The erosive front: a topographic study of the junction between the pannus and the subchondral plate in the macerated rheumatoid metacarpal head

J Rheumatol. 1988 Jan;15(1):17-22.

Abstract

The junction between cellular pannus and cartilage/bone was identified grossly on rheumatoid metacarpal heads. Its topography was displayed by scanning electron microscopy using macerated samples. A uniform pattern of resorption bays, typical of osteoclastic activity, was seen spreading over the surfaces of both calcified cartilage and subchondral bone. The contact area between pannus and cartilage/bone was found to represent an erosive front. Morphologic evidence suggested that osteoclasts were primarily responsible for the destructive process.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Aged
  • Arthritis, Rheumatoid / pathology*
  • Bone Resorption
  • Cartilage, Articular / pathology*
  • Chondrocalcinosis / pathology
  • Female
  • Finger Joint / pathology*
  • Humans
  • Male
  • Metacarpophalangeal Joint / pathology*
  • Metacarpus / pathology*
  • Metacarpus / ultrastructure
  • Microscopy, Electron, Scanning
  • Middle Aged