Analyze Diet

Topic:Articular Cartilage

Articular cartilage in horses is a specialized connective tissue found at the ends of bones within joints. It provides a smooth, lubricated surface for articulation and facilitates the transmission of loads with a low frictional coefficient. Articular cartilage is primarily composed of chondrocytes, collagen fibers, and proteoglycans, and it lacks blood vessels, nerves, and lymphatics. This avascular nature contributes to its limited capacity for self-repair following injury. The health and integrity of articular cartilage are essential for maintaining joint function and mobility in horses. This page compiles peer-reviewed research studies and scholarly articles that explore the structure, function, and pathological changes of articular cartilage in equine species, as well as advancements in diagnostic and therapeutic approaches for cartilage-related disorders.
The effect of a gelatin β-tricalcium phosphate sponge loaded with mesenchymal stem cells (MSC), bone morphogenic protein-2, and platelet-rich plasma (PRP) on equine articular cartilage defect.
The Canadian veterinary journal = La revue veterinaire canadienne    October 25, 2013   Volume 54, Issue 6 573-580 
Tsuzuki N, Seo JP, Yamada K, Haneda S, Furuoka H, Tabata Y, Sasaki N.We evaluated the curative efficacy of a gelatin β-tricalcium phosphate (β-TCP) sponge loaded with mesenchymal stem cells (MSC), bone morphogenic protein-2 (BMP-2), and platelet-rich plasma (PRP) by insertion into an experimentally induced osteochondral defect. A hole of 10 mm diameter and depth was drilled in the bilateral medial femoral condyles of 7 thoroughbred horses, and into each either a loaded sponge (treatment) or a saline-infused β-TCP sponge (control) was inserted. After 16 weeks, defects were examined by computed tomography, macroscopic analyses, and histological analyses. The m...
Evaluation of a subject-specific finite-element model of the equine metacarpophalangeal joint under physiological load.
Journal of biomechanics    October 18, 2013   Volume 47, Issue 1 65-73 doi: 10.1016/j.jbiomech.2013.10.001
Harrison SM, Whitton RC, Kawcak CE, Stover SM, Pandy MG.The equine metacarpophalangeal (MCP) joint is frequently injured, especially by racehorses in training. Most injuries result from repetitive loading of the subchondral bone and articular cartilage rather than from acute events. The likelihood of injury is multi-factorial but the magnitude of mechanical loading and the number of loading cycles are believed to play an important role. Therefore, an important step in understanding injury is to determine the distribution of load across the articular surface during normal locomotion. A subject-specific finite-element model of the MCP joint was devel...
Current Trends in Cartilage Science: An Impression from the ICRS World Conference 2012.
Cartilage    October 1, 2013   Volume 4, Issue 4 273-280 doi: 10.1177/1947603513479606
Malda J, McIlwraith CW.No abstract available
Compressive fatigue life of subchondral bone of the metacarpal condyle in thoroughbred racehorses.
Bone    September 21, 2013   Volume 57, Issue 2 392-398 doi: 10.1016/j.bone.2013.09.006
Martig S, Lee PV, Anderson GA, Whitton RC.In racehorses, fatigue related subchondral bone injury leads to overt fracture or articular surface collapse and subsequent articular cartilage degeneration. We hypothesised that the fatigue behaviour of equine subchondral bone in compression follows a power law function similar to that observed in cortical and trabecular bone. We determined the fatigue life of equine metacarpal subchondral bone in-vitro and investigated the factors influencing initial bone stiffness. Subchondral bone specimens were loaded cyclically in compression [54MPa (n=6), 66MPa (n=6), 78MPa (n=5), and 90MPa (n=6)] until...
Three dimensional, radiosteriometric analysis (RSA) of equine stifle kinematics and articular surface contact: a cadaveric study.
Equine veterinary journal    September 11, 2013   Volume 46, Issue 3 364-369 doi: 10.1111/evj.12127
Halley SE, Bey MJ, Haladik JA, Lavagnino M, Arnoczky SP.Studies examining the effect of stifle joint angle on tibial rotation, adduction-abduction angle and articular contact area are lacking. Objective: To test the hypothesis that tibial rotation, adduction-abduction angle and articular contact area change with stifle joint angle. Methods: Descriptive study of normal kinematics and articular contact patterns of the equine stifle through the functional range of motion using 3 dimensional (3D) radiosteriometric analysis (RSA) and equine cadaver stifles. Methods: Multiple, radiopaque markers were embedded in the distal femur and proximal tibia and se...
