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Quantitative Studies of Human Subchondral Cancellous Bone ITS RELATIONSHIP TO THE STATE OF ITS OVERLYING CARTILAGE
JAMES W. PUGH; ERIC L. RADIN; ROBERT M. ROSE
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From the Department of Metallurgy and Materials Science, Massachusetts Institute of Technology, Cambridge, and the Department of Orthopaedic Surgery, Harvard Medical School at the Children's Hospital Medical Center, Boston
1974 by The Journal of Bone and Joint Surgery, Incorporated
The Journal of Bone & Joint Surgery.  1974; 56:313-321 
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Abstract

Changes in the spatial arrangement of the trabeculae (rather than the gross density of the bone) are shown to correlate with the observed increase in subchondral bone stiffening associated with loss of cartilage mucopolysaccharide. In fifteen cadavera, with no histories of degenerative joint disease and exhibiting no gross bone and cartilage changes indicative of osteoarthritis, the stiffening of 38 per cent from a normal to an early arthritic condition was accompanied by a trabecular contiguity change from 0.7 to 0.8. Since the limits on the contiguity ratio in trabecular bone are one-half and one, and the experimentally observed range is 0.6 to 0.9, this increase in contiguity ratio is quite striking.

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    Accreditation Statement
    These activities have been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of the American Academy of Orthopaedic Surgeons and The Journal of Bone and Joint Surgery, Inc. The American Academy of Orthopaedic Surgeons is accredited by the ACCME to provide continuing medical education for physicians.
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