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Du Y, Wang S, Yang F, Xu H, Cheng Y, Yu J. Effects of chronic ankle instability after grade I ankle sprain on the post-traumatic osteoarthritis. Arthritis Res Ther 2024; 26:168. [PMID: 39342326 PMCID: PMC11438116 DOI: 10.1186/s13075-024-03402-w] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/24/2024] [Accepted: 09/15/2024] [Indexed: 10/01/2024] Open
Abstract
BACKGROUND Untreated acute ankle sprains often result in chronic ankle instability (CAI) and can ultimately lead to the development of post-traumatic osteoarthritis (PTOA). At present, a typical animal model of ankle instability in mice is established by transecting the ligaments around the ankle joint. This study aimed to establish a grade I acute ankle sprain animal model by rapid stretching of peri-ankle joint ligaments. Furthermore, we tried to explore the pathophysiological mechanism of ankle osteoarthritis. METHODS In all, 18 male C57BL/6 J mice (7 weeks) were randomly divided into three groups: calcaneofibular ligament (CFL) laxity group, deltoid ligament (DL) laxity group, and SHAM group. One week after the surgical procedure, all mice were trained to run in the mouse rotation fatigue machine daily. The mice were tested on the balance beam before surgery and three days, 4 weeks, 8 weeks, and 12 weeks after surgery. Footprint analyses were performed on each mouse before surgery and 12 weeks after surgery. Micro-CT scanning was then performed to evaluate the degeneration of ankle joints and histological staining was performed to analyze and evaluate PTOA caused by ankle joint instability. RESULTS After surgery, the mice in the CFL and DL laxity groups took longer to cross the balance beam and slipped more often than those in the SHAM group (p < 0.05). The step length and width in the CFL and DL laxity groups were significantly shorter and smaller than those in the SHAM group 12 weeks after surgery (p < 0.05). There was a significant increase in the bone volume fraction (BV/TV) in the CFL and DL laxity groups compared with the SHAM group (p < 0.05). Histological staining results suggested obvious signs of PTOA in the CFL and DL laxity groups. CONCLUSIONS Based on CFL and DL laxity in a mouse ankle instability model, this study suggests that grade I ankle sprain can contribute to chronic ankle instability, impair motor coordination and balance, and eventually lead to PTOA of ankle with significant degeneration of its adjacent joints.
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Affiliation(s)
- Yan Du
- Department of Orthopedic Surgery, School of Biology and Basic Medical Sciences, Orthopedic Institute, The First Affiliated Hospital, Suzhou Medical College, Soochow University, 899 Pinghai Road, Suzhou, Jiangsu, 215007, People's Republic of China
- School of Physical Education and Sports, Soochow University, 50 Donghuan Road, Suzhou, Jiangsu, 215006, People's Republic of China
| | - Shuo Wang
- Department of Orthopedic Surgery, School of Biology and Basic Medical Sciences, Orthopedic Institute, The First Affiliated Hospital, Suzhou Medical College, Soochow University, 899 Pinghai Road, Suzhou, Jiangsu, 215007, People's Republic of China
- Emergency and Critical Care Center, Intensive Care Unit, Zhejiang Provincial People's Hospital (Affiliated People's Hospital), Hangzhou Medical College, 158 Shangtang Road, Hangzhou, Zhejiang, 314408, People's Republic of China
| | - Fanlei Yang
- Department of Orthopedic Surgery, School of Biology and Basic Medical Sciences, Orthopedic Institute, The First Affiliated Hospital, Suzhou Medical College, Soochow University, 899 Pinghai Road, Suzhou, Jiangsu, 215007, People's Republic of China
| | - Hao Xu
- Department of Orthopedic Surgery, School of Biology and Basic Medical Sciences, Orthopedic Institute, The First Affiliated Hospital, Suzhou Medical College, Soochow University, 899 Pinghai Road, Suzhou, Jiangsu, 215007, People's Republic of China
| | - Yu Cheng
- Department of Orthopedic Surgery, School of Biology and Basic Medical Sciences, Orthopedic Institute, The First Affiliated Hospital, Suzhou Medical College, Soochow University, 899 Pinghai Road, Suzhou, Jiangsu, 215007, People's Republic of China.
| | - Jia Yu
- Department of Orthopedic Surgery, School of Biology and Basic Medical Sciences, Orthopedic Institute, The First Affiliated Hospital, Suzhou Medical College, Soochow University, 899 Pinghai Road, Suzhou, Jiangsu, 215007, People's Republic of China.