Area of cartilage accessible to curettage for subsequent arthrodesis of the equine proximal interphalangeal joint. Comparison of conventional and collateral ligament sparing approaches.
Veterinary and comparative orthopaedics and traumatology : V.C.O.T    September 6, 2013   Volume 26, Issue 6 489-492 doi: 10.3415/VCOT-12-01-0016
Kuemmerle JM, Berchtold S.This study compared the areas of cartilage accessible for curettage in arthrodesis of the equine proximal interphalangeal joint using the conventional and collateral ligament sparing approaches. For this purpose, forelimbs and hindlimbs of six equine cadavers without radiographic evidence of proximal interphalangeal joint disease were used. One limb of each pair of limbs was randomly assigned to a dissection using a standard approach to the proximal interphalangeal joint including transection of the collateral ligaments, while each contralateral limb was exposed using the same approach but lea...
Transcriptomic signatures in cartilage ageing.
Arthritis research & therapy    August 23, 2013   Volume 15, Issue 4 R98 doi: 10.1186/ar4278
Peffers M, Liu X, Clegg P.Age is an important factor in the development of osteoarthritis. Microarray studies provide insight into cartilage aging but do not reveal the full transcriptomic phenotype of chondrocytes such as small noncoding RNAs, pseudogenes, and microRNAs. RNA-Seq is a powerful technique for the interrogation of large numbers of transcripts including nonprotein coding RNAs. The aim of the study was to characterise molecular mechanisms associated with age-related changes in gene signatures. Methods: RNA for gene expression analysis using RNA-Seq and real-time PCR analysis was isolated from macroscopicall...
Foetal and postnatal equine articular cartilage development: magnetic resonance imaging and polarised light microscopy.
European cells & materials    August 9, 2013   Volume 26 33-48 doi: 10.22203/ecm.v026a03
Cluzel C, Blond L, Fontaine P, Olive J, Laverty S.Adult articular cartilage (AC) has a well described multizonal collagen structure. Knowledge of foetal AC organisation and development may provide a prototype for cartilage repair strategies, and improve understanding of structural changes in developmental diseases such as osteochondrosis (OC). The objective of this study was to describe normal development of the spatial architecture of the collagen network of equine AC using 1.5 T magnetic resonance imaging (MRI) and polarised light microscopy (PLM), at sites employed for cartilage repair studies or susceptible to OC. T2-weighted fast-spin e...
Arthroscopic optical coherence tomography provides detailed information on articular cartilage lesions in horses.
Veterinary journal (London, England : 1997)    June 28, 2013   Volume 197, Issue 3 589-595 doi: 10.1016/j.tvjl.2013.05.031
te Moller NC, Brommer H, Liukkonen J, Virén T, Timonen M, Puhakka PH, Jurvelin JS, van Weeren PR, Töyräs J.Arthroscopy enables direct inspection of the articular surface, but provides no information on deeper cartilage layers. Optical coherence tomography (OCT), based on measurement of reflection and backscattering of light, is a diagnostic technique used in cardiovascular surgery and ophthalmology. It provides cross-sectional images at resolutions comparable to that of low-power microscopy. The aim of this study was to determine if OCT is feasible for advanced clinical assessment of lesions in equine articular cartilage during diagnostic arthroscopy. Diagnostic arthroscopy of 36 metacarpophalangea...
Evaluation of osteochondral sample collection guided by computed tomography and magnetic resonance imaging for early detection of osteoarthritis in centrodistal joints of young Icelandic horses.
American journal of veterinary research    May 31, 2013   Volume 74, Issue 6 874-887 doi: 10.2460/ajvr.74.6.874
Ley CJ, Ekman S, Dahlberg LE, Björnsdóttir S, Hansson K.To evaluate the use of CT and MRI for guidance of osteochondral sample collection for histologic detection of early osteoarthritic lesions in centrodistal (distal intertarsal) joints of horses. Methods: Right tarsal joints from the cadavers of 24 Icelandic horses aged 29 to 31 months. Methods: CT and MRI were used to evaluate the extent of suspected osteoarthritic changes in centrodistal joints, which were graded with a semiquantitative system. The anatomic regions with the highest grade of change were identified, and osteochondral samples were obtained from these regions. Samples were also ob...
