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[The joint capsule of the cricoarytenoid joint: biomechanical and clinical aspects].

Authors: F, Paulsen; K, Jungmann; A, Thale; B, Tillmann;

[The joint capsule of the cricoarytenoid joint: biomechanical and clinical aspects].

Abstract

Impaired movement of the cricoarytenoid joint with hoarseness and immobility of the vocal ligament may occur as a consequence of laryngeal trauma and joint disease. Little is known to date about the cricoarytenoid joint capsule and its role in joint pathology.The present study analyses the structure of the cricoarytenoid joint capsule by means of histological, immunohistochemical, and scanning electron microscopical methods. Investigations are performed on larynges of 17 male and 16 female.The cricoarytenoid joint was found to be lined by a wide and lax joint capsule consisting of a fibrous and a synovial membrane. The capsule was strengthened posteriorly by the cricoarytenoid ligament. As like the fibrous membrane the cricoarytenoid ligament consisted mainly of collagen types I and III. Moreover the ligament was found to be rich in elastic fibers. Unexpected large and intensively vascularized synovial folds projected into the joint cavity.The capsule of the cricoarytenoid joint can be compared with the joint capsules of the limbs despite its structure and its involvement in joint pathology. Based on the laxity of the joint capsule it was concluded that invasive interventions at the respiratory tract with dislocation of the arytenoid cartilage can lead to incarceration of the synovial folds. After a trauma aero-synovitis or formation of hemarthrosis may occur, with subsequent fixation of the arytenoid in an abnormal position.

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Keywords

Adult, Aged, 80 and over, Male, Joint Dislocations, Middle Aged, Immunohistochemistry, Biomechanical Phenomena, Cricoid Cartilage, Hemarthrosis, Humans, Female, Joint Capsule, Aged, Arytenoid Cartilage

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Powered by OpenAIRE graph
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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
4
Average
Top 10%
Average
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