Ka. Ross et al., THE EFFECT OF ULTRASONICALLY INDUCED CAVITATION ON THE HYALURONAN POLYMER, Journal of orthopaedic rheumatology, 6(4), 1993, pp. 135-139
Hyaluronan solutions were subjected to damage from ultrasonically gene
rated cavitation. The shearing effect of the cavitation on the hyaluro
nan was monitored by viscometry and polymer molecular weight analysis.
Cavitation caused a decrease in fluid viscosity coupled with an incre
ase in Newtonian flow behaviour in all hyaluronan solutions studied, a
mechanical characteristic known to occur in pathological synovial flu
ids. Polymer molecular weight was shown to be markedly decreased over
the period of cavitation demonstrating cleavage of the hyaluronan poly
mer had occurred. Thus cavitation activity leads to cleavage of the hy
aluronan polymer which manifests itself as a deterioration in the flui
d mechanical properties. Previous work revealed that ultrasonic cavita
tion in vitro caused similar articular cartilage damage to human osteo
arthrotic articular cartilage in vivo. It is our postulate that cavita
tion induced degradation of synovial fluid hyaluronan and its mechanic
al properties would lead to increased damage to the articular cartilag
e and ultimately loss of joint function. Therefore cavitation activity
could be involved as a possible aetiological factor in arthritic dise
ase.