It is generally considered that there were no synovial membranes covering the surfaces of the meniscus. Therefore, the existence of synovial membrane is of importance in the repairing of menisci (20 menisci altogether) studied by using histological methods. The staining methods included hematoxylin and eosin(HE), Mallory and VG(van Gieson)specific technique. The main results are as follows:1. On the horizontal sections of the menisci, it shows clearly that the synovial membranes at the interior margin of the menisci is different from that of the other part.2. On the frontal section of the menisci, there are synovial membranes covering the superior and inferior surfaces of the menisci, especially evident on the inferior surface.3. On the other section of the menisci, it is observed that the synovial membrane of capsule is closely associated with that of menisci. The latter is the continuation of the former.4. On sections to which Mallory and VG staining methods were applied, the synovial that covered the menisci were observed to be the continuation of that the capsule.

Objective The 19-Norandrosterone (19NA) and 19-Noretiocholanolone (19NE) are endogenous steroids abused as dope.The aim of this study was to investigate the detection of 19NA and 19NE using isotope ratio mass spectrometry.Methods Two male volunteers were recruited.Each volunteer was orally administered a single dose of 20 mg of nandrolone,and their urine samples were collected after administration.The analyses of urinary concentrations and isotope ratios of 19NA and 19NE were performed.Results Concentrations of 19NA and 19NE increased rapidly after administration,and their isotope ratios decreased to the value of the drug ingested.Conclusion The intake of nandrolone has no effect on the isotope ratios of pregnanediol,androsterone and etiocholanolone.The urine samples were positive within 27 hours after administration.

Objective To explore the changes in gene expression and biological process of the osteoarthritis (OA) induced by anterior cruciate ligament (ACL) transection and partial medial meniscectomy,so as to provide bioinformatic basis for further studying the molecular mechanism of OA.Methods The gene chip datasets of a rat model of early 0A induced by ACL transection and partial medial meniscectomy were downloaded from GEO databases (submitted by Appleton,et al.).The differential expression genes (DEGs)were identified,and the Gene ontology(GO) as well as the Kyoto Encyclopedia of Genes and Genomes (KEGG) pathway enrichment analyses for DEGs were conducted using bioinformatic methods.Results A total of 170 DEGs including 97 up-regulated genes and 73 down-regulated genes were identified.The up-regulated genes were mainly enriched in the extracellular matrix (ECM) and were closely related to the ECM-receptor interaction,while the down-regulated genes were mainly enriched in the biological function of muscle contraction and were linked with the peroxisome proliferators-activated receptor (PPAR) signaling pathway.Conclusion The changes of ECM and muscle contraction play a key role in the occurrence and development of OA.The ECM-receptor interaction and PPAR signaling pathway are strongly associated with OA and worthy of further study.

Objective To discuss effects of three different-intensity exercise on oxidative stress and adiponectin/adiponectin receptor1/2 of the liver in obese rats.Methods Thirty-two Sprague-Dawley rats were fed high-lipid fodder and became the obesity model after 16 weeks.Then they were randomly divided into a high-lipid control group (HF),a low-intensity exercise group (HS),a moderate-intensity exercise group (HM) and an exercise group with progressive intensity (HI),each of 8.Another 8 rats were chosen into a normal control group (NC).The speed of treadmill running of group HS and HM was 10m/min and 15m/min respectively,while that of group HI was10m/min for 20 min,followed by another 20min at and still another 20min at 28～30m/min,five days a week for 6 weeks.Six weeks later,the weight,alanine transaminase (ALT),aspartate transaminase (AST),superoxide dismutase (SOD),malondialdehyde (MDA),tumor necrosis factor alpha (TNF-α),interleukin-6 (IL-6),adiponectin receptors1/2,adiponectin,triglyceride (TG),cholesterol (TC),high-density lipoproteincholesterol (HDL-C),low-density lipoproteincholesterol (LDL-C) and free fatty acid (FFA) were tested.Results Compared with group NC,significant increase was observed in the average weight,TG,TC,LDL-C,FFA,ALT,AST,MDA,TNF-α and IL-6 (P＜0.05 or P＜0.01),while significant decrease was found in the average HDL-C,SOD,adiponectin and adiponectin receptors1/2 of group HF (P＜0.05 or P＜0.01).Compared with group HF,there was significant decrease in the average weight,TG,LDL-C,FFA,ALT,MDA,TNF-α and IL-6 (P＜0.05 or P＜0.01),but significant increase in the average SOD,adiponectin,AR1 and AR2 of group HS,HM and HI (P＜0.05 or P＜0.01),and only HDL-C of group HM increased significantly(P＜0.05).Compared with group HS and HI,significant decrease was found in the average FFA and MDA (P＜0.05),while significant increase was found in the average adiponectin and AR2 of group HM (P＜0.05).Conclusion Aerobic exercise can improve abnormal hepatic lipid metabolism and oxidative stress,strengthen free radical scavenging capacity,prevent liver cell inflammation injury and ameliorate liver metabolism disorder of obese rats induced by high-lipid fodder.Moreover,the effect of moderate-intensity exercise is superior to low-intensity exercise or exercise with progressive intensity,whose mechanism may be related to further activating liver adiponectin receptor 2 through increasing serum adiponectin.

