The Effects of Direction and Velocity of Movement, and Intra-Articular Fluid Volume on Intra-Articular Pressue

S. F. Straface; P. J. Newbold; S. Nade

doi:10.1055/s-0038-1633176

Veterinary and Comparative Orthopaedics and Traumatology, Table of Contents

Vet Comp Orthop Traumatol 1988; 01(03/04): 113-121
DOI: 10.1055/s-0038-1633176

Short Communication

Schattauer GmbH

The Effects of Direction and Velocity of Movement, and Intra-Articular Fluid Volume on Intra-Articular Pressue

Authors

S. F. Straface

¹From the Department of Surgery (Orthopaedic Surgery), University of Western Australia, Queen Elizabeth II Medical Centre, Nedlands, Western Australia
P. J. Newbold

¹From the Department of Surgery (Orthopaedic Surgery), University of Western Australia, Queen Elizabeth II Medical Centre, Nedlands, Western Australia
S. Nade

¹From the Department of Surgery (Orthopaedic Surgery), University of Western Australia, Queen Elizabeth II Medical Centre, Nedlands, Western Australia

Abstract

levels. In joints with simulated acute effusion the effect of position on IAP was dependent upon the volume of fluid in the joint. The results indicate that dynamic pressure levels in the moving knee are related to the movements of the joint. The characteristic and reproducible patterns of pressure may reflect changes in the structural configuration of the joint capsule and surrounding tissues during movement, and are influenced by the amount of fluid in the joint.

Key words

Intra-articular pressure - Joint movement - Joint physiology

Full Text

References

References
1 Reeves B. Negative pressures in knee joints. Nature 1966; 212: 1046.
2 Guyton A C, Granger H J, Taylor A E. Interstitial fluid pressure. Physiol Rev 1971; 51: 527-63.
3 Levick J R. An investigation into the validity of subatmospheric pressure recordings from synovial fluid and their dependence on joint angle. J Physiol 1979; 289: 55-67.
4 Levick J R. The influence of hydrostatic pressure on transsynovial fluid movement and on capsular expansion in the rabbit knee. J Physiol 1979; 289: 69-82.
5 Levick J R. Absorption of artificial effusions from synovial joints: an experimental study in rabbits. Clin Sci 1980; 59: 41-8.
6 Levick J R. Contributions of the lymphatic and microvascular systems to fluid absorption from the synovial cavity of the rabbit knee. J Physiol 1980; 306: 445-61.
7 Levick J R. Editorial: Joint pressure-volume studies: their importance, design and interpretation. J Rheumatol 1983; 10: 353-7.
8 Knight A D, Levick J R. Pressure-volume relationships and fluid compartmentation in synovial joints. J Physiol 1981; 319: 36-7.
9 Knight A D, Levick J R. Pressure-volume relationships above and below atmospheric pressure in the synovial cavity of the rabbit knee. J Physiol 1982; 328: 403-20.
10 Knight A D, Levick J R. Physiological compartmentation of fluid within the synovial cavity of the rabbit knee. J Physiol 1982; 331: 1-15.
11 Newbold P J. Some aspects of the physiology of the canine knee joint. Ph. D. Thesis The University of Western Australia; 1983
12 Nade S, Newbold P J. Factors determining the level and changes in intra-articular pressure in the knee joint of the dog. J Physiol 1983; 338: 21-36.
13 Nade S, Newbold P J. Pressure-volume relationships and elastance in the knee joint of the dog. J Physiol 1984; 357: 417-39.
14 Levick J R. Synovial fluid dynamics: the regulation of volume and pressures. Studies in Joint Diseases 2. ed. Holborow J, Maroudas A. 1983: 153-240 London: Pitman Medical;
15 Semlak K, Ferguson A B. Joint stability maintained by atmospheric pressure. Clin Orthop Rel Res 1970; 68: 294-300.
16 Mills J, Newbold P J, Nade S. Small animal joint servomanipulator. Aust Phys Eng Sci Med 1982; 5: 166-70.
17 McCarty D J, Phelps P, Pyenson J. Crystal-induced inflammation in canine joints. J Exp Med 1966; 124: 99-114.
18 Caughey D E, Bywaters E G L. Joint fluid in chronic knee effusions. Ann rheum Dis 1963; 22: 106-9.
19 De Andrade J R, Grant C, Dixon A St J. Joint distension and reflex muscle inhibition in the knee. J Bone Jt Surg 1965; 47A: 313-22.
20 Hamerman D, Rosenberg L C, Schubert M. Diarthrodial joints revisited. J Bone Jt Surg 1970; 52A: 725-74.