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Hydroxyapatite deposition in articular cartilage by intra-articular injections of methylprednisolone. A histological, ultrastructural, and x-ray-microprobe analysis in rabbits

The Journal of Bone & Joint Surgery.  1986; 68:509-520 
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Abstract

The mineral deposits in rabbit articular cartilage induced by intra-articular injections of glucocorticoid were studied by light and electron microscopy, using histochemical techniques and x-ray-probe microanalysis. This study demonstrated that the mineral deposits consisted of hydroxyapatite crystals. The initial deposition of hydroxyapatite crystals was seen around degenerating chondrocytes, where a halo-like pericellular space contained a large amount of electron-dense amorphous material. The initial precipitation of the crystals with a low ratio of calcium to phosphorus and the subsequent growth of crystals were seen only on or within the electron-dense amorphous material until the crystals formed mature, calcified nodules. The electron-dense amorphous material frequently coexisted with proteoglycans and degenerated collagen fibers. Digestion studies using chondroitinase ABC, papain, or chloroform and methanol suggested that the electron-dense amorphous material consisted of some protein and a small amount of lipid. Matrix vesicles were rarely seen in the calcifying areas. In addition, there was a correlation between sulphur, calcium, and phosphorus in the calcifying areas, where the relative element concentrations were: S (estimation counts of sulphur) = -0.862 X (calcium counts) + 1.472 X (phosphorus counts) + 102.146. This study demonstrated that electron-dense amorphous material, proteoglycans, and degenerated collagen fibers are present in loci where the hydroxyapatite crystals are formed in articular cartilage.

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    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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