Abstract

PurposeDevelopment and validation of an animal model of labral healing would facilitate translation of novel surgical and biological strategies to improve glenolabral healing. The purpose of this study was to characterize the anatomic and histological properties of the shoulder labrum in rat, rabbit, dog, pig, goat, and humans. Given the demonstrated similarities in size and structural morphology in other joints, it was hypothesized that the goat glenoid with surrounding capsulolabral complex would most closely resemble that of humans in terms of dimensions and structure, as observed grossly and histologically.MethodsCadaveric glenohumeral joints from rats (n = 8), New Zealand white rabbits (n = 13), Mongrel dogs (n = 9), Spanish goats (n = 10), Yorkshire pigs (n = 10), and humans (n = 9) were freshly harvested. Photographs were taken of the glenoid with its surrounding capsulolabral complex. Linear dimensions of the glenoid articular surface were measured. It was determined where the capsulolabral complex was continuous with, or recessed from, the articular glenoid surface. The glenoid was divided into 6 equal segments radiating out toward 12, 2, 4, 6, 8, and 10 o’clock positions. Samples were sectioned and stained with Safranin O/Fast green and Mallory Trichrome. Insertion of the capsulolabral tissue onto the glenoid was qualitatively assessed and compared with gross morphology.ResultsDimensions of the goat glenoid most closely paralleled dimensions of the human glenoid. A capsulolabral complex was continuous with the glenoid surface from ~ 9 to 12 o’clock in the rats, 7 to 12 o’clock in rabbits, 5 to 12 o’clock in the dogs, and 9 to 12 o’clock in goats, 6 to 12 o’clock in pigs, and 2 to 8 o’clock in humans. In contrast to humans, no other species demonstrated an organized fibrocartilaginous labrum either macroscopically or histologically.ConclusionThe animals in the present study did not possess a discrete fibrocartilaginous labrum by gross or histological evaluation, as directly compared to humans. While models using these animals may be acceptable for examining other shoulder pathologies, they are not adequate to evaluate labral pathology.Level of evidenceBasic Science Study; Anatomy and Histology; Cadaveric Animal Model.

Highlights

  • Given the inherent instability of the glenohumeral joint, traumatic shoulder dislocation is common and can cause damage to the soft tissues surrounding the joint [13, 24]

  • Cadaveric glenohumeral joints were freshly harvested from skeletally mature animals from five species commonly utilized as animal models for shoulder injury and repair, including rats (n = 8), New Zealand white rabbits (n = 13), Mongrel dogs (n = 9), Spanish goats (n = 10), Yorkshire pigs (n = 10), and humans (n = 9)

  • The most important finding of this study was that none of the included animal species possessed a distinct fibrocartilaginous glenoid labrum discernible by either gross or histological evaluation, as compared to the human glenoid labrum (Fig. 6)

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Summary

Introduction

Given the inherent instability of the glenohumeral joint, traumatic shoulder dislocation is common and can cause damage to the soft tissues surrounding the joint [13, 24]. The glenoid labrum is damaged in more than 70% of traumatic shoulder dislocations and often fails to heal without intervention [4, 7]. Recurrent dislocation is most commonly treated with surgical repair to prevent continued instability and subsequent joint degeneration [2, 6, 12, 18, 22, 29]. Repair failure may in part be due to insufficient labral healing, either within the labral body or at the glenoid-labrum interface. Tissue engineering strategies have shown promise in preclinical studies in restoring structure and function following injury of the meniscus and rotator cuff [32, 33], but similar strategies have been seldom applied to capsulolabral injuries [25, 27, 36]

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