Abstract
We examined the ultrastructure of the anterior cruciate ligament and assessed age-related changes by comparing the ligaments of young and old monkeys. Ultrathin sections of the anterior cruciate ligament were observed by transmission electron microscopy. The three-dimensional architecture of collagen fibers in the ligament was examined by scanning electron microscopy after tissue specimens were treated with 2 N NaOH to digest the extracellular matrix. At the surface layer of the cruciate ligament in young monkeys, fusiform-shaped fibroblasts actively produced collagen fibrils. The ligament consisted of parallel bundles of dense collagen fibrils of approximately 200 nm in diameter. Collagen fibrils appeared to run linearly. Ligament fibrocytes in the deep layer had a stellate form. Ligament fibrocytes decreased in number and showed marked atrophy in old age. Collagen fibrils had a looser configuration in older monkeys. Despite atrophy of fibroblasts in the deep layer of the anterior cruciate ligament, the area with atrophic fibroblasts in the ligament expands with age, which can likely cause deterioration of and a reduction in collagen fibers. This information can be applied in studies on the cause of the low repair ability of and aging-related changes in the anterior cruciate ligament in humans.








References
Kennedy JC, Weinberg HW, Wilson AS (1974) The anatomy and function of the anterior cruciate ligament. As determined by clinical and morphological studies. J Bone Jt Surg Am 56:223–235
Haines RW (1942) The tetrapod knee joint. J Anat 76:270–301
Maffulli N, Longo UG, Gougoulias N, Loppini M, Denaro V (2010) Long term health outcomes of youth sports injuries. Br J Sports Med 44:21–25
Mai HT, Chun DS, Schneider AD, Erickson BJ, Freshman RD, Kester B, Verma NN, Hsu WK (2017) Performance-based outcomes after anterior cruciate ligament reconstruction in professional athletes differ between sports. Am J Sports Med 45:2226–2232
Louboutin H, Debarge R, Richou J, Selmi TA, Donell ST, Neyret P, Dubrana F (2009) Osteoarthritis in patients with anterior cruciate ligament rupture: a review of risk factors. Knee 16:239–244
Arnoczky SP, Rubin RM, Marshall JL (1979) Microvasculature of the cruciate ligaments and its response to injury. An experimental study in dogs. J Bone Jt Surg Am 61:1221–1229
Ramski DE, Kanj WW, Franklin CC, Baldwin KD, Ganley TJ (2014) Anterior cruciate ligament tears in children and adolescents: a meta-analysis of nonoperative versus operative treatment. Am J Sports Med 42:2769–2776
Drocco L, Camazzola D, Ferracini R, Lustig S, Ravera L, Graziano E, Massè A, Bistolfi A (2018) Tripled semitendinosus with single harvesting is as effective but less invasive compared to standard gracilis-semitendinosus harvesting. Muscles Ligaments Tendons J 7:564–572
Trinchese GF, Oliva F, Maffulli N (2017) Minimally invasive anatomic reconstruction of the anterolateral ligament with ipsilateral gracilis tendon. Muscles Ligaments Tendons J 7:240–246
Yahia LH, Drouin G (1989) Microscopical investigation of canine anterior cruciate ligament and patellar tendon: collagen fascicle morphology and architecture. J Orthop Res 7:243–251
Strocchi R, de Pasquale V, Facchini A, Raspanti M, Zaffagnini S, Marcacci M (1996) Age-related changes in human anterior cruciate ligament (ACL) collagen fibrils. Ital J Anat Embryol 101:213–220
Strocchi R, de Pasquale V, Gubellini P, Facchini A, Marcacci M, Buda R, Zaffagnini S, Ruggeri A (1992) The human anterior cruciate ligament: histological and ultrastructural observations. J Anat 180:515–519
Hadjicostas PT, Soucacos PN, Koleganova N, Krohmer G, Berger I (2008) Comparative and morphological analysis of commonly used autografts for anterior cruciate ligament reconstruction with the native ACL: an electron, microscopic and morphologic study. Knee Surg Sports Traumatol Arthrosc 16:1099–1107
Hadjicostas PT, Soucacos PN, Paessler HH, Koleganova N, Berger I (2007) Morphologic and histologic comparison between the patella and hamstring tendons grafts: a descriptive and anatomic study. Arthroscopy 23:751–756
Shimada T, Sato F, Zhang L, Ina K, Kitamura H (1993) Three-dimensional visualization of the aorta and elastic cartilage after removal of extracellular ground substance with a modified NaOH maceration method. J Electron Microsc (Tokyo) 42:328–333
Yoshimura A, Yamaguchi T, Kawazato H, Takahashi N, Shimada T (2014) Immuno-histochemistry and three-dimensional architecture of the intermediate filaments in Purkinje cells in mammalian hearts. Med Mol Morphol 47:233–239
Yoshida K, Ichimiya I, Suzuki M, Mogi G (1999) Effect of proinflammatory cytokines on cultured spiral ligament fibrocytes. Hear Res 137:155–159
Woo JI, Pan H, Oh S, Lim DJ, Moon SK (2010) Spiral ligament fibrocyte-derived MCP-1/CCL2 contributes to inner ear inflammation secondary to nontypeable H. influenzae-induced otitis media. BMC Infect Dis 10:314–3125
Girgis FG, Marshall JL, Monajem A (1975) The cruciate ligaments of the knee joint. Anatomical, functional and experimental analysis. Clin Orthop Relat Res 106:216–231
Welsh RP (1980) Knee joint structure and function. Clin Orthop Relat Res 147:7–14
Zhu J, Zhang X, Ma Y, Zhou C, Ao Y (2012) Ultrastructural and morphological characteristics of human anterior cruciate ligament and hamstring tendons. Anat Rec (Hoboken) 295:1430–1436
Dodds JA, Arnoczky SP (1994) Anatomy of the anterior cruciate ligament: a blueprint for repair and reconstruction. Arthroscopy 10:132–139
Clark JM, Sidles JA (1990) The interrelation of fiber bundles in the anterior cruciate ligament. J Orthop Res 8:180–188
Murray MM, Spector M (1999) Fibroblast distribution in the anteromedial bundle of the human anterior cruciate ligament: the presence of alpha-smooth muscle actin-positive cells. J Orthop Res 17:18–27
Duthon VB, Barea C, Abrassart S, Fasel JH, Fritschy D, Menetrey J (2006) Anatomy of the anterior cruciate ligament. Knee Surg Sports Traumatol Arthrosc 14:204–213
Sargon MF, Ozlu K, Oken F (2005) Age-related changes in human tendo calcaneus collagen fibrils. Saudi Med J 26:425–428
Jiao C, Zhao XR, Ao YF (2010) The ultrastructural observations of the normal anterior cruciate ligament. Chin J Sports Med 29:1–3
Acknowledgements
The authors are deeply grateful to Miss Aiko Yasuda and Mr. Hiroaki Kawazato for assistance with the experiments. We would like to thank Editage (www.editage.jp) for English language editing.
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
Conflict of interest
The authors declare that they have no conflicts of interest.
Additional information
Publisher's Note
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Rights and permissions
About this article
Cite this article
Kaku, N., Shimada, T., Tanaka, A. et al. Ultrastructure and three-dimensional architecture of the anterior cruciate ligament in the knee joints of young and old monkeys. Med Mol Morphol 53, 7–14 (2020). https://doi.org/10.1007/s00795-019-00224-7
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00795-019-00224-7