- School of Physical Education and Sports, Soochow University, 50 Donghuan Road, Suzhou, Jiangsu, 215006, People's Republic of China.
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Chalidapong P, Vaseenon T, Chattipakorn N, Chattipakorn SC. Potential Roles of Inflammation on Post-Traumatic Osteoarthritis of the Ankle. Int J Mol Sci 2024; 25:5903. [PMID: 38892089 PMCID: PMC11173057 DOI: 10.3390/ijms25115903] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/26/2024] [Revised: 05/19/2024] [Accepted: 05/24/2024] [Indexed: 06/21/2024] Open
Abstract
Post-traumatic osteoarthritis of the ankle (PTOA) is frequently observed following a debilitating consequence of intra-articular ankle fractures. Numerous risk factors contribute to the pathogenesis of PTOA, including articular incongruity, joint malalignment, and concomitant soft tissue damage. Despite attempts to restore joint anatomy and manage soft tissues to avoid long-term complications after intra-articular ankle fractures, the incidence of PTOA remains markedly elevated. Inflammatory processes triggered by intra-articular ankle fractures have emerged as potential instigators that expedite the progression of PTOA. Injury to the articular cartilage and subchondral bone may lead to the release of inflammatory mediators, which can contribute to cartilage degradation and bone resorption. This study provides a narrative review on the current knowledge concerning the association between inflammation and the development of PTOA following intra-articular ankle fractures. We also discuss novel therapeutic agents that target inflammatory pathways to impede the progression of post-traumatic osteoarthritis after intra-articular ankle fractures. These medication and interventions were summarized within this review article.
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Affiliation(s)
- Pawee Chalidapong
- Department of Orthopedics, Faculty of Medicine, Chiang Mai University, Chiang Mai 50200, Thailand
| | - Tanawat Vaseenon
- Department of Orthopedics, Faculty of Medicine, Chiang Mai University, Chiang Mai 50200, Thailand
| | - Nipon Chattipakorn
- Neurophysiology Unit, Cardiac Electrophysiology Research and Training Center, Faculty of Medicine, Chiang Mai University, Chiang Mai 50200, Thailand
- Center of Excellence in Cardiac Electrophysiology Research, Chiang Mai University, Chiang Mai 50200, Thailand
- Cardiac Electrophysiology Unit, Department of Physiology, Chiang Mai University, Chiang Mai 50200, Thailand
| | - Siriporn C Chattipakorn
- Neurophysiology Unit, Cardiac Electrophysiology Research and Training Center, Faculty of Medicine, Chiang Mai University, Chiang Mai 50200, Thailand
- Center of Excellence in Cardiac Electrophysiology Research, Chiang Mai University, Chiang Mai 50200, Thailand
- Department of Oral Biology and Diagnostic Sciences, Faculty of Dentistry, Chiang Mai University, Chiang Mai 50200, Thailand
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3
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Akpınar K, Şimşek EK, Özen ÖI, Haberal B. The effect of MSM in the treatment of ankle arthrosis: Is MSM as effective as methylprednisolone or hyaluronic acid? J Orthop Res 2024. [PMID: 38316633 DOI: 10.1002/jor.25795] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/04/2023] [Revised: 01/09/2024] [Accepted: 01/19/2024] [Indexed: 02/07/2024]
Abstract
