Search

Due to its unconstrained nature, the glenohumeral joint must necessarily have several mechanisms to regulate its position in space. The neural mechanisms associated with this positioning have not been fully evaluated anatomically. In this study, three fresh-frozen human cadaveric adult shoulders were dissected. Specimens were excised from the proximal biceps insertion, the superior, middle, and inferior glenohumeral ligaments, and the capsule superior to the glenohumeral ligaments. In two specimens, a portion of glenoid labrum was analyzed using a modified gold chloride staining method and light microscopy. A portion of mid-biceps tendon was used as a control. In the superior glenohumeral ligament, 45% of sections contained neural elements consisting of Golgi's, Ruffini's, and Pacini's corpuscles as well as free nerve endings. The predominant types were Ruffini's and Golgi's. The middle glenohumeral ligament sections revealed all four receptor types in 42%, with the most common elements being Pacini's and Ruffini's receptors. The inferior glenohumeral ligament specimens contained the four receptor types in 48% of sections, with Ruffini's, Pacini's, and Golgi's types equally distributed. The shoulder capsule specimens revealed Ruffini's and Pacini's receptors in 47.5% of sections. Only free nerve endings were identified in the biceps tendon and glenoid labral tissue. These findings suggest that the pattern of neural elements does not appear to be random in nature and may have some correlation with the specific functions of some of the glenohumeral ligaments.

The retractor clitoridis muscle originates from the coccygeal vertebrae in the cow, ewe, goat and mare, and from the anal musculature in the sow. It terminates at the base of the clitoris. In all the species considered, a vegetative innervation was found. This was represented by isolated or grouped ganglion cells. Nervous sensitive supply was also present. This was represented by Pacinian, Pacinian-like and Golgi-Mazzoni's corpuscles, and by Krauses's end bulbs. A notable difference was found in the amount and type of these receptors. They were numerous in the sow, ewe and goat, and rare in the cow and mare. Additionally, in the sow, ewe and goat, all the above mentioned receptors were found, while, in the cow and mare, only Pacinian and Pacinian-like corpuscles occurred. The morphology of these receptors was described and hypotheses were made concerning their probable functional role.

The sensory-nerve-ending system of 40 myotendinous junctions of human palmaris longus and plantaris muscles was studied histologically. All the known four types of nerve endings were identified. The Ruffini corpuscles could be found in equally small numbers (one to five) in both the muscular and tendineal sites of the junction. Also the free nerve endings were distributed equally on both sites. The Pacini corpuscles were frequent in the tendineal site (six to 14), but rare in the muscular site (one to three). The Golgi tendon organs were, in turn, frequent in the muscular site (nine to 12) but rare in the tendineal site (one to four), respectively. Within the muscle and tendon parts of the junction, the distance between two mechanoreceptors was always more than 250 microns and the receptor distribution was homogeneous. Further studies are needed to give functional explanation for these anatomic findings.

The origin and course of the collateral sesamoidean (suspensory navicular) ligament of the horse and ass and its attachment to the distal sesamoid bone were studied by means of dissection. Particular attention was given to the topographic relations between this ligament and the deep digital flexor tendon. Numerous sensitive nerve endings are present in this anatomical district. The free and encapsulated nerve endings, displayed by impregnating techniques, are mostly concentrated in the ligament tract connected to the above-named tendon and close to its attachment to the distal sesamoid angle. The nerve endings are identified as typical Pacini, Pacini-like and Golgi-Mazzoni corpuscles on account of their morphological features and are found isolated, grouped to form flower-sprays, lined up along the course of a single nerve fibre or grouped to originate poikilomorphous fibres.

The Authors have studied the sensitive innervation of the proximal sesamoid ligament of the ox and have found capsulated corpuscles only. Among these receptors, besides Pacini and pacini-like corpuscles, Golgi Mazzoni's corpuscles, muscle spindles and Golgi's tendon organs with a typical structure, the Authors have been described, for the first time in the ox, corpuscles constituted by numerous Pacini collected by a single capsule. It must be pointed out that the muscle spindles are always supplied by an annulo-spiral termination which is centrally placed in the equatorial region. A vegetative innervation is also present in this ligament.

Golgi tendon organs are encapsulated mechanoreceptors present at the myo-tendinous and myo-aponeurotic junctions of mammalian skeletal muscles. Within the tendon organ capsule, the terminal branches of a large diameter afferent fibre, called Ib fibre, are intertwined with collagen bundles in continuity with tendon or aponeurosis at one end. The other end is connected with a fascicle of 5-25 muscle fibres, contributed by several motor units. The contraction of these fibres, exerting strain on the collagenous bundle and causing deformation of sensory terminals, is the adequate stimulus of the tendon organ. For this stimulus, the tendon organ has a very low threshold, so that a single fibre twitch can elicit a discharge from the receptor. A tendon organ can thus signal the contraction of a single one of the 10-15 motor units which contribute fibres to the fascicle connected with the receptor. The number of tendon organs present in a muscle, taken together with the fact that a given motor unit can activate several tendon organs, strongly suggests that the contraction of every motor unit in this muscle is monitored by at least one tendon organ. The exact nature of the information provided by tendon organs to the central nervous system remains an open question because no simple relation could be established between the discharge frequency of a receptor and the contractile forces of its activating motor units. It is known, however, that, due to their dynamic sensitivity, tendon organs are efficient in signaling rapid variations of contractile force. The dynamic parameters of muscle contraction prevail in the information carried by afferent discharges from tendons organs.

A brief review of traction and its application as a therapeutic tool is outlined. The preliminary results obtained indicate that traction, as used in this study, along with isokinetic exercises and chiropractic manipulation, have a very positive effect on tension headaches originating from the posterior muscles in conjunction with pathomechanics of the cervical spine. A brief but pertinent review of the literature dealing with the anatomy and physiology of the muscle spindle, the muscles, the joints, the neural connections in the spinal cord and the central nervous system is presented, to provide the basic principles of the possible mechanisms underlying the therapeutic result obtained. This framework also provides the basis of a second paper, which will explore the neural control mechanisms that are intrinsic in the control of the head, eyes and cervical spine movement, with the view of utilizing these to facilitate manipulation of this region.

The human temporomandibular joint in transverse and longitudinal section was found to have two types of mechanoreceptors. One of capsular form approximately 40 times 200 mum innervated by myelinated nerve fibres 8 mum in diameter and the other corresponding to the Golgi tendon organ was innervated by myelinated nerve fibers 15 mum in diameter which on entering the tendon organ lost their myelin sheaths.