Shock absorbing ability of articular cartilage and subchondral bone under impact compression.
Journal of the mechanical behavior of biomedical materials    May 22, 2013   Volume 26 127-135 doi: 10.1016/j.jmbbm.2013.05.005
Malekipour F, Whitton C, Oetomo D, Lee PV.Despite the important role of subchondral bone in maintaining the integrity of the overlying articular cartilage, little research has focused on measuring its mechanical behavior, particularly under injurious load conditions such as impact compression. In this study, the stiffness and the absorbed energy of subchondral bone were compared to that of its overlying cartilage by applying impact compression to equine cartilage-bone specimens. Deformations of the cartilage and subchondral bone were examined independently within the cartilage-bone unit by analyzing real-time images of cartilage-bone ...
Osteochondral repair: evaluation with sweep imaging with fourier transform in an equine model.
Radiology    May 14, 2013   Volume 269, Issue 1 113-121 doi: 10.1148/radiol.13121433
Rautiainen J, Lehto LJ, Tiitu V, Kiekara O, Pulkkinen H, Brünott A, van Weeren R, Brommer H, Brama PA, Ellermann J, Kiviranta I, Nieminen MT....To evaluate the status of articular cartilage and bone in an equine model of spontaneous repair by using the sweep imaging with Fourier transform (SWIFT) magnetic resonance (MR) imaging technique. Methods: Experiments were approved by the Utrecht University Animal Ethics Committee. Six-millimeter-diameter chondral (n = 5) and osteochondral (n = 5, 3-4 mm deep into subchondral bone) defects were created in the intercarpal joints of seven 2-year-old horses and examined with SWIFT at 9.4 T after spontaneous healing for 12 months. Conventional T2 maps and gradient-echo images were obtained for com...
Effects of serum and autologous conditioned serum on equine articular chondrocytes treated with interleukin-1β.
American journal of veterinary research    May 1, 2013   Volume 74, Issue 5 700-705 doi: 10.2460/ajvr.74.5.700
Carlson ER, Stewart AA, Carlson KL, Durgam SS, Pondenis HC.To compare the effects of autologous equine serum (AES) and autologous conditioned serum (ACS) on equine articular chondrocyte metabolism when stimulated with recombinant human (rh) interleukin (IL)-1β. Methods: Articular cartilage and nonconditioned and conditioned serum from 6 young adult horses. Methods: Cartilage samples were digested, and chondrocytes were isolated and formed into pellets. Chondrocyte pellets were treated with each of the following: 10% AES, 10% AES and rhIL-1β, 20% AES and rhIL-1β, 10% ACS and rhIL-1β, and 20% ACS and rhIL-1β, and various effects of these treatments...
Feasibility for mapping cartilage t1 relaxation times in the distal metacarpus3/metatarsus3 of thoroughbred racehorses using delayed gadolinium-enhanced magnetic resonance imaging of cartilage (dGEMRIC): normal cadaver study. Carstens A, Kirberger RM, Velleman M, Dahlberg LE, Fletcher L, Lammentausta E.Osteoarthritis of the metacarpo/metatarsophalangeal joints is one of the major causes of poor performance in horses. Delayed gadolinium-enhanced magnetic resonance imaging of cartilage (dGEMRIC) may be a useful technique for noninvasively quantifying articular cartilage damage in horses. The purpose of this study was to describe dGEMRIC characteristics of the distal metacarpus3/metatarsus3 (Mc3/Mt3) articular cartilage in 20 cadaver specimens collected from normal Thoroughbred horses. For each specimen, T1 relaxation time was measured from scans acquired precontrast and at 30, 60, 120, and 180...
Histomorphometric evaluation of the effect of early exercise on subchondral vascularity in the third carpal bone of horses.
American journal of veterinary research    March 28, 2013   Volume 74, Issue 4 542-549 doi: 10.2460/ajvr.74.4.542
Kim W, McArdle BH, Kawcak CE, McIlwraith CW, Firth EC, Broom ND.To investigate histomorphometric changes in the cartilage and subchondral bone of the third carpal bone associated with conditioning exercise in young Thoroughbreds. Methods: Nine 18-month-old Thoroughbreds. Procedures-Both third carpal bones of 9 horses (4 exercised spontaneously at pasture only and 5 given additional conditioning exercise beginning at a mean age of 3 weeks) were evaluated. Histomorphometric variables (hyaline and calcified cartilage thickness and collagen orientation; vascular channel area, number, and orientation; and osteochondral junction rugosity) of the third carpal bon...
