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Biomedical subjects

Katsumasa Takagi

Publications and source records attributed to Katsumasa Takagi.

At least 19 recordsLinked to original sources

Overexpression of suppressor of cytokine signaling-5 in T cells augments innate immunity during septic peritonitis.

Suppressors of cytokine signaling (SOCS) proteins are negative regulators of cytokine signaling by inhibiting the JAK-STAT signal transduction pathway, but their role in innate immunity remains to be investigated. In the present study, we demonstrate that overexpression of SOCS5 in T cells augments innate immunity during septic peritonitis induced by cecal ligation and puncture (CLP). Mice with a cell-specific overexpression of SOCS5 in T cells (SOCS5 transgenic (Tg)) were resistant to the lethality relative to the wild-type (WT) mice. This was most likely due to the enhanced innate immunity in SOCS5Tg mice, as bacterial burden in SOCS5Tg mice was significantly lower than WT mice. Accumulation of neutrophils and macrophages was augmented in SOCS5Tg mice, an event that was accompanied by increased peritoneal levels of IL-12, IFN-gamma, and TNF-alpha. In vitro bactericidal activities of macrophages and neutrophils were enhanced in SOCS5Tg mice. Both neutrophils and macrophages from WT mice adopted enhanced bacterial killing activity when cocultured with CD4+ T cells from SOCS5Tg mice, relative to CD4+ T cells from WT mice. Adoptive transfer of SOCS5Tg-CD4+ T cells into T- and B cell-deficient RAG-2(-/-) mice resulted in augmented leukocyte infiltration and increased peritoneal levels of IL-12, IFN-gamma, and TNF-alpha after CLP, as compared with the controls. Furthermore, CLP-induced bacterial burden in RAG-2(-/-) mice harboring SOCS5Tg-CD4+ T cells was significantly reduced relative to the controls. These findings provide evidence that intervention of SOCS5 expression in T cells affects innate immunity, which highlight a novel role of T cells during sepsis.

Adoptive Transfer↗

Detection of guinea pig macrophages by a new CD68 monoclonal antibody, PM-1K.

A new monoclonal antibody, PM-1K, was raised against 24-h cultured human peritoneal macrophages. In immunohistochemical assays, PM-1K recognized freshly isolated blood monocytes and most tissue macrophages as well as myeloid dendritic cells such as Langerhans cells and interdigitating cells. The molecular size of the antigen recognized by PM-1K was determined to be 110 kD by means of immunoaffinity purification. Because this affinity-purified antigen recognized by PM-1K was also recognized by anti-CD68 antibodies, it is believed to be one of the heterogeneous molecules of the CD68 antigen. Analysis showed interspecies reactivity of PM-1K with macrophages from guinea pigs, pigs, bovine species, and monkeys. Among these macrophages, those of the guinea pig reacted strongly with PM-1K. Patterns of PM-1K immunostaining in guinea pig tissues were similar to those found in human tissues. Studies with the immunoelectron microscope revealed reaction products of PM-1K in the cytoplasm, especially around endosomes. Since only a few antibodies are available to label guinea pig macrophages, PM-1K is considered to be one of the most suitable antibodies to examine macrophages in experimental guinea pig models.

Animals↗

Regulation of CaMKII by alpha4/PP2Ac contributes to learning and memory.

Ca(2+)-dependent CaMKIIalpha activation with autophosphorylation plays an essential role in learning and memory. The regulation of CaMKIIalpha by dephosphorylation by protein phosphatase 1 (PP1) has been demonstrated. We addressed whether the protein phosphatase 2A (PP2A) that is abundant in the brain could be involved in the regulation of CaMKIIalpha. CaMKIIalpha was associated with the catalytic subunit of PP2A (PP2Ac) and alpha4, a regulator of PP2A. To investigate whether alpha4 plays an important role in the CNS, we established a neuron specific Cre transgenic mouse and a neuron specific alpha4 deficient mouse (N-alpha4 KO mouse). This N-alpha4 KO mouse showed impaired learning and memory in a water maze and also shuttle-box avoidance test. The activity of CaMKIIalpha also increased in hippocampus. An overexpression of alpha4 in the neuronal cell line demonstrated the activity of CaMKIIalpha to be regulated by alpha4. alpha4 and PP2Ac were localized in the cytoplasm but not in the postsynaptic density (PSD), thus suggesting that the dephosphorylation of CaMKIIalpha by alpha4/PP2Ac occurred in the cytoplasm. These results suggest that alpha4 and PP2A may thus play an important role in CaMKIIalpha regulation and thereby also influence learning.

