We present a comprehensive histologic study of neu rologic structures in 18 static and dynamic knee struc tures of 8 cadaveric knees. Qualitative and quantitative measurements of the incidence of free nerve endings in the structures were recorded. The highest amounts of afferent nerve fibers type IVa were found in the retinacula, the patellar ligament, the pes anserinus, and in the ligaments of Wrisberg and Humphry; the lowest amount was found in the anterior cruciate ligament. There is a positive correlation between the number of mechanoreceptors per standardized area unit and the clinical presentation of certain knee disorders.
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References
1.
Andrade de JR , Grant C., Dixon Astj: Jont distension and reflex muscle inhibition in the knee J Bone Joint Surg47A: 313-322, 1965
2.
Barrack RL, Skinner HB, Buckley SL Proprioception in the anterior cruciate deficient knee Am J Sports Med171-6, 1989
3.
Boyd IA The histological structure of the receptors in the knee-joint of the cat correlated with their physiological response. J Physiol124: 476-488, 1954
4.
Boyd IA, Roberts TDM Proprioceptive discharges from stretch-receptors in the knee-joint of the cat J Physiol122: 38-58, 1953
5.
Butler DL, Noyes FR, Grood ES Ligamentous restraints to anterior-posterior drawer in the human knee J Bone Joint Surg62A259-270, 1980
6.
Cerulli G. Mechanoreceptors in the menisci, in Proceedings of the Third European Congress of Knee Surgery and Arthroscopy Amsterdam, Netherlands, 1988
7.
Cerulli G. Study on the mechanoreceptors of some anatomical structures of the human knee , in Proceedings of the Second European Congress of Knee Surgery and Arthroscopy Basle, Switzerland, 1986
8.
Felix D., Coward DM, Felder M. Schmerzen bei Vertebralsyndromen Sandorama I 5, 1990
9.
Freeman Mar, Wyke B. The innervation of the knee joint An anatomical and histological study in the cat. J Anat101505-532, 1967
10.
Gardner E. The innervation of the knee joint Anat Rec101: 109-130, 1948
11.
Gardner E. The distribution and termination of nerves in the knee joint of the cat J Comp Neurol8011-32, 1944
12.
Gruber J., Wolter D., Lierse W.: Der vordere Kreuzbandreflex (LCA-Reflex) Unfallchirurg89. 551-554, 1986
13.
Haus J., Refior HJ Zur Anatomie und Histologiedes vorderen Kreuzbandes Orthop Praxis5296-298, 1988
14.
Kennedy JC, Alexander IJ, Hayes KC Nerve supply of the human knee and its functional importance Am J Sports Med10. 329-335, 1982
15.
Kennedy JC, Weinberg HW, Wilson AS The anatomy and function of the anterior cruciate ligament J Bone Joint Surg56A. 223-235, 1974
16.
Pope MH, Johnson RJ, Brown DW, et al The role of the musculature in injuries to the medial collateral ligament J Bone Joint Surg61A398-402, 1979
17.
Rovere GD, Adair DM Anterior cruciate-deficient knees A review of the literature Am J Sports Med11. 412-419, 1983
18.
Schimek JJ Neurologie und Neurophysiologie der Gelenke und deren Bedeutung fur die Funktion des Bewegungsapparates Dtsch Z Sportmed8237-243, 1985
19.
Schultz RA, Miller DC, Kerr CS, et al Mechanoreceptors in human cruciate ligaments A histological study J Bone Joint Surg66A. 1072-1076, 1984
20.
Skoglund S. Anatomical and physiological studies of knee joint innervation in the cat Acta Physiol Scand36 Suppl 124, 1956
21.
Solomonow M. , Baratta R., Zhou BH, et al The synergistic action of the anterior cruciate ligament and thigh muscles in maintaining joint stability Am J Sports Med15207-213, 1987