Objective To observe the effect of treadmill running on skeletal muscle lipid deposition,and the expression of vascular endothelial growth factor-B(VEGFB)and its receptor in soleus muscles of high-fat diet mice.Methods Thirty-two 5-week-old C57BL/6 male mice were randomly divided into a control group(n=8)and a high-fat diet group(n=24),and fed with normal and high-fat diet respectively.Eight weeks later,16 obesity mice were selected from the latter group and randomly divided into a sedentary group(n=8)and a treadmill running group(n=8).The running group underwent treadmill running at 25 m/min for an hour every day,five days a week for 8 weeks,while the other two groups did not do any exercises.The weight was measured before the mice were killed.The soleus lipid deposition level was determined using oil red O staining,The expression of VEGFR1 and Neuropilin-1(NRP1)was determined using the immunohistochemical staining,while the mRNA expression of VEGFB,VEG-FR1,NRP1 and peroxisome proliferator-activated receptor-γcoactivator-1α (PGC-1α) was detected using the real-time PCR.Results Compared with the control group,a significant increase was observed in the weight and the soleus lipid deposition of the high-fat diet group,while there were no significant differences in the expression of VEGFB,NRP1,VEGFR1 and PGC-1α.mRNA between the two groups.Compared with the sedentary obese mice,significant decrease in the body weight and soleus lipid deposition,significant increase in VEGFR1 mRNA expression,but no significant changes in the expression of VEGFB,NRP1 and PGC-1α mRNA were observed in the treadmill-running obese mice.Conclusion The treadmill running has no effect on the VEGFR1 expression in soleus of obese mice,but significantly up-regulates the expression of its receptors.It indicates that the treadmill running can lower the intramyocellular lipid deposition as it can strengthen the VEGFB/VEGFR1 in soleus muscles.

Objective To explore the effect of aerobic exercise on Wnt/β-Catenin pathway in the cerebral cortex and hippocampus of rats,so as to provide theoretical basis for conforming that aerobic exercise can improve the function of the nervous system.Methods Six-week-old Sprague-Dawley male rats were randomly assigned to a sedentary control group (CG) and an aerobic exercise group (EG).The rats in the EG group underwent an 8-week treadmill training and their cerebral cortex and hippocampus were isolated at 48h after the last exercise.The mRNA levels of Wnt,β-Catenin,LRP5,LRP6,Axin1,CK1 and GSK3β were analyzed using quantitative PCR,while the protein and phosphorylation levels were assayed using Western blotting.Results After 8 weeks of treadmill exercise,the average mRNA and protein levels of Wnt1 and Wnt3 in the EG group were significantly higher than those in the CG group.Although there were no significant differences in β-Catenin mRNA levels between EG and CG groups,the protein levels of β-Catenin in the EG group were significantly higher than those in the CG group.Meanwhile,the phosphorylation levels of β-Catenin Ser33/Ser37 and Thr41/Ser45 were significantly lower than those in the CG group.In the EG group,the mRNA and protein levels of LRP5 and LRP6 were significantly higher than those in the CG group,while those of Axin1 and CK1 were significantly lower than the CG group.Moreover,no significant differences were observed in the mRNA and protein levels of GSK3β between the two groups,but the phosphorylation levels of GSK3β Ser9 in the EG group were significantly higher than the CG group.Conclusion Aerobic exercises can increase the levels of Wnt and Wnt receptor,protein LRP5 and LRP6,decrease the levels of Axin1 and CK1,inhibit the activity of GSK3β,altogether lowering the pbosphorylation of β-Catenin to promote the stableness of β-Catenin.Therefore,the aerobic exercise can increase Wnt/β-Catenin pathway activity and activate the downstream gene transcription in the cerebral cortex and hippocampus of rats.

