filament acidic protein antibody. The immunochemical reaction with anti-NF (200 kd) antibody could distinguish two kinds of fibers; positive and negative in all of the specimens. No fiber was recognized with other antibodies. Myosin ATPase reactions in serial sections proved that the positively stained fibers with anti-NF (200 kd) antibody were types 1 and 2C fibers and negative fibers types 2A and 2B fibers. At present, it is not known what substance is responsible for the cross-reaction with the monoclonal anti-NF (200 kd) antibody in types 1 and 2C fibers, but this unique antibody would be valuable in two aspects: one concerns the problem of the evolution of fiber types, and the other the utility as another supplemental method to conventional myosin ATPase scheme.
    Type of Medium: Electronic Resource
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  • 3
    ISSN: 1432-5195
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Description / Table of Contents: Résumé.  Trente quatre athlètes (34 épaules) avec une instabilité gléno-humerale antérieure récidivante ont été traités selon une procédure Bankard modifiée avec incision capsulaire en forme de T de la capsule antérieure. Cette procédure consiste à déplacer le lambeau inférieur de manière médiale et/ou vers le haut et de le fixer en place au point de la lésion de Bankart à l’aide d’une petite vis spongieuse et d’une rondelle à crampon. Le lambeau supérieur est ensuite déplacé vers le bas et suturé sur le lambeau inférieur. Vingt cinq athlètes (de 22 ans d’âge moyen) ont été suivis sur une période moyenne de 65 mois. Les résultats cliniques classés conformément à Rowe (1981) sont les suivants: 22 (88%) excellents, 3 (12%) bons et aucun passable et faible. La mobilité moyenne post-opératoire était de 92° en rotation externe et de 90° en abduction. L’élévation et la rotation interne étaient symétriques au côté controlatéral dans tous les cas. Vingt quatre patients ont repris leurs activités sportives et vingt deux d’entre eux ont retrouvé leur niveau préalable. Cette procédure de Bankart modifiée s’avére un traitement efficace pour les athletes présentant une instabilité gléno-humérale antérieure récidivante puisqu’elle leur permet de re-prendre leurs activités sportives.
    Notes: Summary.  Thirty-four athletes (34 shoulders) with recurrent anterior glenohumeral instability were treated with a modified Bankart procedure, using a T-shaped capsular incision in the anterior capsule. The inferior flap was advanced medially and/or superiorly and rigidly fixed at the point of the Bankart lesion by a small cancellous screw and a spike-washer. The superior flap was advanced inferioraly and sutured over the inferior flap. Twenty-five athletes (median age: 22) were evaluated over a mean period of follow-up of 65 months. The clinical results were graded, according to Rowe, as 22 (88%) excellent, 3 (12%) good, and none as fair or poor. The mean post-operative range of movement was 92° of external rotation in 90° of abduction. Elevation and internal rotation was symmetrical with the opposite side. Twenty-four patients returned to active sport, 22 at their previous level. This modified Bankart procedure is an effective treatment for athletes with recurrent anterior glenohumeral instability.
    Type of Medium: Electronic Resource
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