Progression of microstructural deterioration in load-bearing immobilization osteopenia.

<h4>Purpose</h4>Immobilization osteopenia is a major healthcare problem in clinical and social medicine. However, the mechanisms underlying this bone pathology caused by immobilization under load-bearing conditions are not yet fully understood. This study aimed to evaluate sequential cha...

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Main Authors: Hironobu Koseki, Makoto Osaki, Yuichiro Honda, Shinya Sunagawa, Chieko Imai, Takayuki Shida, Umi Matsumura, Junya Sakamoto, Iku Tomonaga, Seiichi Yokoo, Satoshi Mizukami, Minoru Okita
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2022-01-01
Series:PLoS ONE
Online Access:https://doi.org/10.1371/journal.pone.0275439
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author Hironobu Koseki
Makoto Osaki
Yuichiro Honda
Shinya Sunagawa
Chieko Imai
Takayuki Shida
Umi Matsumura
Junya Sakamoto
Iku Tomonaga
Seiichi Yokoo
Satoshi Mizukami
Minoru Okita
author_facet Hironobu Koseki
Makoto Osaki
Yuichiro Honda
Shinya Sunagawa
Chieko Imai
Takayuki Shida
Umi Matsumura
Junya Sakamoto
Iku Tomonaga
Seiichi Yokoo
Satoshi Mizukami
Minoru Okita
author_sort Hironobu Koseki
collection DOAJ
description <h4>Purpose</h4>Immobilization osteopenia is a major healthcare problem in clinical and social medicine. However, the mechanisms underlying this bone pathology caused by immobilization under load-bearing conditions are not yet fully understood. This study aimed to evaluate sequential changes to the three-dimensional microstructure of bone in load-bearing immobilization osteopenia using a fixed-limb rat model.<h4>Materials and method</h4>Eight-week-old specific-pathogen-free male Wistar rats were divided into an immobilized group and a control group (n = 60 each). Hind limbs in the immobilized group were fixed using orthopedic casts with fixation periods of 1, 2, 4, 8, and 12 weeks. Feeding and weight-bearing were freely permitted. Length of the right femur was measured after each fixation period and bone microstructure was analyzed by micro-computed tomography. The architectural parameters of cortical and cancellous bone were analyzed statistically.<h4>Results</h4>Femoral length was significantly shorter in the immobilized group than in the control group after 2 weeks. Total area and marrow area were significantly lower in the immobilized group than in the control group from 1 to 12 weeks. Cortical bone area, cortical thickness, and polar moment of inertia decreased significantly after 2 weeks. Some cancellous bone parameters showed osteoporotic changes at 2 weeks after immobilization and the gap with the control group widened as the fixation period extended (P &lt; 0.05).<h4>Conclusion</h4>The present results indicate that load-bearing immobilization triggers early deterioration of microstructure in both cortical and cancellous bone after 2 weeks.
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spelling doaj.art-483653e4982b4e62a502c180b410d39c2023-03-30T05:31:31ZengPublic Library of Science (PLoS)PLoS ONE1932-62032022-01-011711e027543910.1371/journal.pone.0275439Progression of microstructural deterioration in load-bearing immobilization osteopenia.Hironobu KosekiMakoto OsakiYuichiro HondaShinya SunagawaChieko ImaiTakayuki ShidaUmi MatsumuraJunya SakamotoIku TomonagaSeiichi YokooSatoshi MizukamiMinoru Okita<h4>Purpose</h4>Immobilization osteopenia is a major healthcare problem in clinical and social medicine. However, the mechanisms underlying this bone pathology caused by immobilization under load-bearing conditions are not yet fully understood. This study aimed to evaluate sequential changes to the three-dimensional microstructure of bone in load-bearing immobilization osteopenia using a fixed-limb rat model.<h4>Materials and method</h4>Eight-week-old specific-pathogen-free male Wistar rats were divided into an immobilized group and a control group (n = 60 each). Hind limbs in the immobilized group were fixed using orthopedic casts with fixation periods of 1, 2, 4, 8, and 12 weeks. Feeding and weight-bearing were freely permitted. Length of the right femur was measured after each fixation period and bone microstructure was analyzed by micro-computed tomography. The architectural parameters of cortical and cancellous bone were analyzed statistically.<h4>Results</h4>Femoral length was significantly shorter in the immobilized group than in the control group after 2 weeks. Total area and marrow area were significantly lower in the immobilized group than in the control group from 1 to 12 weeks. Cortical bone area, cortical thickness, and polar moment of inertia decreased significantly after 2 weeks. Some cancellous bone parameters showed osteoporotic changes at 2 weeks after immobilization and the gap with the control group widened as the fixation period extended (P &lt; 0.05).<h4>Conclusion</h4>The present results indicate that load-bearing immobilization triggers early deterioration of microstructure in both cortical and cancellous bone after 2 weeks.https://doi.org/10.1371/journal.pone.0275439
spellingShingle Hironobu Koseki
Makoto Osaki
Yuichiro Honda
Shinya Sunagawa
Chieko Imai
Takayuki Shida
Umi Matsumura
Junya Sakamoto
Iku Tomonaga
Seiichi Yokoo
Satoshi Mizukami
Minoru Okita
Progression of microstructural deterioration in load-bearing immobilization osteopenia.
PLoS ONE
title Progression of microstructural deterioration in load-bearing immobilization osteopenia.
title_full Progression of microstructural deterioration in load-bearing immobilization osteopenia.
title_fullStr Progression of microstructural deterioration in load-bearing immobilization osteopenia.
title_full_unstemmed Progression of microstructural deterioration in load-bearing immobilization osteopenia.
title_short Progression of microstructural deterioration in load-bearing immobilization osteopenia.
title_sort progression of microstructural deterioration in load bearing immobilization osteopenia
url https://doi.org/10.1371/journal.pone.0275439
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