“…If low PI,O2 values occur in the deeper parts of the joint under physiological conditions, this could have important consequences if the joint sustains injury or becomes diseased. In a rabbit in vitro articular cartilage model it was found that low PO2 was detrimental to cartilage glycosaminoglyean metabolism resulting in inhibition both of cellular proliferation and synthesis of extracellular ground substance (Brighton, Lane & Koh, 1974;Lane, Brighton & Menkowitz, 1977). If joint injury or disease caused still further reduction in P, 02' this could contribute to, or perhaps initiate, processes such as cartilage destruction, angiogenesis and fibroblast proliferation which are known to occur in conditions such as rheumatoid arthritis.…”