Progression of microstructural deterioration in load-bearing immobilization osteopenia

Immobilization osteopenia is a major healthcare problem in clinical and social medicine. However, the mechanisms underlying this bone pathology caused by immobilization under load-bearing conditions are not yet fully understood. This study aimed to evaluate sequential changes to the three-dimensiona...

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Veröffentlicht in:PloS one 2022-11, Vol.17 (11), p.e0275439-e0275439
Hauptverfasser: Koseki, Hironobu, Osaki, Makoto, Honda, Yuichiro, Sunagawa, Shinya, Imai, Chieko, Shida, Takayuki, Matsumura, Umi, Sakamoto, Junya, Tomonaga, Iku, Yokoo, Seiichi, Mizukami, Satoshi, Okita, Minoru
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container_title PloS one
container_volume 17
creator Koseki, Hironobu
Osaki, Makoto
Honda, Yuichiro
Sunagawa, Shinya
Imai, Chieko
Shida, Takayuki
Matsumura, Umi
Sakamoto, Junya
Tomonaga, Iku
Yokoo, Seiichi
Mizukami, Satoshi
Okita, Minoru
description Immobilization osteopenia is a major healthcare problem in clinical and social medicine. However, the mechanisms underlying this bone pathology caused by immobilization under load-bearing conditions are not yet fully understood. This study aimed to evaluate sequential changes to the three-dimensional microstructure of bone in load-bearing immobilization osteopenia using a fixed-limb rat model. Eight-week-old specific-pathogen-free male Wistar rats were divided into an immobilized group and a control group (n = 60 each). Hind limbs in the immobilized group were fixed using orthopedic casts with fixation periods of 1, 2, 4, 8, and 12 weeks. Feeding and weight-bearing were freely permitted. Length of the right femur was measured after each fixation period and bone microstructure was analyzed by micro-computed tomography. The architectural parameters of cortical and cancellous bone were analyzed statistically. Femoral length was significantly shorter in the immobilized group than in the control group after 2 weeks. Total area and marrow area were significantly lower in the immobilized group than in the control group from 1 to 12 weeks. Cortical bone area, cortical thickness, and polar moment of inertia decreased significantly after 2 weeks. Some cancellous bone parameters showed osteoporotic changes at 2 weeks after immobilization and the gap with the control group widened as the fixation period extended (P < 0.05). The present results indicate that load-bearing immobilization triggers early deterioration of microstructure in both cortical and cancellous bone after 2 weeks.
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However, the mechanisms underlying this bone pathology caused by immobilization under load-bearing conditions are not yet fully understood. This study aimed to evaluate sequential changes to the three-dimensional microstructure of bone in load-bearing immobilization osteopenia using a fixed-limb rat model. Eight-week-old specific-pathogen-free male Wistar rats were divided into an immobilized group and a control group (n = 60 each). Hind limbs in the immobilized group were fixed using orthopedic casts with fixation periods of 1, 2, 4, 8, and 12 weeks. Feeding and weight-bearing were freely permitted. Length of the right femur was measured after each fixation period and bone microstructure was analyzed by micro-computed tomography. The architectural parameters of cortical and cancellous bone were analyzed statistically. Femoral length was significantly shorter in the immobilized group than in the control group after 2 weeks. 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However, the mechanisms underlying this bone pathology caused by immobilization under load-bearing conditions are not yet fully understood. This study aimed to evaluate sequential changes to the three-dimensional microstructure of bone in load-bearing immobilization osteopenia using a fixed-limb rat model. Eight-week-old specific-pathogen-free male Wistar rats were divided into an immobilized group and a control group (n = 60 each). Hind limbs in the immobilized group were fixed using orthopedic casts with fixation periods of 1, 2, 4, 8, and 12 weeks. Feeding and weight-bearing were freely permitted. Length of the right femur was measured after each fixation period and bone microstructure was analyzed by micro-computed tomography. The architectural parameters of cortical and cancellous bone were analyzed statistically. Femoral length was significantly shorter in the immobilized group than in the control group after 2 weeks. 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subjects Animal models
Animals
Biology and Life Sciences
Bone (cancellous)
Bone (cortical)
Bone Density
Bone Diseases, Metabolic - pathology
Botulinum toxin
Cancellous bone
Care and treatment
Computed tomography
Cortical bone
Development and progression
Femur
Fixation
Fracture fixation
Fractures
Immobilization
Immobilization - adverse effects
Male
Medicine and Health Sciences
Metabolism
Methods
Microstructure
Moments of inertia
Muscle contraction
Orthopedics
Osteopenia
Osteoporosis
Parameters
Patient outcomes
Physical Sciences
Rats
Rats, Wistar
Rodents
Social medicine
Specific pathogen free
Spinal cord
Weight-Bearing
X-Ray Microtomography - adverse effects
title Progression of microstructural deterioration in load-bearing immobilization osteopenia
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