Adaptor Proteins, Signal Transducing↗

Current in vivo wear of metal-on-metal bearings assessed by exercise-related rise in plasma cobalt level.

Baseline metal ion levels are elevated in patients with metal-on-metal (MOM) hip arthroplasty. Interpretation of baseline levels is difficult as measurements are influenced by wear, corrosion, and metal ion release from stored metal in the body. Schmalzried et al. demonstrated that "wear is the function of use, not time." The specific research question we asked was: Does physiological exercise increase the wear of metal-on-metal articulation which can be measured from the plasma metal ion levels? Patients with three different well functioning MOM bearings [two types of resurfacing (BHR 46.8 mm and Cormet 48 mm) and Metasul 28 mm] were included. Blood samples were taken immediately before, immediately after, and 1 h after exercise to determine cobalt and chromium levels. A significant increase (p<0.005) in serum cobalt and chromium of 13% and 11%, respectively, was noticed after the exercise. Rise of cobalt levels in patients with a resurfacing MOM was 8.5 times (BHR group) or 6.5 times (Cormet group) larger than in those with a Metasul MOM (p=0.021 and p=0.047). Neither rise of metal levels nor baseline levels correlated with any other factor (p>0.27). Exercise-related elevations of plasma cobalt level provides information on current in vivo wear production that cannot be inferred from a baseline measurement of cobalt levels. Chromium levels cannot provide reliable information on the in vivo wear of the devices. Diameter was the important feature of the implant in determining exercise-related elevations of plasma cobalt level. Exercise-related elevations of plasma cobalt level is a potential in vivo tool to understand and improve the tribology of metal-metal bearings.

Adult↗

MR appearance of autologous chondrocyte implantation in the knee: correlation with the knee features and clinical outcome.

OBJECTIVE: To relate the magnetic resonance imaging (MRI) appearance of autologous chondrocyte implantation (ACI) in the knee in the 1st postoperative year with other knee features on MRI and with clinical outcome. DESIGN AND METHODS: Forty-nine examinations were performed in 49 patients at 1 year after ACI in the knee. Forty-one preoperative magnetic resonance (MR) examinations were also available. The grafts were assessed for smoothness, thickness in comparison with that of adjacent cartilage, signal intensity, integration to underlying bone and adjacent cartilage, and congruity of subchondral bone. Presence of overgrowth and bone marrow appearance beneath the graft were also assessed. Presence of osteophyte formation, further cartilage defects, appearance of the cruciate ligaments and the menisci were also recorded. An overall graft score was constructed, using the graft appearances. This was correlated with the knee features and the Lysholm score, a clinical self-assessment score. The data were analysed by a Kruskal-Wallis H test followed by a Mann-Whitney U test with Bonferroni correction as post-hoc test. RESULTS: Of 49 grafts, 32 (65%) demonstrated complete defect filling 1 year postoperatively. General overgrowth was seen in eight grafts (16%), and partial overgrowth in 13 grafts (26%). Bone marrow change underneath the graft was seen; oedema was seen in 23 grafts (47%), cysts in six grafts (12%) and sclerosis in two grafts (4%). Mean graft score was 8.7 (of maximal 12) (95% CI 8.0-9.5). Knees without osteophyte formation or additional other cartilage defects (other than the graft site) had a significantly higher graft score than knees with multiple osteophytes (P=0.0057) or multiple further cartilage defects (P=0.014). At 1 year follow-up improvement in the clinical scores was not significantly different for any subgroup. Knees with a graft score of 8 points or greater had a better improvement of the clinical score than those of 7 points or fewer. CONCLUSIONS: At 1 year follow-up after ACI, higher graft scores are associated with an overall better preserved knee joint. ACI improves the clinical outcome, but there is no statistically significant correlation of graft score and clinical outcome.