Objective To explore the feasibility of constructing three-dimensional model after the unicompartmental knee arthroplasty using the point-to-point image registration technology,so as to provide experimental basis for further application and optimization.Methods Patients of medial compartment knee osteoarthritis undergoing UKA were chosen and their postoperative three-dimensional knee models were established based on the MRI and CT scans.The virtual prosthetic replacement and finite element models were constructed using point-to-point image registration technology,and the kinematic changes were analyzed.Results The complete postoperative three-dimensional knee models of UKA were established,and the kinematic charateristics were similar to those conducted in traditional methods.Conclusion The virtual surgery can be performed using the point-to-point image registration technology,and it is both easier and more convenient than the traditional methods.

Objective To evaluate the angle between the anterior talofibular ligament (ATFL) and posterior talofibular ligament (PTFL) in patients with mechanical ankle instability,so as to find out a new indirect diagnosis method for the chronic ATFL lesion.Methods One hundred subjects were included in this study,among which 50 patients with mechanical ankle instability were assigned to group A and 50 counterparts without it were selected into group B All patients were taken MR Images and the ATFL and PTFL angle at the axial plane was evaluated.The difference between two groups was evaluated.Results The ATFL and PTFL angle increased significantly in group A when compared to group B (82.1° ± 8.0° v.s,74.4° ± 5.9°,P＜0.01).The area under receiver operating characteristic curve (ROC)was 0.874 (P＜0.01),indicating great significance in diagnosing the chronic ATFL tear.Moreover,the angle was 79 degree,showing high sensitivity (0.88) and specificity (0.64) of diagnosing ATFL tear.Conclusion The ATFL and PTFL angle increases significantly in patients with the mechanical instability.Moreover,the possibility of ATFL tear increases when the ATFL and PTFL angle is greater than 79 degree.

Objective To quantify the patellar mal-tracking combined with J-sign using the computed tomography (CT).Method Fifty-three adult patients diagnosed as recurrent patellar dislocation (RPD) were chosen.According to their patellar tracking during knee active flexion and extension,they were divided into group A(with positive J-sign) and group B(with negative J-sign).The CT examinations were performed in all patients at 0°extension of the knee and the patella bisect offset index (BOI),patella troehlear-groove distance (PTG) and patella lateral tilt (PLT) were measured in the axial position and compared.The receiver operating characteristic analysis (ROC) curve was used to analyse the accuracy and stability of the three J-sign parameters.Results In all the 53 patients,thirty-seven(69.8％) knees were of positive J-sign,while the rest 16 were of negative J-sign.The mean values of CT parameters BOI,PTG and PLT in group A were significantly larger than those of group B.Moreover,the area under the curve for BOI,PTG and PLT were 0.906,0.883 and 0.833 respectively.The sensitivity and specificity of BOI were 83.3％ and 87.5％,while the predicting cut-off value was 97.5％.Conclusion In all the 53 recurrent patella instability patients,the morbidity of patella proximal mal-trackingis 69.8％.The CT parameter BOI can be used to quantify the J-Sign into positive and negative groups.

Objective To explore stress changes of articular surface of knees after unicompartmental knee arthroplasty (UKA) using the finite element analysis,so as to make clear the advantages and disadvantages of such a surgery.Methods Dynamic finite element analysis was performed for 6 patients after UKA and 6 healthy subjects,and compared with previous analysis of patients undergoing total knee arthroplasty (TKA).Results The stress of medial compartment was significantly bigger than that of the lateral of normal knees when bending to 30° (P＜0.05).It was the same case for postoperative knees of TKA in the whole flexion movement and those of UKA at the bending angle of 0°,60° and 90° (P＜ 0.05 for both).At the bending angle of 60° and 90°,the stress of the medial compartment of postoperative UKA knees was significantly bigger than that of the TKA knees and in the whole flexion movement,the stress of the lateral compartment of the former was significantly bigger than the latter,The stress of lateral compartment of postoperative UKA knees was bigger than the normal controls at the bending angle of 0°,30°,60° and 120° (P＜0.05).Conclusion UKA may increase the stress of knee joints and accelerate the development of osteoarthritis of the contralateral compartment,leading to poor long-term effect.However,the surgery still has advantages if strictly choosing surgery indications,optimizing the surgical operations,properly improving prosthesis and reasonably guiding patients rehabilitation.