Osteoarthritis and Ligaments

Loading ligaments may be able to contribute to height.  Ligaments connect to bone via entheses.  Loading ligaments may be able to alter bone and in our case ideally causing formation of new growth plates.

How does bone and surrounding cartilage affect the surrounding ligaments?

High-resolution ultrasound evaluation of extrinsic wrist ligaments in patients affected by rheumatoid arthritis.

“Twenty-one consecutive patients affected by RA (12 men, 9 women; mean age 57 ± 14.6 years) were compared with 21 controls (12, 9; 54 ± 12.1, respectively). Wrists were evaluated using ultrasound on both palmar and dorsal sides along each ligament, using carpal bones as references. The following ligaments were studied: radioscaphocapitate, radiolunotriquetral, palmar ulnolunate, palmar ulnotriquetral, dorsal radiotriquetral, dorsal ulnotriquetral, and radial collateral ligament. Ligament number and thickness were noted. Echotexture was rated as fibrillar, fragmented, or heterogeneous; the surface was rated as smooth or blurred.

The number of palmar ulnolunate and palmar ulnotriquetral ligaments detected by ultrasound in patients was significantly lower than in controls. All ligaments had significantly more fragmented or heterogeneous echotexture and blurred surface and were significantly thinner in patients than in controls. No correlation was found between ligament thickness and RA duration or clinical parameters.

Extrinsic wrist ligaments were less detectable and thinner in patients affected by RA compared with healthy volunteers matched for age and sex. Ligament thinning did not directly correlate with RA duration and clinical parameters.”

“Damage in RA mainly originates from the synovium in the joints and tendon sheaths. During the course of the disease, inflamed synovial tissue may extend to bone, tendons, capsule, and ligaments”<-And possible the refuse may be true in which stimulus from the ligaments progresses into the bone.