Adolescent↗

Cutting edge: double-stranded DNA breaks in the IgV region gene were detected at lower frequency in affinity-maturation impeded GANP-/- mice.

Double-stranded DNA breaks (DSBs) at the IgV region (IgV) genes might be involved in somatic hypermutation and affinity-maturation of the B cell receptor in response to T cell-dependent Ag. By ligation-mediated PCR, we studied IgV DSBs that occurred in mature germinal center B cells in response to nitrophenyl-chicken gamma-globulin in a RAG1-independent, Ag-dependent, and IgV-selective manner. We quantified their levels in GANP-deficient B cells that have impaired generation of high-affinity Ab. GANP-/- B cells showed a decreased level of DSBs with blunt ends than control B cells and, on the contrary, the ganp gene transgenic (GANPTg) B cells showed an increased level. These results suggested that the level of IgV DSBs in germinal center B cells is associated with GANP expression, which is presumably required for B cell receptor affinity maturation.

Animals↗

A novel murine gene, Sickle tail, linked to the Danforth's short tail locus, is required for normal development of the intervertebral disc.

We established the mutant mouse line, B6;CB-SktGtAyu8021IMEG (SktGt), through gene-trap mutagenesis in embryonic stem cells. The novel gene identified, called Sickle tail (Skt), is composed of 19 exons and encodes a protein of 1352 amino acids. Expression of a reporter gene was detected in the notochord during embryogenesis and in the nucleus pulposus of mice. Compression of some of the nuclei pulposi in the intervertebral discs (IVDs) appeared at embryonic day (E) 17.5, resulting in a kinky-tail phenotype showing defects in the nucleus pulposus and annulus fibrosus of IVDs in SktGt/Gt mice. These phenotypes were different from those in Danforth's short tail (Sd) mice in which the nucleus pulposus was totally absent and replaced by peripheral fibers similar to those seen in the annulus fibrosus in all IVDs. The Skt gene maps to the proximal part of mouse chromosome 2, near the Sd locus. The genetic distance between them was 0.95 cM. The number of vertebrae in both [Sd +/+ SktGt] and [Sd SktGt/+ +] compound heterozygotes was less than that of Sd heterozygotes. Furthermore, the enhancer trap locus Etl4lacZ, which was previously reported to be an allele of Sd, was located in the third intron of the Skt gene.

Amino Acid Sequence↗

Arthroscopic transtendon repair of partial-thickness articular-side tears of the rotator cuff: anatomical and clinical study.

BACKGROUND: The precise results of arthroscopic transtendon repair of partial-thickness articular-side tears of the rotator cuff remain to be reported. HYPOTHESIS: Arthroscopic transtendon repair is useful in patients with Ellman grade 3 (>6 mm) partial-thickness articular-side tears of the supraspinatus tendon. STUDY DESIGN: Descriptive laboratory study and case series; Level of evidence, 4. METHODS: In 43 cadaveric shoulders (mean age, 80 years; range, 50-97 years), the authors measured the width of the supraspinatus insertion (medial-to-lateral direction) and the distance between the articular cartilage edge and the tendon insertion at a site 10 mm lateral to the anterior margin of the greater tuberosity. A clinical study group of 17 patients (mean age, 42 years; range, 17-51 years) was observed for a mean follow-up of 39 months (range, 25-57 months). University of California at Los Angeles and Japanese Orthopaedic Association shoulder scores and postoperative overhead athletic activities were evaluated. RESULTS: The mean width of the supraspinatus insertion was 9.6 mm (SD, 1.6 mm; range, 7-13 mm; 95% confidence interval, 9.1-10.1 mm; 95% prediction interval, 6.4-12.8 mm). The mean distance between the articular cartilage edge and the tendon insertion was 0.3 mm (range, 0-2 mm). After the procedure, the mean University of California at Los Angeles and Japanese Orthopaedic Association scores significantly improved from 17.3 and 68.4 points to 32.9 and 94.8 points, respectively (P < .01). Rated on the Japanese Orthopaedic Association scale, results were excellent in 14, good in 2, and fair in 1 patient; there were no poor results. Of 6 overhead-throwing athletes, 2 returned to their previous sports at the same level, 3 returned at a lower level, and 1 was unable to return. CONCLUSION: Arthroscopic transtendon repair is a safe, reliable procedure in patients with grade 3 partial-thickness articular-side tears. In the majority of patients, partial tears of more than 6 mm of the supraspinatus tendon thickness involved more than 50% of the entire tendon thickness.

