Mechanoreceptor profile of the lateral collateral ligament complex in the human elbow

Background: Active restraint for the elbow joint is provided by the soft tissue component, which consists of a musculoligamentous complex. A lesion of the lateral collateral ligament complex (LCLC) is thought to be the primary cause of posterolateral rotatory instability in the elbow. Its role as a...

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Main Authors: Erica Kholinne, Hyun-Joo Lee, Yu-Mi Lee, Suk-Joong Lee, Maria F. Deslivia, Ga-Yeong Kim, SungJoon Lim, In-Ho Jeon
Format: Article
Language:English
Published: Elsevier 2018-10-01
Series:Asia-Pacific Journal of Sports Medicine, Arthroscopy, Rehabilitation and Technology
Online Access:http://www.sciencedirect.com/science/article/pii/S2214687317303527
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author Erica Kholinne
Hyun-Joo Lee
Yu-Mi Lee
Suk-Joong Lee
Maria F. Deslivia
Ga-Yeong Kim
SungJoon Lim
In-Ho Jeon
author_facet Erica Kholinne
Hyun-Joo Lee
Yu-Mi Lee
Suk-Joong Lee
Maria F. Deslivia
Ga-Yeong Kim
SungJoon Lim
In-Ho Jeon
author_sort Erica Kholinne
collection DOAJ
description Background: Active restraint for the elbow joint is provided by the soft tissue component, which consists of a musculoligamentous complex. A lesion of the lateral collateral ligament complex (LCLC) is thought to be the primary cause of posterolateral rotatory instability in the elbow. Its role as a protective reflexogenic structure is supported by the existence of ultrastructural mechanoreceptors. The aim of this study was to describe the existence and distribution of LCLC mechanoreceptors in the human elbow joint and to determine their role in providing joint stability. Methods: Eight LCLCs were harvested from fresh frozen cadaver elbows. Specimens were carefully separated from the lateral epicondyle and ulna. The ligament complex was divided into 7 regions of interest and stained with modified gold chloride. Microscopic evaluation was performed for Golgi, Ruffini, and Pacinian corpuscles. The number, distribution, and density of each structure were recorded. Results: Golgi, Ruffini, and Pacinian corpuscles were observed in LCLCs, with variable distribution in each region of interest. Ruffini corpuscles showed the highest total mechanoreceptor density. Mechanoreceptor density was higher at bony attachment sites. Conclusion: The existence and role of each mechanoreceptor defined the purpose of each region of interest. Mechanoreceptors are beneficial for its proprioceptive feature towards a successful elbow ligament reconstruction. Keywords: Mechanoreceptor, Lateral collateral ligament complex, Elbow, Human
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spelling doaj.art-d4f025f8741348c390d9b91fa5121c9b2022-12-21T17:46:00ZengElsevierAsia-Pacific Journal of Sports Medicine, Arthroscopy, Rehabilitation and Technology2214-68732018-10-01141721Mechanoreceptor profile of the lateral collateral ligament complex in the human elbowErica Kholinne0Hyun-Joo Lee1Yu-Mi Lee2Suk-Joong Lee3Maria F. Deslivia4Ga-Yeong Kim5SungJoon Lim6In-Ho Jeon7Department of Orthopedic Surgery, St. Carolus Hospital, Jakarta, Indonesia; Department of Orthopedic Surgery, Asan Medical Center, University of Ulsan, Seoul, Republic of KoreaDepartment of Orthopaedic Surgery, School of Medicine, Kyungpook National University, Kyungpook National University Hospital, Daegu, Republic of KoreaDepartment of Preventive Medicine, School of Medicine, Kyungpook National University, Republic of KoreaDepartment of Orthopedic Surgery, Keimyung University, Dongsan Medical Center, Daegu, Republic of KoreaDepartment of Orthopedic Surgery, St. Carolus Hospital, Jakarta, IndonesiaDepartment of Orthopedic Surgery, Asan Medical Center, University of Ulsan, Seoul, Republic of KoreaDepartment of Orthopedic Surgery, Asan Medical Center, University of Ulsan, Seoul, Republic of KoreaDepartment of Orthopedic Surgery, Asan Medical Center, University of Ulsan, Seoul, Republic of Korea; Corresponding author. Department of Orthopaedic Surgery, University of Ulsan, Asan Medical Center, 86 Asanbyeongwon-gil, Songpa-gu, Seoul, 138-736, Republic of Korea.Background: Active restraint for the elbow joint is provided by the soft tissue component, which consists of a musculoligamentous complex. A lesion of the lateral collateral ligament complex (LCLC) is thought to be the primary cause of posterolateral rotatory instability in the elbow. Its role as a protective reflexogenic structure is supported by the existence of ultrastructural mechanoreceptors. The aim of this study was to describe the existence and distribution of LCLC mechanoreceptors in the human elbow joint and to determine their role in providing joint stability. Methods: Eight LCLCs were harvested from fresh frozen cadaver elbows. Specimens were carefully separated from the lateral epicondyle and ulna. The ligament complex was divided into 7 regions of interest and stained with modified gold chloride. Microscopic evaluation was performed for Golgi, Ruffini, and Pacinian corpuscles. The number, distribution, and density of each structure were recorded. Results: Golgi, Ruffini, and Pacinian corpuscles were observed in LCLCs, with variable distribution in each region of interest. Ruffini corpuscles showed the highest total mechanoreceptor density. Mechanoreceptor density was higher at bony attachment sites. Conclusion: The existence and role of each mechanoreceptor defined the purpose of each region of interest. Mechanoreceptors are beneficial for its proprioceptive feature towards a successful elbow ligament reconstruction. Keywords: Mechanoreceptor, Lateral collateral ligament complex, Elbow, Humanhttp://www.sciencedirect.com/science/article/pii/S2214687317303527
spellingShingle Erica Kholinne
Hyun-Joo Lee
Yu-Mi Lee
Suk-Joong Lee
Maria F. Deslivia
Ga-Yeong Kim
SungJoon Lim
In-Ho Jeon
Mechanoreceptor profile of the lateral collateral ligament complex in the human elbow
Asia-Pacific Journal of Sports Medicine, Arthroscopy, Rehabilitation and Technology
title Mechanoreceptor profile of the lateral collateral ligament complex in the human elbow
title_full Mechanoreceptor profile of the lateral collateral ligament complex in the human elbow
title_fullStr Mechanoreceptor profile of the lateral collateral ligament complex in the human elbow
title_full_unstemmed Mechanoreceptor profile of the lateral collateral ligament complex in the human elbow
title_short Mechanoreceptor profile of the lateral collateral ligament complex in the human elbow
title_sort mechanoreceptor profile of the lateral collateral ligament complex in the human elbow
url http://www.sciencedirect.com/science/article/pii/S2214687317303527
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