Hand fasciae innervation: The palmar aponeurosis.

There are few data in the scientific literature about the innervation of fasciae of the hand. The present study first elucidates the density and location of nervous structures in the palmar aponeurosis and, for comparison, in the flexor retinaculum (both can be considered specializations of the deep fascia of the upper limbs). Second, it compares nonpathological with pathological palmar aponeurosis. Samples of nonpathological fascia were taken from the flexor retinaculum and palmar aponeurosis of 16 upper limbs of unembalmed cadavers. Samples of pathological palmar aponeurosis were taken from seven patients with Dupuytren's disease. All samples were stained immunohistochemically with anti-S100 and anti-tubulin antibodies, and analyzed quantitatively and qualitatively by microscopy. The palmar aponeurosis showed higher median density than the retinacula of free nerve endings (22 and 20 elements/cm2 , respectively), Pacinian corpuscles (2 and 0 elements/cm2 ) and Golgi-Mazzoni corpuscles (1.0 and 0.5 element/cm2 ). Some corpuscles were located at the intersections of the fibers in the three directions. Free nerve endings were denser in pathological palmar aponeurosis (38 elements/cm2 ). The results indicate that the palmar aponeurosis is central to proprioception of the hand and that surgery should therefore avoid injuring it. The higher density of free nerve endings in pathological samples indicates that the nervous structures are implicated in the amplified fibrosis of Dupuytren's disease. Clin. Anat. 31:677-683, 2018. © 2018 Wiley Periodicals, Inc.

Autonomic and sensitive somatic innervation of the ostrich elbow and knee joints articular capsule.

The present research was carried out on the fibrous layer of the ostrich's elbow and knee joints articular capsule, employing opportunely modified gold chloride Ruffini's method, to study the autonomic and sensitive somatic nerve components. The distribution of both nerve components followed frequently the vascular networks. The autonomic innervation was represented by isolated or grouped ganglion cells, frequently placed along the course of nerve trunks, close to the epineurium or located within the perineural connective tissue. The sensitive somatic innervation was constituted by free and encapsulated corpuscles. The last one, morphologically classified as Pacini, Pacini-like and Golgi-Mazzoni's corpuscles, were found isolated or grouped to constitute simple and complex flower sprays, "opposito-polar corpuscles" and "poichilomorphous fibres". The very few Golgi-Mazzoni's corpuscles were found only in the knee joint articular capsule. The two nerve components, found in the considered districts, did not shown significant quanti-qualitative and topographic differences. This datum, at least in appearance, seems to conflict with the ostrich functional aptitudes. In fact, the ostrich is a bird unable to fly but very able to run.

Neural elements in the human temporomandibular articular disc.

The purpose of this study was to determine the presence and describe the location of neural elements in the articular disc of the human temporomandibular joint. Six articular discs were obtained from three adult human subjects at autopsy. Four discs were cut into segments of known anterior-posterior orientation. The remaining two were processed intact. All tissues were stained in bulk with gold chloride, and frozen, sectioned on a sliding microtome at 70 to 100 microns, mounted on slides, dehydrated, and coverslipped. Nerve fibers were seen penetrating the discs from the pericapsular connective tissue. Structures resembling Ruffini endings, Pacinian corpuscles, and Golgi tendon organs were identified in the pericapsular connective tissue and within the disc. The population density of neural elements was the greatest at the periphery of the disc and progressively decreased towards the center, which was essentially devoid of them. The concentration of neural elements appeared to be greater at the anterior and posterior margins of the disc, with the greatest concentration being posteriorly. These findings support the theory that afferent nerves may arise from neural elements within the disc.

Further observations on the innervation of the proximal sesamoidean ligament of the horse and ox.

A vegetative innervation is described for the first time in this district. On the contrary, the finding of Pacini and pacini-like corpuscles, of Golgi Mazzoni's receptors, of muscle spindles and Golgi's tendon-organs testifies the existence of a sensitive innervation in this anatomical territory. According to Karamanlidis free nervous endings are not present. All the above recorded receptors show the typical structure and can be found isolated, grouped to constitute flower-sprays, organized to form opposito-polar corpuscles or associated to originate pecilomorphic fibers. These two last findings are new for this investigated anatomical territory. Moreover, the authors have described in the ox the so-called composed corpuscles previously observed by Ottolenghi (1931) and Karamanlidis in the horse. Finally, it has been demonstrated, contrary to the data reported by Karamanlidis, that the muscle spindles located in the ligament are always supplied with a nervous annulo-spiral termination which is centrally placed in the equatorial region.