Adolescent↗

The heterodimer of alpha4 and PP2Ac is associated with S6 kinase1 in B cells.

Alpha4 is a signal transduction molecule that is required for B cell activation. Alpha4 associates with the catalytic subunit of protein phosphatase 2A (PP2Ac) and regulates its enzymatic activity. We examined the interaction of alpha4/PP2Ac with S6 kinase1 (S6K1) as a potential downstream signal transduction molecule because both alpha4/PP2Ac association and S6K1 activity were rapamycin-sensitive. Stimulation of spleen B cells with lipopolysaccharide induced the interaction of alpha4/PP2Ac and S6K1. Pull-down assay demonstrated that alpha4 interacts with S6K1 through PP2Ac. S6K1 and alpha4 bind to the different regions of PP2Ac as S6K1 to the region from amino acid 88th to 309th of PP2Ac and alpha4 to the two separated regions of the amino-terminal (from amino acid 19th to 22nd) and the middle (from 150th to 164th) portions of PP2Ac. These results suggest that alpha4 regulates S6K1 activity through PP2Ac in B cell activation.

Adaptor Proteins, Signal Transducing↗

Sports activity after arthroscopic superior labral repair using suture anchors in overhead-throwing athletes.

PURPOSE: To evaluate the results of arthroscopic repair of type II superior labral anterior posterior lesions of the shoulder in overhead athletes. HYPOTHESIS: Such repair is useful for overhead athletes in terms of postoperative sports activity. STUDY DESIGN: Case series; Level of evidence, 4. METHODS: The study group was composed of 40 patients with a mean age of 24 years (range, 15-38 years); mean follow-up was 41 months (range, 24-58 months). They were divided into an overuse (n=22) and a trauma group (n=18). The authors used 2 suture anchors loaded with a nonabsorbable suture at the 11-o'clock and 1-o'clock positions through the anterosuperior and lateral trans-rotator cuff portal. A modified Rowe score and postoperative athletic activities were evaluated. RESULTS: After arthroscopic repair, mean modified Rowe scores improved from 27.5 to 92.1 points (P<.0001). Rated on this scale, the results were excellent in 30 (75%), good in 6 (15%), and fair in 4 (10%) athletes; there were no poor results. Satisfactory outcomes were achieved in 36 (90%) of these patients; 30 (75%) experienced a return to the preinjury level. The complete return rate of baseball players in the overuse group was lower than that of other overhead athletes in the trauma group. CONCLUSION: Arthroscopic superior labral repair is a safe and reliable procedure in overhead athletes.

Adolescent↗

Intervertebral disc cells produce tumor necrosis factor alpha, interleukin-1beta, and monocyte chemoattractant protein-1 immediately after herniation: an experimental study using a new hernia model.

