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Osteophyte development during osteoarthritis (OA) : consideration of angiogenesis, mechanical loading and tissue microstructure

100%

Bednarczyk E. , Lekszycki T.

Engineering Transactions

2016

tom Vol. 64, iss. 4

533--540

This paper is devoted to modelling and investigation of the effects of mechanical loading, blood vessels development and tissue microstructure in osteoarthritis (OA) – a degenerative joint disease. OA is one of the most common diseases affecting the population, and therefore it is a social and medical problem of utmost importance. It predominantly affects the elderly but also sportsmen, obese people and those with curvature of the spine. Although the phenomenon of OA is not yet fully understood, it is commonly accepted that mechanical aspects are crucial in its evolution [1, 2]. Mechanical overloading leads to chondrocytes apoptosis which increases generation of vascular endothelial growth factors [3] then expansion of angiogenesis and osteophyte onset. A properly formulated mathematical model of cartilage degeneration and osteophytes development can significantly help in understanding the complexity of this process. The presented model reflects the most important aspects of the interactions between mechanical and biological factors, crucial for the phenomenon of OA.

Relationship between radiographic features and bone mineral density in elderly men

84%

Karabulut O. , Tuncer M. C. , Karabulut Z. , Acikgoz A. , Hatipoglu E. S. , Akkus Z.

Folia Morphologica

2010

tom 69

nr 3

Lumbar disc degeneration is characterised radiologically by the presence of osteophytes, endplate sclerosis, and disc space narrowing. Our study was designed to assess anterior lumbar osteophytes, disc space narrowing, end plate sclerosis, and bone mineral density (BMD) in the lumbar vertebrae and femoral neck of elderly men. A total of 1000 men, aged between 71 and 90 years, were invited to participate in the study. BMD was assessed at the spine and femoral neck using dual energy X-ray absorptiometry (DXA). We examined the relationship with the degree of lumbar spinal and femoral neck deformity by using the Z-score. Lateral and anterioposterior spinal radiographs were evaluated for features of lumbar disc degeneration. The observers consisted of a consultant physical therapist, a radiologist, and anatomists who together studied the series of radiographs. Anterior lumbar osteophytes (grade 0–3), end-plate sclerosis, and disc space narrowing (grade 0–2) were evaluated. The Pearson correlation test was used to determine the association between radiographic features, the lumbar mineral density (LBMD), and femoral neck mineral density (FNBMD). In all, 90.6% of lumbar vertebral levels showed evidence of anterior osteophytes, 87.5% showed evidence of end plate sclerosis, and 68.2% of disc space narrowing. Additionally, there was a strong negative correlation in terms of age at the femoral neck, though not at the spine. On the other hand, there was a significant correlation between osteophyte grade and end plate sclerosis at the spine. In our study, the radiographic features of lumbar disc degeneration, anterior osteophytes, and end plate sclerosis were associated with an increase in BMD at the spine. (Folia Morphol 2010; 69, 3: 170–176)

Effect of micro-cracks on the angiogenesis and osteophyte development in degenerative joint disease

67%

Bednarczyk E. , Lekszycki T. , Glinkowski W.

Computer Assisted Methods in Engineering and Science

2017

tom Vol. 24, no. 3

149--156

Osteoarthritis, one of the most common types of arthritis, is characterized by the development of osteophytes. The main cause of joint degeneration is mechanical loading, but there are also several other factors that influence the development of osteophytes. In order to formulate a mathematical model of bone spurs’ development we have selected the most important factors, such as angiogenesis, micro-damage of the tissue structure and cell signaling. The proposed system of integro-differential equations describes the degenerative changes in the joint. Numerical calculations were implemented into the COMSOL Multiphysics software and the obtained results thus reflect relationships between certain parameters and variables. Additionally, the results correspond with those obtained from medical observations.