Non-terminal animal model of post-traumatic osteoarthritis induced by acute joint injury.
Osteoarthritis and cartilage    March 1, 2013   Volume 21, Issue 5 746-755 doi: 10.1016/j.joca.2013.02.653
Boyce MK, Trumble TN, Carlson CS, Groschen DM, Merritt KA, Brown MP.Develop a non-terminal animal model of acute joint injury that demonstrates clinical and morphological evidence of early post-traumatic osteoarthritis (PTOA). Methods: An osteochondral (OC) fragment was created arthroscopically in one metacarpophalangeal (MCP) joint of 11 horses and the contralateral joint was sham operated. Eleven additional horses served as unoperated controls. Every 2 weeks, force plate analysis, flexion response, joint circumference, and synovial effusion scores were recorded. At weeks 0 and 16, radiographs (all horses) and arthroscopic videos (OC injured and sham joints) ...
Equine articular chondrocytes on MACT scaffolds for cartilage defect treatment.
Anatomia, histologia, embryologia    January 16, 2013   Volume 42, Issue 5 332-343 doi: 10.1111/ahe.12018
Nürnberger S, Meyer C, Ponomarev I, Barnewitz D, Resinger C, Klepal W, Albrecht C, Marlovits S.Treatment of cartilage defects poses challenging problems in human and veterinary medicine, especially in horses. This study examines the suitability of applying scaffold materials similar to those used for human cartilage regeneration on equine chondrocytes. Chondrocytes gained from biopsies of the talocrural joint of three horses were propagated in 2D culture and grown on two different scaffold materials, hyaluronan (HYAFF®) and collagen (BioGide®), and evaluated by light and electron microscopy. The equine chondrocytes developed well in both types of materials. They were vital and physiol...
MicroRNA-140 expression during chondrogenic differentiation of equine cord blood-derived mesenchymal stromal cells.
Stem cells and development    January 15, 2013   Volume 22, Issue 8 1288-1296 doi: 10.1089/scd.2012.0411
Buechli ME, Lamarre J, Koch TG.MicroRNAs are a class of short noncoding RNAs that are involved in various biological processes, including differentiation. MicroRNA-140 (miR-140) has been identified as a cartilage-specific microRNA with several targets involved in cartilage development and homeostasis. The aim of this study was to investigate the expression of miR-140 during chondrogenic differentiation of equine cord blood-derived mesenchymal stromal cells (eCB-MSCs). We demonstrate both that miR-140 is highly expressed in normal equine articular cartilage and that eCB-MSCs express significantly higher levels of this microR...
Influence of corticosteroids on interleukin-1β-stimulated equine chondrocyte gene expression.
Veterinary surgery : VS    December 20, 2012   Volume 42, Issue 3 231-237 doi: 10.1111/j.1532-950X.2012.01025.x
Caron JP, Gandy JC, Schmidt M, Hauptman JG, Sordillo LM.To compare the effects of triamcinolone acetonide (TA) and methylprednisolone acetate (MPA) on expression of selected chondrocyte genes in recombinant equine interleukin-1β (reIL-1β) stimulated articular cartilage explants. Methods: In vitro experiment. Methods: Horses (n = 6). Methods: Articular cartilage explants from 2- to 3- year-old horses were exposed to reIL-1β in the presence and absence of TA and MPA at 10(-7) and 10(-6) M. Resting levels of mRNA of anabolic and catabolic genes of chondrocyte origin were quantified using qPCR after 6- and 12-hour incubations. Genes of interest incl...
Equine articular synovial cysts: 16 cases.
Veterinary surgery : VS    December 5, 2012   Volume 42, Issue 1 99-106 doi: 10.1111/j.1532-950X.2012.01074.x
Lacourt M, MacDonald M, Rossier Y, Laverty S.To report the clinical findings, diagnosis, treatment and outcome of equine patients with articular synovial cysts. Methods: Retrospective case series. Methods: Horses (n = 16) with articular synovial cysts. Methods: Horses diagnosed with articular synovial cysts (1988-2009) at 2 veterinary teaching hospitals were studied. Signalment, history, clinical signs, diagnostic methods and treatment were retrieved and telephone follow-up was obtained. Results: Sixteen horses with articular synovial cysts were identified. Lameness was the reason for referral in most (n = 9) horses. Diagnosis was based ...