STUDY DESIGN: A new hernia model that simulates human disc herniations was developed in rabbits. The herniated discs were examined by gross appearance and histology and production of tumor necrosis factor alpha, interleukin-1beta, and monocyte chemoattractant protein-1 was investigated. OBJECTIVES: To clarify the early mechanism of spontaneous herniated disc resorption. SUMMARY OF BACKGROUND DATA: Macrophage infiltration in herniated discs is essential for disc resorption. However, surgically removed human herniated disc tissues and existing animal hernia models are not suitable for analyzing the mechanism of macrophage infiltration. Recently, we have demonstrated that intervertebral disc cells are capable of producing monocyte chemoattractant protein-1, a potent macrophage chemoattractant, after stimulation with tumor necrosis factor alpha and interleukin-1beta. METHODS: Intervertebral disc herniations were surgically developed in rabbits using a new technique. The herniated discs were excised at appropriate time intervals after the surgery, and the size and histologic findings were examined. Expressions of tumor necrosis factor alpha, interleukin-1beta, and monocyte chemoattractant protein-1 in herniated discs were investigated immunohistochemically. RESULTS: A new rabbit model of disc herniation was established. The herniated discs spontaneously reduced in size by 12 weeks postsurgery. Infiltrating cells, mainly composed of macrophages, were observed from day 3. Immunohistochemically, intervertebral disc cells in the herniated discs produced tumor necrosis factor alpha and interleukin-1beta on day 1, followed by monocyte chemoattractant protein-1 on day 3. CONCLUSIONS: The new hernia model appears to be very useful for studying herniated disc resorption. Intervertebral disc cells may produce inflammatory cytokines/chemokine immediately after the onset of disc herniation, possibly triggering subsequent macrophage infiltration that leads to disc resorption.

Animals↗

Diabetes with hyperlipidemia: a risk factor for developing joint contractures secondary to immobility in rat knee joints?

Several studies have reported that diabetes may cause limited joint motion and often combines with hyperlipidemia (HL). This study clarifies that joint contracture can be produced by diabetes, HL, or both. The experimental animal model, a rat with diabetes and HL, was developed by streptozosin injection and addition of 1% cholesterol to the food. One hindlimb each from the diabetes group, the HL group, the combined diabetes/HL group, and the control group was immobilized for 2, 3, or 4 weeks in the Phase I study. Diabetes/HL rats were used 4 weeks after immobilization in a Phase II study. Joint motion, elasticity of the knee joint capsule, and contractile function of the gastrocnemius muscle were measured. Gastrocnemius muscle was observed histologically by H&E and ATPase staining. Limited joint mobility was observed 4 weeks after immobilization only in the diabetes/HL group. The intraarticular pressure from the saline injection was lower, and the contractile function of the gastrocnemius muscle decreased in this group. Atrophy of type II fiber was observed in the gastrocnemius muscle. This restriction of joint mobility may depend on skeletal muscle degeneration around the joint rather than on an intraarticular lesion.

Animals↗

A comparison of arthroscopic and open rotator cuff repair.

PURPOSE: The purpose of this study was to compare the results of all-arthroscopic repair of full-thickness rotator cuff tears including massive tear with those of open repair. TYPE OF STUDY: Nonrandomized control study. METHODS: We evaluated 100 consecutive patients (100 shoulders) who were treated for full-thickness rotator cuff tears either by all-arthroscopic (50 patients) or open repair (50 patients). The mean age was 57 years (range, 24 to 78 years). The mean follow-up period was 49 months (range, 25 to 83 months). Of all the patients, 7 had a small tear, 63 a medium tear, 17 a large tear, and 13 a massive tear; in the arthroscopic group, 5 had a small tear, 28 a medium tear, 9 a large tear, and 8 a massive tear. The results of the arthroscopic and open groups were compared using the shoulder rating scale of the University of California at Los Angeles (UCLA) and the Japanese Orthopaedic Association (JOA). RESULTS: The 2 groups were statistically similar in terms of age, gender, trauma incidence, tear size, duration of symptoms, and preoperative shoulder scores. The UCLA and JOA scores improved significantly in both groups postoperatively. Outcomes and the postoperative UCLA and JOA scores were not significantly different between the 2 groups. The postoperative UCLA and JOA scores in patients with a large-to-massive tear were significantly lower than those with a small-to-medium tear, but outcomes were not statistically different between the arthroscopic and open groups depending on the tear size. The percentage of satisfactory results of arthroscopic and open repair for small-to-medium tears was 97.0% and 94.6%, respectively. Those of arthroscopic and open repair for large-to-massive tears was 82.4% and 76.9%, respectively. CONCLUSIONS: Arthroscopic repair of small-to-massive tears had outcomes equivalent to those of open repair. Outcomes in patients with large-to-massive tears were inferior to those in patients with small-to-medium tears, regardless of repair method. LEVEL OF EVIDENCE: Level III, case-control study.

