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The tibial subchondral plate. A scanning electron microscopic study

The Journal of Bone & Joint Surgery.  1987; 69:1212-1220 
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Abstract

Non-arthritic tibial plateaus were obtained from fifteen cadavera and five above-the-knee amputation specimens. After radiographs had been made, each sample was macerated and the topography of the subchondral plate was displayed by scanning electron microscopy. The surface features included small peripheral and submeniscal osteophytes, indentations, and holes penetrating the plate. The pattern of distribution of holes per square centimeter was different for the subchondral plate of the medial plateau than it was for that of the lateral plateau. More holes were present in the submeniscal area of the medial tibial plateau; the lateral tibial plateau showed a greater concentration of holes in its central area. By light microscopy, many holes were seen to be blood vessels that were lined by endothelium and contained erythrocytes.

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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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