We found that pain on the medial side of the leg accounted for 6.9% and 19.7% of osteoarticu-lar injuries due to drilling in soldiers in drill, especially those newly recruited. We also found that the pain was produced by an increase in tibial intramedullary pressure. An animal experimentation was done, and the results corroborated our contention. At the same time, we found that decompression of tibial medullary cavity was effective in relieving the symptom.

From January, 1976 through December, 1986, 303 peripheral nerves (219 patients) were operated upon using microsurgical technic for injury, neurofibroma or neuroma. Under alternating low and high power, the nerve ends were approximated precisely and gently under surgical microscope. Results were satisfactory. During anastomosis of nerve ends, it should be emphasized that it is essential to distinguish the size of the cross section of various nerve fascicules and morphological characteristics of surrounding supporting tissues. For late cases, the use of nerve stimulator during operation is emphasized. Microsurgery Peripheral nerves injury

To appraise the preventive and improvable effects of different movements on OA joints,animal models by fixing the left posterior knee joint in extention using plaster cast for 8 weeks in Newzealand rabbits were carried out. The rabbits were randomly divided into different groups, and the X-RAY、range of motion and ligament biomechanical features of the joint were observed.The results showed that proper movement improved the range of motion, restored tensile strength of the ligament around the OA joint.It is evident that movement improves the function of the OA joint and delays the OA exacerbation.The combination of active and passive movement is the best way to achieve good result.

BACKGROUND:Traditional imaging examinations have lower sensitivity in diagnosing articular cartilage injury, and the effects of biomarkers in body fluid on diagnosing severity of cartilage injury should be evaluated.OBJECTIVE: To investigate the significance of the biomarkers, including cartilage oligomeric matrix protein (COMP), matrix metalloproteinases-1 (MMP-1), matrix metalloproteinases-3 (MMP-3) and tissue inhibitor of matrix metalloproteinases-1 (TIMP-1), in serum and synovial fluid in evaluating the early sports injury of articular cartilage.DESIGN: A randomized controlled trial.SETTING: the 105 Central Hospital of Chinese PLA.MATERIALS: Eighteen adult male hybrid dogs (15-25 kg, average 22.5 kg) were divided into three groups randomly: ①plain-running group (n =8): the dogs ran on the plain; ② slope-running group (n =8): the dogs ran on the slope of 10°; ③control group (n =2): the dogs could move freely.METHODS: Dogs in the plain-running group and slope-running group were trained daily, rurning for an hour in the morning and in the afternoon respectively(total two hours per day), 4 m/s, and the training lasted for 10 weeks. Serum and synovial fluid were collected on the dayof training, and at the 2nd, 4th, 8th and 10th weeks respectively in both the plain-running group and slope-running group, and the concentrations of COMP,MMP-1, MMP-3, TIMP-1 were detected with ELISA. Standard curves were built by the standard concentrations and A values, according to which corresponding concentrations of specimens were obtained. Knee joint MRI examination was performed, and the training was canceled on the day of examination. All the dogs were killed after 10 weeks, and the knee joint cartilages weight loading region of femur condyles were observed histologically.MAIN OUTCOME MEASURES: Concentrations of COMP, MMP-1, MMP-3, TIMP-1 in serum and synovial fluid on the day of training, and the 2, 4, 6, 8 and 10 weeks in each group; Results of MRI examination of knee joint; Results of the histological observation of knee joint cartilage after 10 weeks.RESULTS: All the 18 dogs were involved in the analysis of results. ① Results of examination in serum. ② Results of examination in synovial fluid: In the slope-running group, the COMP concentrations at 2, 4, 6, 8 and 10 weeks were obviously higher than those in the plain-running group (P ＜ 0.01), MMP-1 concentration at 2, 4 and 6 weeks were higher than those in the plain-running group (P ＜ 0.05-0.01), MMP-3 concentrations at 2, 4, 6 and 8 weeks were higher than those in the plain-running group (P ＜ 0.01);The MMP-3/TIMP-1 ratios at 2, 4 and 8 weeks were higher than those in the plain-running group(P ＜ 0.05-0.01).③ The concentrations of COMP,MMP-1,MMP-3 and TIMP-1 and the MMP-3/TIMP-1 ratio in serum were significantly correlated with the corresponding biomarkers in synovial fluid (r =0.631,0.502, 0.748, 0.651, 0.667, P＜ 0.01). ④ Results of histological observations: In both the plain-running group and slope-running group, obvious pathological changes of articular cartilage injury were observed at 10 weeks, the activity of articular chondrocytes in the surface layer was obviously decreased, which was severer in the latter group than in the former one. ⑤Results of MRI examination: Early sports injury changes of knee joint appeared at 2 weeks, and progressive aggravation occurred in both the plain-running group and slope-running group.CONCLUSION: Repetitive, impacted, torsional, shearing motions with long time and great intensity are easy to induce sports injury,even osteoarthritis.The sensitivity of these biomarkers is better than MRI in reflecting the pathological changes of articular cartilage.