Activities of Daily Living↗

Effect of extracellular matrix protein on the rate of proteoglycan synthesis in rabbit intervertebral disc cells.

OBJECTIVE: The extracellular matrix (ECM) is very important for fundamental cellular processes. However, the effects of ECM proteins on intervertebral disc (IVD) cell proliferation and metabolism have not been clarified. To verify the effects of ECM proteins on DNA and proteoglycan (PG) synthesis of IVD cells, PG synthesis rate was measured in IVD cells cultured in monolayer with or without ECM protein. METHODS: Nucleus pulposus (NP) cells and anulus fibrosus (AF) cells isolated from adolescent rabbits were cultured in monolayer with or without ECM protein and at different concentrations of ECM protein for 4-6 days. [S]Sulfate incorporation into PG in the cell-associated matrix (CM) formed around cells and the further-removed matrix (FRM) in labeling medium was measured and standardized to DNA content. CONCLUSIONS: NP cells in type I or type II collagen-coated plates significantly increased the rate of PG synthesis in both the CM and the FRM compared with those in uncoated plates and in fibronectin-coated plates; however, AF cells with ECM proteins did not increase the rate significantly. The rate of PG synthesis of nucleus cells was contra-dose dependent on both type I and type II collagen.

Animals↗

Dimer formation of receptor activator of nuclear factor kappaB induces incomplete osteoclast formation.

Receptor activator of nuclear factor kappaB-ligand (RANKL) transduces a differentiation signal appropriate to osteoclasts likely through induction a receptor homotrimer; however, biological importance of RANK-trimerizarion is unknown. To address the signaling mechanism of the RANK receptor, we analyzed the effect of two different types of homodimer inducers RANK-TM-FKBP36v and hEpoR-RANK-TM on osteoclastogenesis. Dimerizing component FKBP36v or extracellular portion of human erythropoietin receptor (hEpoR) was fused to RANK lacking the extracellular domain, and the dimerization of this fusion protein was induced by addition of the chemical inducer of dimerization AP20187 or erythropoietin, respectively. Such treatment resulted in induction of TRAP-activity, a marker of osteoclast in a dose dependent manner, with an efficiency equivalent to that of induction by RANKL. However, dimerized-RANK-induced osteoclasts showed relatively low levels of multinucleation, pit forming activity, and expression of calcitonin receptor and cathepsin K, compared with osteoclasts which were induced in the presence of RANKL. As expression of nuclear factor of activated T cells 1 (NFATc1) was also reduced in dimerized-RANK-induced osteoclasts, RANK oligomerization by RANKL is a critical event to generate fully matured osteoclasts through upregulation of NFATc1.

Animals↗

Functional and morphological changes of lumbar nerve roots induced by mechanical compression or the nucleus pulposus in contact with the root: analysis of fiber size-dependent vulnerability in rabbits.

The variation in symptoms of spinal nerve root damage may be caused by the difference of the size of damaged nerve fiber or difference between the mechanical influence and some chemical factors. We studied the relative vulnerability of small versus large myelinated fibers to a focal compression and/or an application of nucleus pulposus. We prepared the mechanical compression model by clipping the nerve root and the nucleus pulposus model by applying autologous nucleus pulposus on the nerve root in a rabbit and evaluated nerve root damage with respect to its fiber diameter. Nerve conduction velocity (NCV) of large myelinated nerve fiber was reduced significantly in every group compared with a sham operation group (sham) after 1 day in compression, but in the nucleus pulposus group (NP) the velocity was reduced significantly compared with sham only after 7 days. Histologic examination revealed that the number of damaged large fibers increased significantly in the compression group compared with sham after 3 days, but there was no difference in NP. NCV of small myelinated nerve fibers was reduced significantly in both the compression and NP groups compared with sham after 7 days. Histologic study showed the number of damaged small fibers increased significantly in the compression group compared with sham after 7 days. However, in the NP group the number of damaged fibers did not increase compared with sham. In conclusion, large myelinated nerve fiber was damaged earlier than small myelinated nerve fiber by compression, while nerve fiber damage caused by only the nucleus pulposus had no relation to nerve fiber size.