Posttraumatic ankle osteoarthritis (PTAO) causes severe ankle and adjacent joint morbidity. We aimed to compare the treatment efficacy of previously tried and still applied intra-articular injections and oral methylsulfonylmethane (MSM) at functional and histopathological level in PTAO animal model. Thirty-two adult female Sprague-Dawley rats were divided into four groups (Group 1: Control, Group 2: 0.06 g/kg/day MSM, Group 3: 0.04 mg/µL methylprednisolone [MP], Group 4: 0.04 mg/µL hyaluronic acid [HA]). MSM was started orally between Day 0 to the end of 8 weeks. Intra-articular injections were applied to the right ankles of the subjects after surgery. All subjects were killed after radiological evaluation at the 8th week. Subsequently, functional (range of motion) and histopathological evaluation was performed. Radiological evaluation showed better results of the MP (p < 0.001) and MSM (p < 0.001) groups than the control group. Severity of osteoarthritis (OA) in the MP group was significantly less than in the HA group (p = 0.032). When the total Osteoarthritis Research Society International score was compared, the severity of OA was higher in the KS and HA groups than in the control group (p < 0.001). No significant statistical difference was found in the histopathological comparison of MSM and control group (p = 0.466). There was no difference between the groups in range of motion measurement according to the contralateral ankle joint. The radiological progression of OA was slowed in the MSM and MP groups, but significant histopathological worsening was found in the MP and HA applied groups. We suggest that the treatment methods used in daily practice need to be reviewed.
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Affiliation(s)
- Koray Akpınar
- Department of Orthopaedic and Traumatology, Baskent University, Ankara, Turkey
| | - Ekin K Şimşek
- Department of Orthopaedics and Traumatology, Baskent University Hospital, Ankara, Turkey
| | | | - Bahtiyar Haberal
- Department of Orthopaedics and Traumatology, Baskent University Hospital, Ankara, Turkey
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Wang S, Liu P, Chen K, Zhang H, Yu J. Mouse model of subtalar post-traumatic osteoarthritis caused by subtalar joint instability. J Orthop Surg Res 2022; 17:537. [PMID: 36510269 PMCID: PMC9743676 DOI: 10.1186/s13018-022-03435-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/26/2022] [Accepted: 12/05/2022] [Indexed: 12/14/2022] Open
Abstract
BACKGROUND Common ankle sprains are often accompanied by injury to the subtalar joint, which eventually leads to subtalar joint instability. Because the clinical manifestations for subtalar joint instability are similar to ankle joint injuries, these are often overlooked. This study aimed to establish an animal model of subtalar joint instability to study post-traumatic osteoarthritis of the subtalar joint caused by long-term subtalar joint instability and to provide a reference for future clinical research on chronic subtalar joint instability. METHODS In all, 24 C57BL/6 male mice were randomly divided into three groups: Sham, cervical ligament (CL) transection and CL + calcaneofibular ligament (CFL) transection groups. One week after surgical operation, all mice were trained to run in the mouse rotation fatigue machine every day. During this period, a balance beam test was used to evaluate the motor level and coordination ability of the mice before the operation and three days, one week, four weeks, eight weeks, and twelve weeks after operation. Further, post-traumatic osteoarthritis of the subtalar joint was quantified via micro-CT and histological staining. RESULTS The mice in the partial ligament transection group took significantly longer than those in the Sham group to pass through the balance beam and showed an increased number of hindfoot slips. Micro-CT analysis showed that the subtalar bone volume fraction in the CL + CFL transection group and CL transection group was 5.8% and 2.8% higher than that in the Sham group, respectively. Histological staining showed obvious signs of post-traumatic osteoarthritis (PTOA) in the subtalar joint of the ligament transection group. CONCLUSIONS The transection of CL and CL + CFL can cause instability of the subtalar joint in mice, resulting in a decrease in motor coordination, and long-term instability of the subtalar joint in mice can cause PTOA of the subtalar joint, which is manifested as destruction and loss of articular cartilage.
