| Autor: |
Okajima SM; Center for Advanced Orthopaedic Studies, Beth Israel Deaconess Medical Center and Harvard Medical School., Cubria MB; Center for Advanced Orthopaedic Studies, Beth Israel Deaconess Medical Center and Harvard Medical School., Mortensen SJ; Center for Advanced Orthopaedic Studies, Beth Israel Deaconess Medical Center and Harvard Medical School., Villa-Camacho JC; Center for Advanced Orthopaedic Studies, Beth Israel Deaconess Medical Center and Harvard Medical School., Hanna P; Center for Advanced Orthopaedic Studies, Beth Israel Deaconess Medical Center and Harvard Medical School., Lechtig A; Center for Advanced Orthopaedic Studies, Beth Israel Deaconess Medical Center and Harvard Medical School., Perez-Viloria M; Center for Advanced Orthopaedic Studies, Beth Israel Deaconess Medical Center and Harvard Medical School., Williamson P; Center for Advanced Orthopaedic Studies, Beth Israel Deaconess Medical Center and Harvard Medical School., Grinstaff MW; Departments of Biomedical Engineering, Chemistry, and Medicine, Boston University., Rodriguez EK; Carl J. Shapiro Department of Orthopaedic Surgery, Beth Israel Deaconess Medical Center and Harvard Medical School., Nazarian A; Center for Advanced Orthopaedic Studies, Beth Israel Deaconess Medical Center and Harvard Medical School; Department of Orthopaedic Surgery, Yerevan State Medical University; anazaria@bidmc.harvard.edu. |
| Abstrakt: |
This proposal aims to create an in vivo rat model of adhesive capsulitis for researching potential treatment options for this condition and other etiologies of comparable arthrofibrosis. The model includes extra-articular fixation of the shoulder in rats via scapular to humeral suturing, resulting in a secondary contracture without invading the intra-articular space and resulting in decreased rotational ROM and increased joint stiffness. We used 10 Sprague-Dawley rats for the purpose of this study. Baseline ROM measurements were taken before glenohumeral immobilization. The rats were subjected to 8 weeks of immobilization before the fixation sutures were removed and changes in ROM and joint stiffness were evaluated. To evaluate whether immobilization resulted in a significant reduction in ROM, changes in kinematics were calculated. ROM was measured at each time point in the follow-up period and was compared to the baseline internal and external ROM measurements. In order to evaluate the stiffness, joint kinetics were calculated by determining the differences in torque (text and tint ) needed to reach the initial external rotation of 60° and initial internal rotation of 80°. After the removal of the extra-articular suture fixation on follow-up day 0, we found a 63% decrease in total ROM compared to baseline. We observed continuous improvement until week 5 of follow-up, with the progress slowing down around a 19% restriction. On week 8 of follow-up, there was still an 18% restriction of ROM. Additionally, on follow-up day 0, we found the torque increased by 13.3 Nmm when compared to baseline. On week 8, the total torque was measured to be 1.4 ± 0.2 Nmm higher than initial measurements. This work introduces a rat model of shoulder adhesive capsulitis with lasting reduced ROM and increased stiffness. |
