Uwe G. Kersting, Ph. D. , Johann J. Stubendorff, M. D. , Matthias C

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Changes in knee cartilage volume and serum COMP concentration after running exercise  Uwe G. Kersting, Ph.D., Johann J. Stubendorff, M.D., Matthias C. Schmidt, M.D., Gert-Peter Brüggemann, Ph.D.  Osteoarthritis and Cartilage  Volume 13, Issue 10, Pages 925-934 (October 2005) DOI: 10.1016/j.joca.2005.06.005 Copyright © 2005 OsteoArthritis Research Society International Terms and Conditions

Fig. 1 Semi-automated segmentation of knee joint cartilage from MRI images. A: Manual editing of the joint surface including the edges of the cartilage layer in the sagittal slice (white line). Arrows indicate the sites where fully automated techniques may require interactive editing. B: Generated image which allows for a fully automated edge detection and subsequent three-dimensional reconstruction of the cartilage volume. Comparable procedures were applied for the tibial and patellar cartilage layers. Osteoarthritis and Cartilage 2005 13, 925-934DOI: (10.1016/j.joca.2005.06.005) Copyright © 2005 OsteoArthritis Research Society International Terms and Conditions

Fig. 2 Illustration of a segmented and reconstructed knee. View from anterior, medial inferior. x=anterior, y=medial, z=proximal. Osteoarthritis and Cartilage 2005 13, 925-934DOI: (10.1016/j.joca.2005.06.005) Copyright © 2005 OsteoArthritis Research Society International Terms and Conditions

Fig. 3 Schematic of the procedure designed to allocate the contact elements in the foot coordinate system. A: foot outline with projections of anatomical landmarks, B: 1:1 printout of maximum pressure picture, C: determination of coordinates for contact elements, tibio-talar joint (TTJ) and subtalar joint (STJ) in the foot system, D: generation of a foot mask to calculate force time curves. The in-shoe pressure distribution was measured during running trials. Force–time curves were calculated using Novel-win software (Novel GmbH, Munich, Germany). Osteoarthritis and Cartilage 2005 13, 925-934DOI: (10.1016/j.joca.2005.06.005) Copyright © 2005 OsteoArthritis Research Society International Terms and Conditions

Fig. 4 Relative cartilage volume post-exercise. Results are given for total volume and separate cartilage bodies (**P<0.01; *P<0.05) for the whole sample. No differences were demonstrated between male and female athletes. Osteoarthritis and Cartilage 2005 13, 925-934DOI: (10.1016/j.joca.2005.06.005) Copyright © 2005 OsteoArthritis Research Society International Terms and Conditions

Fig. 5 Effective joint loading. These graphs represent the effective joint contact forces and torques in the joint coordinate system of the tibia. Only marginal, statistically non-significant differences between male and female runners were observed. Osteoarthritis and Cartilage 2005 13, 925-934DOI: (10.1016/j.joca.2005.06.005) Copyright © 2005 OsteoArthritis Research Society International Terms and Conditions

Fig. 6 Graphical presentation of linear correlations for the change in cartilage volume and resting COMP (A) and the change in serum COMP concentration (B). Osteoarthritis and Cartilage 2005 13, 925-934DOI: (10.1016/j.joca.2005.06.005) Copyright © 2005 OsteoArthritis Research Society International Terms and Conditions

Fig. 7 Joint forces in sagittal plane. A: graphical representation of the joint contact forces. B: Average forces for the whole sample. Osteoarthritis and Cartilage 2005 13, 925-934DOI: (10.1016/j.joca.2005.06.005) Copyright © 2005 OsteoArthritis Research Society International Terms and Conditions