Action Potentials↗

Normal variations of the glenohumeral ligament complex: an anatomic study for arthroscopic Bankart repair.

PURPOSE: The purpose of this study was to evaluate the prevalence and morphologic characteristics of normal variations in the glenohumeral ligament complex (GHLC). TYPE OF STUDY: Anatomic study in cadavers. METHODS: We investigated 84 cadaver shoulders and recorded visualization of the superior glenohumeral ligament (SGHL), middle glenohumeral ligament (MGHL), and anterior band of the inferior glenohumeral ligament (AIGHL). In cases with an AIGHL, we noted the location of its origin with respect to the anterior glenoid in terms of a clock face as in a right shoulder. If an MGHL was present, the site of its glenoid attachment was recorded. The presence of a cord-like MGHL, the Buford complex, and a sublabral foramen was also investigated. RESULTS: Of these, 79 (94.1%) manifested an SGHL, 53 (63.1%) an MGHL, and 76 (90.5%) an AIGHL. The AIGHL originated in an area located between the 2- and 5-o'clock position; in 11 (14.5%), the origin was at the 2-o'clock position; in 49 (64.5%) at the 3-o'clock position; in 11 (14.5%), the 4-o'clock position; and in 5 (6.5%) at the 5-o'clock position. Two common variations in the attachment of the MGHL were seen; 30 of 53 MGHL (56.6%) originated from the labrum separate from the origin of the SGHL, and 23 (43.4%) from the labrum at the origin of the SGHL. Of the 84 specimens, 15 (17.9%) manifested a cord-like MGHL, and one (1.2%) the Buford complex. None of the specimens had a sublabral foramen, a finding that requires further investigation. CONCLUSIONS: Our results suggest that the Buford complex is a rare variant of the GHLC, and the cord-like MGHL appears to be a relatively common normal variant. CLINICAL RELEVANCE: The present study provides useful information concerning normal variations of the GHLC to arthroscopists considering Bankart repair.

Aged↗

Three-dimensional computed tomography evaluation of semitendinosus harvest after anterior cruciate ligament reconstruction.

PURPOSE: Recent studies have shown the regeneration potential of hamstring tendons harvested for anterior cruciate ligament (ACL) reconstruction. The purpose of this study was to evaluate the morphology of the regenerated semitendinosus tendon using 3-dimensional (3-D) images of volume-rendered multidetector helical computed tomography (MD-CT). TYPE OF STUDY: Retrospective study on a convenient sample of patients. METHODS: Eight patients were selected from those with a minimum 2-year follow-up evaluation after ACL reconstruction with hamstring tendons. The harvest site of the semitendinosus tendon was evaluated using 3-D CT, in addition to magnetic resonance imaging (MRI) analysis, at an average of 37 months (range, 27 to 47 months) after surgery. RESULTS: In 5 of 8 patients, MRI evaluation indicated recurrence of the region with the same signal intensity as the native at the harvest site of the semitendinosus tendon. In these patients, the 3-D image of MD-CT visualized the stringy tendinous tissue regenerated at the harvest site originating from the semitendinosus muscle belly and running in the same pathway as the native tendon. However, the distal part attached into the medial surface of the popliteal fascia. By contrast, in the involved sides of the remaining 3 patients with no detection on MRI, the 3-D CT image showed no tendinous tissue at the harvest site. The remnants of the semitendinosus had reduced or fused into the muscle belly of the semimembranous. CONCLUSIONS: Using the 3-D CT technique, we could first depict the distinct morphology of the regenerate at the harvest site of the semitendinosus tendon. LEVEL OF EVIDENCE: Level IV, therapeutic study.

Adolescent↗