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Affiliation(s)
- Shuo Wang
- grid.429222.d0000 0004 1798 0228Department of Orthopedics, The First Affiliated Hospital of Soochow University, 899 Pinghai Road, Suzhou, 215006 Jiangsu People’s Republic of China ,grid.263761.70000 0001 0198 0694Orthopaedic Institute, Medical College, Soochow University, 178 Ganjiangdong Rd, Suzhou, 215006 Jiangsu People’s Republic of China
| | - Peixin Liu
- grid.429222.d0000 0004 1798 0228Department of Orthopedics, The First Affiliated Hospital of Soochow University, 899 Pinghai Road, Suzhou, 215006 Jiangsu People’s Republic of China ,grid.263761.70000 0001 0198 0694Orthopaedic Institute, Medical College, Soochow University, 178 Ganjiangdong Rd, Suzhou, 215006 Jiangsu People’s Republic of China , Department of Orthopedics, Suzhou Xiangcheng People’s Hospital, 1060 Huayuan Road, Suzhou, 215131 Jiangsu People’s Republic of China
| | - Kaiwen Chen
- grid.429222.d0000 0004 1798 0228Department of Orthopedics, The First Affiliated Hospital of Soochow University, 899 Pinghai Road, Suzhou, 215006 Jiangsu People’s Republic of China ,grid.263761.70000 0001 0198 0694Orthopaedic Institute, Medical College, Soochow University, 178 Ganjiangdong Rd, Suzhou, 215006 Jiangsu People’s Republic of China
| | - Hongtao Zhang
- grid.429222.d0000 0004 1798 0228Department of Orthopedics, The First Affiliated Hospital of Soochow University, 899 Pinghai Road, Suzhou, 215006 Jiangsu People’s Republic of China ,grid.263761.70000 0001 0198 0694Orthopaedic Institute, Medical College, Soochow University, 178 Ganjiangdong Rd, Suzhou, 215006 Jiangsu People’s Republic of China
| | - Jia Yu
- grid.429222.d0000 0004 1798 0228Department of Orthopedics, The First Affiliated Hospital of Soochow University, 899 Pinghai Road, Suzhou, 215006 Jiangsu People’s Republic of China ,grid.263761.70000 0001 0198 0694Orthopaedic Institute, Medical College, Soochow University, 178 Ganjiangdong Rd, Suzhou, 215006 Jiangsu People’s Republic of China
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Sun J, Li Q, Wang S, Wang G, Zhao J, Li H, Liu C, Shi Y, Li Z, Yu H. Establishment and Evaluation of a Rat Model of Medial Malleolar Fracture with Vascular Injury. Orthop Surg 2022; 14:2701-2710. [PMID: 36098492 PMCID: PMC9531110 DOI: 10.1111/os.13455] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/19/2021] [Revised: 07/12/2022] [Accepted: 07/25/2022] [Indexed: 11/30/2022] Open
Abstract
Objective A stable animal model was needed to study bone non‐union caused by insufficient blood supply, the main object of this paper is to develop a medial malleolar fracture model with controllable arterial vascular injuries in rats for revealing the biochemical mechanism of non‐union by insufficient blood supply. Methods A total of 18 rats were randomly divided into three equal groups: the Sham group, the Fracture group, and the Fracture + Vascular group. The animals were subjected to unilateral medial malleolar bone fracture and vascular injury using customized molding equipment. The fracture site was scanned by micro‐CT, and vascular injury was evaluated by laser Doppler flowmetry (LDF) 24 h after modeling. Histological examination (HE), alkaline phosphatase (ALP) and tartrate‐resistant acid phosphatase (TRAP) staining, immunohistochemistry and immunofluorescence were conducted on the medial malleolar fracture tissues of three rats randomly selected from each group 24 h after modeling. Subsequently, to further confirm the success of fracture modeling, the fracture sites of three other rats in each group underwent micro‐CT scanning again 6 weeks after surgery. Results The results of a 24 h micro‐CT showed that all rats used to create the fracture models showed controlled injury of the medial malleolus. The model was stable, and the satisfaction of the homemade equipment agreed with the expectation. LDF showed that the blood flow of rats in the Fracture + Vascular group decreased significantly 24 h after fracture injury, while collateral blood flow perfusion increased by 50% on average. The results of HE, ALP and TRAP staining in the medial malleolus showed that the number of osteoblasts (OBs) and osteoclasts (OCs) in the Fracture group increased significantly, but the number of OBs and OCs in the Fracture + Vascular group decreased sharply relative to the number in the Sham group 24 h later. Furthermore, immunohistochemistry and immunofluorescence results showed that the number of neovessels in the Fracture group was significantly increased, while the number of neovessels in the Fracture + Vascular group was significantly decreased, which was consistent with the above results. After 6 weeks of modeling, the micro‐CT results showed that the fractures in the Fracture group had healed substantially, while those in the Fracture + Vascular group had not. Conclusion This study provided a reproducible and stable experimental animal model for medial malleolar fractures with arterial injury.
