Structure of the Peritenons of the Paravertebral Tendons Treated with Hyaluronic Acid

A. A. Gaidash, V. K. Krut’ko, A. I. Kulak, O. N. Musskaya, K. V. Skrotskaya, Yu. P. Tokalchik, V. A. Kulchitsky
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Abstract

The tendon sheaths (peritenons) of the paravertebral tendons of the tails of Wistar rats were studied using scanning electron microscopy. A phenomenological classification of the osteoid structures of the peritenons is given, with the identification of their persistent and permanent varieties. Sesamoid islets, needle-like and lamellar growths, and rudiments of osteons are classified as persistent. Persistent osteoid structures are well prepared for transformations aimed at strengthening the intracellular matrix under mechanical stress. Permanent osteoid structures are microgranules and faceted deposits of calcium phosphates involved in structural and mechanical processes and hetero- and homogeneous nucleation. Hyaluronate loosens the matrix of sesamoid islets, which increases the mobility of sesamoid globules and creates the prerequisites for their directed migration to areas of increased mechanical stress and foci of possible mineralization of extracellular substance, including fibrillar collagen. Hyaluronate sticks together granules and deposits of structured calcium phosphates and contributes to their growth and fixation in areas of increased risk of mechanical stress. This is a fundamentally important adaptive mechanism for strengthening the tendon tissue, acting in advance.

Abstract Image

透明质酸治疗椎旁肌腱的腹膜结构
摘要采用扫描电镜对Wistar大鼠尾椎旁肌腱鞘进行了研究。给出了腹膜类骨结构的现象学分类,并确定了其持久和永久的品种。籽状胰岛、针状和板状生长以及骨的雏形被归类为持久生长。持久的类骨结构为在机械应力下加强细胞内基质的转化做好了充分的准备。永久性类骨结构是磷酸钙的微颗粒和多面沉积,涉及结构和机械过程以及异质和均质成核。透明质酸使籽状胰岛的基质松弛,这增加了籽状小球的流动性,并为它们定向迁移到机械应力增加的区域和细胞外物质(包括纤维胶原蛋白)可能矿化的焦点创造了先决条件。透明质酸将颗粒和结构磷酸钙沉积物粘在一起,并有助于它们在机械应力风险增加的区域生长和固定。这是一种重要的适应性机制,可以提前加强肌腱组织。
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