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The Journal of Bone and Joint Surgery 80:1365-1378 (1998)
© 1998 The Journal of Bone and Joint Surgery, Inc.

Current Concepts Review

Current Concepts Review - Mechanoreceptors in Joint Function*

TOM HOGERVORST, M.D.{dagger}, AMSTERDAM, THE NETHERLANDS and RICHARD A. BRAND, M.D.{ddagger}, IOWA CITY, IOWA

*No benefits in any form have been received or will be received from a commercial party related directly or indirectly to the subject of this article. No funds were received in support of this study.


   Introduction
 
Most surgeons and investigators consider ligaments to be passive stabilizers of the joints. However, more than 100 years ago, clinicians and investigators recognized the presence and potential roles of mechanoreceptors in the function of joints52,93,128. Perhaps because of the frequency of injuries of the anterior cruciate ligament, the functional impairment resulting from them, and the issue of whether the anterior cruciate ligament should be removed during total knee replacement, the role of mechanoreceptors in the anterior cruciate ligament recently has attracted considerable attention.

It is important to ascertain the role of mechanoreceptors in the function of intra-articular ligaments in order to determine the future direction of joint reconstruction. Their importance, or lack thereof, will determine, in part, whether efforts should be directed more toward preservation of the receptors or whether the emphasis should remain on purely mechanical and kinematic aspects of joint function.

Joint mechanoreceptors have been most often . . . [Full Text of this Article]


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