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Affiliation(s)
- Jinglai Sun
- Department of Biomedical Engineering, Tianjin Key Laboratory of Biomedical Detecting Techniques and Instruments, Tianjin University, Tianjin, China.,Tianjin Joint Laboratory of Intelligent Medicine, Tianjin 4TH Centre Hospital, Tianjin University, Tianjin, China
| | - Qifeng Li
- Department of Biomedical Engineering, Tianjin Key Laboratory of Biomedical Detecting Techniques and Instruments, Tianjin University, Tianjin, China
| | - Shuo Wang
- Department of Biomedical Engineering, Tianjin Key Laboratory of Biomedical Detecting Techniques and Instruments, Tianjin University, Tianjin, China.,Academy of Medical Engineering and Translation Medicine, Tianjin University, Tianjin, China
| | - Guangpu Wang
- Department of Biomedical Engineering, Tianjin Key Laboratory of Biomedical Detecting Techniques and Instruments, Tianjin University, Tianjin, China.,Tianjin Joint Laboratory of Intelligent Medicine, Tianjin 4TH Centre Hospital, Tianjin University, Tianjin, China
| | - Jing Zhao
- Department of Biomedical Engineering, Tianjin Key Laboratory of Biomedical Detecting Techniques and Instruments, Tianjin University, Tianjin, China.,Tianjin Joint Laboratory of Intelligent Medicine, Tianjin 4TH Centre Hospital, Tianjin University, Tianjin, China
| | - Huanming Li
- Tianjin Joint Laboratory of Intelligent Medicine, Tianjin 4TH Centre Hospital, Tianjin University, Tianjin, China.,Department of Cardiovascular, Tianjin 4TH Centre Hospital, Tianjin, China
| | - Chong Liu
- Tianjin Joint Laboratory of Intelligent Medicine, Tianjin 4TH Centre Hospital, Tianjin University, Tianjin, China.,Department of Central Laboratory, Tianjin 4TH Centre Hospital, Tianjin, China.,Department of Anesthesiology, Tianjin 4TH Centre Hospital, Tianjin, China
| | - Yifan Shi
- Department of Imaging, Tianjin 4TH Centre Hospital, Tianjin, China
| | - Zhigang Li
- Tianjin Joint Laboratory of Intelligent Medicine, Tianjin 4TH Centre Hospital, Tianjin University, Tianjin, China.,Department of Emergency Medicine, Tianjin 4TH Centre Hospital, Tianjin, China
| | - Hui Yu
- Department of Biomedical Engineering, Tianjin Key Laboratory of Biomedical Detecting Techniques and Instruments, Tianjin University, Tianjin, China.,Tianjin Joint Laboratory of Intelligent Medicine, Tianjin 4TH Centre Hospital, Tianjin University, Tianjin, China.,Academy of Medical Engineering and Translation Medicine, Tianjin University, Tianjin, China
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Jimbo S, Terashima Y, Teramoto A, Takebayashi T, Ogon I, Watanabe K, Sato T, Ichise N, Tohse N, Yamashita T. Antinociceptive effects of hyaluronic acid on monoiodoacetate-induced ankle osteoarthritis in rats. J Pain Res 2019; 12:191-200. [PMID: 30655688 PMCID: PMC6322704 DOI: 10.2147/jpr.s186413] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/17/2022] Open
Abstract