Biochemical evaluation of equine articular cartilage through imaging.
The Veterinary clinics of North America. Equine practice    November 28, 2012   Volume 28, Issue 3 637-646 doi: 10.1016/j.cveq.2012.08.004
Pease A.The use of molecular imaging of cartilage is the next vital step in understanding, treating, and training the equine athlete. Because of the logistics of precontrast and postcontrast medium imaging, the clinical usefulness of the examination has come into question. With the large number of horses undergoing high-field magnetic resonance imaging, the use of contrast medium administration and T1 mapping or T2 imaging precontrast and postcontrast medium administration may add a limited amount of time to the scan and has the potential to provide more detailed information about the chemical composi...
Computed tomographic arthrography of the equine stifle joint.
The Veterinary clinics of North America. Equine practice    October 15, 2012   Volume 28, Issue 3 583-598 doi: 10.1016/j.cveq.2012.09.002
Valdés-Martínez A.Computed tomographic arthrography is an imaging technique used for the evaluation of the internal structures of a joint, especially the soft tissues and subchondral bone defects that may communicate with the joint space. Clinical indications, technical aspects, principles of image interpretation, and advantages and disadvantages of this imaging technique for the evaluation of the equine stifle joint are discussed in this article.
MRI findings in 232 horses with lameness localized to the metacarpo(tarso)phalangeal region and without a radiographic diagnosis. King JN, Zubrod CJ, Schneider RK, Sampson SN, Roberts G.Two hundred and thirty-two horses with lameness localized to the metacarpo(tarso)phalangeal (MCP/MTP) region without a radiographic diagnosis were evaluated. All horses had high-field magnetic resonance (MR) imaging of the MCP/MTP region performed for the lame limb and the contralateral limb for comparison. There were 46 horses that had bilateral abnormalities in the forelimbs; 27 of these horses were not lame in the contralateral limb at the time of examination. Bilateral hind limb abnormalities were observed in 37 horses; 22 horses were not lame in the contralateral limb. Soft tissue abnorma...
Concentration-dependent effects of tiludronate on equine articular cartilage explants incubated with and without interleukin-1β.
American journal of veterinary research    September 28, 2012   Volume 73, Issue 10 1530-1539 doi: 10.2460/ajvr.73.10.1530
Duesterdieck-Zellmer KF, Driscoll N, Ott JF.To determine concentration-dependent effects of tiludronate on cartilage explants incubated with or without recombinant equine interleukin-1β (rEq IL-1). Methods: Articular cartilage explants from the femorotibial joints of 3 young adult horses. Methods: Cartilage explants were incubated with 1 of 6 concentrations (0, 0.19, 1.9, 19, 190, or 1,900 mg/L) of tiludronate and with or without rEq IL-1 (0.01 ng/mL) for 96 hours. Prostaglandin E(2) (PGE(2)) concentrations in culture medium and explant digests were analyzed via PGE(2) enzyme immunoassay. Sulfated glycosaminoglycan (sGAG) concentration...
Growth factor regulation of intracellular pH homeostasis under hypoxic conditions in isolated equine articular chondrocytes.
Journal of orthopaedic research : official publication of the Orthopaedic Research Society    September 14, 2012   Volume 31, Issue 2 197-203 doi: 10.1002/jor.22221
Milner PI, Smith HC, Robinson R, Wilkins RJ, Gibson JS.Hypoxia and acidosis are recognized features of inflammatory arthroses. This study describes the effects of IGF-1 and TGF-β(1) on pH regulatory mechanisms in articular cartilage under hypoxic conditions. Acid efflux, reactive oxygen species (ROS), and mitochondrial membrane potential were measured in equine articular chondrocytes isolated in the presence of serum (10% fetal calf serum), IGF-1 (1, 10, 50, 100 ng/ml) or TGF-β(1) (0.1, 1, 10 ng/ml) and then exposed to a short-term (3 h) hypoxic insult (1% O(2)). Serum and 100 ng/ml IGF-1 but not TGF-β(1) attenuated hypoxic regulation of pH hom...
