PMID- 2738770 OWN - NLM STAT- MEDLINE DCOM- 19890728 LR - 20081121 IS - 0736-0266 (Print) IS - 0736-0266 (Linking) VI - 7 IP - 4 DP - 1989 TI - Intraarticular pressure during continuous passive motion of the human knee. PG - 530-7 AB - Intraarticular pressure (IAP) was continuously monitored during continuous passive motion (CPM) of five normal and 11 abnormal human knees using a new fiberoptic, transducer-tipped Camino catheter. IAP varied in a consistent hysteresis pattern in the normal knees, with subatmospheric pressures recorded at intermediate angles of joint flexion. A similar pattern was recorded in the abnormal knees without cruciate ligament pathology, whereas considerable variability was noted in the knees with cruciate ligament abnormality. IAP was lower in the extension to flexion than in the flexion to extension portion of the CPM cycle, providing evidence of intraarticular fluid flow during portions of the CPM cycle. IAP changes were consistent with "physiologic compartmentation" within the knee at extremes of joint position. Capsular viscoelastic changes and/or synovial fluid volume changes were observed during CPM. The therapeutic mechanism of continuous passive motion may be related to cyclic variation of the intraarticular pressure. FAU - Pedowitz, R A AU - Pedowitz RA AD - Division of Orthopaedics and Rehabilitation, Veterans Administration Medical Center, San Diego, California. FAU - Gershuni, D H AU - Gershuni DH FAU - Crenshaw, A G AU - Crenshaw AG FAU - Petras, S L AU - Petras SL FAU - Danzig, L A AU - Danzig LA FAU - Hargens, A R AU - Hargens AR LA - eng PT - Journal Article PT - Research Support, U.S. Gov't, Non-P.H.S. PL - United States TA - J Orthop Res JT - Journal of orthopaedic research : official publication of the Orthopaedic Research Society JID - 8404726 SB - IM MH - Adult MH - Female MH - Fiber Optic Technology MH - Humans MH - Knee Joint/abnormalities/*physiology MH - Male MH - Motion MH - Orthopedic Equipment MH - Pressure OID - NASA: 89293475 EDAT- 1989/01/01 00:00 MHDA- 1989/01/01 00:01 CRDT- 1989/01/01 00:00 PHST- 1989/01/01 00:00 [pubmed] PHST- 1989/01/01 00:01 [medline] PHST- 1989/01/01 00:00 [entrez] AID - 10.1002/jor.1100070410 [doi] PST - ppublish SO - J Orthop Res. 1989;7(4):530-7. doi: 10.1002/jor.1100070410.