Purpose Ankle osteoarthritis (OA) causes significant pain and debilitation; yet, its underlying mechanisms remain unclear. Clinically, hyaluronic acid (HA) is widely used to treat OA. The present study aimed to investigate the roles of HA in pain-related behavior, joint function, swelling, and pathological changes in cartilage in a rat model of monoiodoacetate (MIA)-induced ankle OA. Materials and methods Male Sprague Dawley rats were assigned to three experimental groups as follows: 1) MIA rats injected with 1 mg MIA in the right tibiotarsal joint for two consecutive days; 2) sham rats injected with saline instead of MIA; and 3) MIA-HA rats injected with HA in the tibiotarsal joint at 7, 14, and 21 days after MIA injection. Joint swelling, range of motion (ROM), and pain-related behavior were evaluated 1 day before and on the 7th, 14th, 21st, and 28th day after MIA or saline injection. Pathological changes in the ankle joint were assessed 28 days after MIA or saline injection. Results No significant difference in the degree of ankle swelling or ROM reduction was observed between MIA rats and MIA-HA rats. However, compared with those in MIA rats, mechanical and thermal hypersensitivity was significantly reduced and stride length significantly improved in MIA-HA rats. Histologic analysis revealed that cartilage degeneration was significantly suppressed in MIA-HA rats compared with that in MIA rats, reflecting the chondroprotective effects of HA. Conclusion HA improved pain-related behavior and stride length and suppressed MIA-induced cartilage degeneration. HA may thus inhibit OA progression and suppress peripheral and/or central sensitization.
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Affiliation(s)
- Shunsuke Jimbo
- Department of Orthopaedic surgery, Sapporo Medical University School of Medicine, Sapporo 060-8556, Japan,
| | - Yoshinori Terashima
- Department of Orthopaedic surgery, Sapporo Medical University School of Medicine, Sapporo 060-8556, Japan, .,Department of Cellular Physiology and Signal Transduction, Sapporo Medical University School of Medicine, Sapporo 060-8556, Japan
| | - Atsushi Teramoto
- Department of Orthopaedic surgery, Sapporo Medical University School of Medicine, Sapporo 060-8556, Japan,
| | | | - Izaya Ogon
- Department of Orthopaedic surgery, Sapporo Medical University School of Medicine, Sapporo 060-8556, Japan,
| | - Kota Watanabe
- Department of Second Division of Physical Therapy, Sapporo Medical University School of Health Sciences, Sapporo 060-8556, Japan
| | - Tatsuya Sato
- Department of Cellular Physiology and Signal Transduction, Sapporo Medical University School of Medicine, Sapporo 060-8556, Japan.,Department of Cardiovascular, Renal and Metabolic Medicine, Sapporo Medical University School of Medicine, Sapporo 060-8556, Japan
| | - Nobutoshi Ichise
- Department of Cellular Physiology and Signal Transduction, Sapporo Medical University School of Medicine, Sapporo 060-8556, Japan
| | - Noritsugu Tohse
- Department of Cellular Physiology and Signal Transduction, Sapporo Medical University School of Medicine, Sapporo 060-8556, Japan
| | - Toshihiko Yamashita
- Department of Orthopaedic surgery, Sapporo Medical University School of Medicine, Sapporo 060-8556, Japan,
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Allen MJ. What's New in Musculoskeletal Basic Science. J Bone Joint Surg Am 2018; 100:2082-2086. [PMID: 30516632 DOI: 10.2106/jbjs.18.01055] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/01/2023]
Affiliation(s)
- Matthew J Allen
- Department of Veterinary Medicine, Surgical Discovery Centre, University of Cambridge, Cambridge, United Kingdom
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