Evidence map›Paper›PMID 36070088›Full record

ArticleArchives of orthopaedic and trauma surgery2023

Immunofluorescence analysis of sensory nerve endings in the periarticular tissue of the human elbow joint.

Susanne Rein, Mireia Esplugas, Marc Garcia-Elias, Thomas Kremer, Frank Siemers, Paul Lühmann

Abstract read
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In one paragraph

Article in Archives of orthopaedic and trauma surgery, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.5field-weighted citation impact, top 34% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 5 citations in OpenAlex.

  1. Camillo Golgi's contributions to the anatomic basis of sensitivity in tendons.Journal of neural transmission (Vienna, Austria : 1996) · 2025
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 3 institutions in 2 countries.

Susanne ReinDepartment of Plastic and Hand Surgery, Burn Unit, Hospital Sankt Georg, Delitzscher Straße 141, 04129, Leipzig, Germany. susanne.rein@web.de.ORCID http://orcid.org/0000-0003-4454-1856
Mireia EsplugasKaplan Hand Institute, Paseo de la Reina Elisenda 17, 08034, Barcelona, Spain.
Marc Garcia-EliasKaplan Hand Institute, Paseo de la Reina Elisenda 17, 08034, Barcelona, Spain.
Thomas KremerDepartment of Plastic and Hand Surgery, Burn Unit, Hospital Sankt Georg, Delitzscher Straße 141, 04129, Leipzig, Germany.
Frank SiemersMartin-Luther-University Halle-Wittenberg, Halle (Saale), Germany.
Paul LühmannDepartment of Plastic and Hand Surgery, Burn Unit, Hospital Sankt Georg, Delitzscher Straße 141, 04129, Leipzig, Germany.
Klinikum St. Georg · DEInstitut Kaplan · ESBG Klinikum Bergmannstrost Halle · DE

Funding

Bauerfeind AG 8344Deutsche Gesetzliche Unfallversicherung FR 272
6 · The paper itself

Abstract

introductionTo investigate the dynamic aspects of elbow stability, we aimed to analyze sensory nerve endings in the ligaments and the capsule of elbow joints. MATERIALS AND

methodsThe capsule with its anterior (AJC) and posterior (PJC) parts, the radial collateral ligament (RCL), the annular ligament (AL), and the ulnar collateral ligament with its posterior (PUCL), transverse (TUCL) and anterior parts (AUCL) were dissected from eleven human cadaver elbow joints. Sensory nerve endings were analyzed in two levels per specimen as total cell amount/ cm

resultsFree nerve endings were the predominant mechanoreceptor in all seven structures followed by Ruffini, unclassifiable, Golgi-like, and Pacini corpuscles (p ≤ 0.00001, respectively). Free nerve endings were observed significant more often in the AJC than in the RCL (p < 0.00002). A higher density of Ruffini endings than Golgi-like endings was observed in the PJC (p = 0.004). The RCL contained significant more Ruffini endings than Pacini corpuscles (p = 0.004). Carbonic anhydrase II was significantly more frequently positively immunoreactive than choline acetyltransferase in all sensory nerve endings (p < 0.05). Sensory nerve endings were significant more often epifascicular distributed in all structures (p < 0.006, respectively) except for the AJC, which had a pronounced equal distribution (p < 0.00005).

conclusionThe high density of free nerve endings in the joint capsule indicates that it has pronounced nociceptive functions. Joint position sense is mainly detected by the RCL, AUCL, PUCL, and the PJC. Proprioceptive control of the elbow joint is mainly monitored by the joint capsule and the UCL, respectively. However, the extreme range of motion is primarily controlled by the RCL mediated by Golgi-like endings.

Indexed as

Elbow JointCarbonic Anhydrase IICholine O-AcetyltransferaseFluorescent Antibody TechniqueHumansSensory Receptor CellsCarbonic Anhydrase IICholine O-AcetyltransferaseElbow jointForearmHistologyImmunofluorescenceLigamentProprioception

Identifiers

PMID36070088
OpenAlexW4294920776

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.