2008
DOI: 10.1002/art.24069
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Increased hydraulic conductance of human articular cartilage and subchondral bone plate with progression of osteoarthritis

Abstract: Objective. Osteoarthritis (OA) is characterized by progressive degeneration of articular cartilage and remodeling of the subchondral bone plate, comprising calcified cartilage and underlying subchondral bone. Calcified cartilage remodeling due to upward invasion by vascular canals or to calcified cartilage erosion may contribute to biomechanical alteration of the osteochondral tissue and its subchondral bone plate component. The study hypothesis was that hydraulic conductance of osteochondral tissue and subcho… Show more

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Cited by 110 publications
(101 citation statements)
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References 39 publications
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“…This phenomenon has also been observed in other animal models of OA [17,28]. The reduction in the thickness of the calcified cartilage layer could be attributable to a systematic process of demineralization in the activated joint [31], vascular invasion of the subchondral bone [18], or both phenomena. Changes in the mineral content and thickness of the calcified cartilage layer conceivably play a more prominent role in the pathogenesis of OA than has been hitherto supposed [6,30].…”
Section: Discussionsupporting
confidence: 63%
See 1 more Smart Citation
“…This phenomenon has also been observed in other animal models of OA [17,28]. The reduction in the thickness of the calcified cartilage layer could be attributable to a systematic process of demineralization in the activated joint [31], vascular invasion of the subchondral bone [18], or both phenomena. Changes in the mineral content and thickness of the calcified cartilage layer conceivably play a more prominent role in the pathogenesis of OA than has been hitherto supposed [6,30].…”
Section: Discussionsupporting
confidence: 63%
“…The increased stress thereby imposed on the other components of the joint complex usually triggers a process of tissue remodeling, which, by altering the loading dynamics of the joint, exacerbates rather than alleviates the disease symptoms [18,21]. Furthermore, the pain and restricted ROM associated with OA necessitate changes in the pattern of loading by the affected individual, which further complicate the development of the disease.…”
Section: Introductionmentioning
confidence: 99%
“…Indeed, the ability of cartilage to support load through interstitial fluid pressurization is dependent on its low hydraulic permeability, which is nothing else that the ease of fluid flow through a material. For articular cartilage it is governed by the extracellular matrix and increases in the middle and deep zone with osteoarthritis (Hwang et al, 2008;Setton et al, 1994). Therefore, low heat transfer is expected via fluid-movement for normal healthy cartilage, while it may increase with tissue degeneration, sustaining our hypothesis that temperature increases in healthy cartilage but not in degenerated one.…”
Section: Discussionmentioning
confidence: 54%
“…However, only little fluid exudation occurs in the middle and deep layers of articular cartilage (Hwang et al, 2008;Maroudas and Bullough, 1968;Stockwell and Barnett, 1964). Indeed, the ability of cartilage to support load through interstitial fluid pressurization is dependent on its low hydraulic permeability, which is nothing else that the ease of fluid flow through a material.…”
Section: Discussionmentioning
confidence: 99%
“…CC was removed by using surgical methods ( 9,25,26 ). In addition, both UCC and CC are lost in osteoarthritis in regions of eburnation ( 6 ).…”
Section: Ute Mr Imagingmentioning
confidence: 99%