As a high-throughout technique after DNA chips in biomedical research, protein arrays are developing, with high sensitivity and veracity. They have drawn increasing attention because they can provide a new technological platform for life science studies. There has been no effective diagnosis instrument for common articular cartilage injuries when they are at an initial stage, but when the disorders progress into an advanced stage, visible functional disturbances often arise. Protein arrays may offer a solution to the lasting tough problem in orthopaedic field. In this paper, we review the development and research of protein arrays, the regulation of proteins, their biochemical functions and their potential interaction partners, as well as changes of cartilage biomarkers in body fluid after injury. In addition, the feasibility and rationality of using protein microarrays for diagnosing early articular cartilage injuries are discussed.

To evaluate the influence of combined endurance and strength training on the knee flexors and extensors strength of Chinese army male recruits. At the beginning and end of their 4 weeks′ combined endurance and strength training, twenty recruits received isokinetic dynamometer test for flexors and extensors of both knees with the Cybex 6000 isokinetic dynamometer. after training, there was a significant increase in the peak torque values, torque acceleration energy, and endurance ratio of flexors of both knees at two angular velocities (60?/s,180?/s). Meanwhile, the torque acceleration energy and endurance ratio were increased in the extensors of both knees at two angular velocities . It suggested that four weeks of combined endurance and strength training for the recruits is effective in terms of increasing muscular strength, explosive force and muscular endurance of knee flexors and extensors. More loads should be applied to strengthen the strength of the extensors.

To evaluate the influence of combined endurance and speed training on the knee flexors and extensors strength of army male recruits. At the beginning and end of their 4 week combined endurance and speed training, twenty recruits received isokinetic dynamometer test of flexors and extensors of both knees with the Cybex 6000 isokinetic dynamometer. The results showed: that there was a significant increase in the peak torque values, torque acceleration energy and endurance ratio of left knee flexors at high angular velocities (180?/s) after training. Meanwhile, the peak torque and endurance ratio were increased in left knee extensors at high angular velocities (180?/s),and the peak torque and torque acceleration energy were increased in right flexors at high angular velocities(180?/s). These data suggest that four weeks of combined endurance and speed training for recruits is not sufficient fo increase muscular strength, explosive force or muscular endurance of knee flexors and extensors.

Objective To evaluate the influence of intensified and step-by-step training on the strength of the knee flexors and extensors in Chinese army male recruits. Methods At the beginning and end of their 8-week endurance training, 160 recruits received isokinetic dynamometer tests for both knees flexors and extensors with the Cybex-6000 isokinetic dynamometer. Results After endurance training, there was a significant increase in the peak torque values, torque acceleration energy, and endurance ratio of both knee flexors at two angular velocities (60 /s,180 /s). Conclusion Eight weeks of recruit intensified and step-by-step training for male recruits is sufficient for increasing muscular strength, explosive force and muscular endurance of knee flexors and extensors.

stimulating group(P

Objective To investigate the significance of bone mineral changes in the pathogenic process of glucocorticoid-induced avascular necrosis of femoral head(GANFH).Methods Thirty-two New Zealand rabbits were randomly divided into two groups(16 each).Animals in model group received an intramuscular injection of hydrocortisone acetate(8.0mg/kg) twice a week for 8 weeks totally,and animals in control group received an intramuscular injection with the same volume of normal saline,while 150kU penicillin were injected twice a week for preventing infection in both groups.The contents of serum calcium(Ca) and phosphorus(P) were determined,and the bone mineral densities of the femoral head and neck were measured at the 2nd,4th,6th,8th and 12th weeks after treatment.Meanwhile,the general condition such as weight,spirit and hair of rabbits was observed.Results Compared with the control group,the weight of rabbits in model group lost since the first week,and progressively aggravated;the bone mineral density of the femoral head and neck lowered since the 2nd and 4th week respectively(P