In vivo effects of a single intra-articular injection of 2% lidocaine or 0.5% bupivacaine on articular cartilage of normal horses.
Veterinary surgery : VS    September 7, 2012   Volume 41, Issue 8 1002-1010 doi: 10.1111/j.1532-950X.2012.01039.x
Piat P, Richard H, Beauchamp G, Laverty S.To assess the effects of an intra-articular (IA) lidocaine or bupivacaine injection on synovial fluid (SF) biomarkers of cartilage metabolism. Methods: Experimental. Methods: Horses (n = 6). Methods: The study had 2 components, each with an identical design: the first arm assessed the effects of bupivacaine (0.5%) IA in the intercarpal joints and, after a 2-week washout period, the second was conducted to evaluate the effects of IA lidocaine (2%) in the tarsocrural joints. The mares were randomly assigned to receive the test local anesthetic in the target joint or the placebo (0.9% NaCl) in th...
A computer-assisted microscopic analysis of bone tissue developed inside a polyactive polymer implanted into an equine articular surface.
Histology and histopathology    July 19, 2012   Volume 27, Issue 9 1203-1209 doi: 10.14670/HH-27.1203
Albert R, Vásárhelyi G, Bodó G, Kenyeres A, Wolf E, Papp T, Terdik T, Módis L, Felszeghy S.One of the most promising applications for the restoration of small or moderately sized focal articular lesions is mosaicplasty (MP). Although recurrent hemarthrosis is a rare complication after MP, recently, various strategies have been designed to find an effective filling material to prevent postoperative bleeding from the donor site. The porous biodegradable polymer Polyactive (PA; a polyethylene glycol terephthalate - polybutylene terephthalate copolymer) represents a promising solution in this respect. A histological evaluation of the longterm PA-filled donor sites obtained from 10 exper...
Comparative study of depth-dependent characteristics of equine and human osteochondral tissue from the medial and lateral femoral condyles.
Osteoarthritis and cartilage    July 7, 2012   Volume 20, Issue 10 1147-1151 doi: 10.1016/j.joca.2012.06.005
Malda J, Benders KE, Klein TJ, de Grauw JC, Kik MJ, Hutmacher DW, Saris DB, van Weeren PR, Dhert WJ.Articular cartilage defects are common after joint injuries. When left untreated, the biomechanical protective function of cartilage is gradually lost, making the joint more susceptible to further damage, causing progressive loss of joint function and eventually osteoarthritis (OA). In the process of translating promising tissue-engineering cartilage repair approaches from bench to bedside, pre-clinical animal models including mice, rabbits, goats, and horses, are widely used. The equine species is becoming an increasingly popular model for the in vivo evaluation of regenerative orthopaedic ap...
The fractal structure of equine articular cartilage.
Scanning    June 29, 2012   Volume 34, Issue 6 418-426 doi: 10.1002/sca.21026
Smyth PA, Rifkin RE, Jackson RL, Reid Hanson R.The naturally occurring structure of articular cartilage has proven to be an effective means for the facilitation of motion and load support in equine and other animal joints. Cartilage has been found to be a complex and dynamic medium, which has led to an incomplete understanding of the nature and operating mechanisms acting within a joint. Although cartilage has biphasic and triphasic properties, it is believed that the performance of equine articular joints is influenced by the surface roughness of the joint cartilage (Ateshian et al., '98; Chan et al., 2011; Yao and Unsworth, '93). Various...
A method for proteomic analysis of equine subchondral bone and epiphyseal cartilage.
Proteomics    May 25, 2012   Volume 12, Issue 11 1870-1874 doi: 10.1002/pmic.201100366
Desjardin C, Balliau T, Valot B, Zivy M, Wimel L, Guérin G, Cribiu E, Schibler L.Proteomic analyses of cartilage and, to a lesser extent, of bone have long been impaired because of technical challenges related to their structure and biochemical properties. We have developed a unified method based on phenol extraction, 2DE, silver staining, and subsequent LC-MS/MS. This method proved to be efficient to characterize the proteome of equine cartilage and bone samples collected in vivo. Since proteins from several cellular compartments could be recovered, our procedure is mainly suitable for in situ molecular physiology studies focused on the cellular content of chondrocytes, o...
1 7 8 9 10 11 25