Investigations of ultrastructure of damaged and regenerated skeletal muscle fibers.

Our investigations concerned the head of the parietal part of quadriceps femoris, and we based our investigation on observations of the ultrastructure of muscle fibers using an electron microscope. We observed tissue samples taken from patients (10 men) 25-35 years old, who had old damage of knee joint ligament (after about 6 week's immobilization). In the first group, segments of tissue of parietal head of quadriceps femoris were taken inter-operationally from patients in whom there was found old damage of knee joint ligament. The second group was of tissue segments of this muscle after surgical repair of knee and rehabilitation, which consisted in power training using resistance machines. The muscle fiber samples of quadriceps femoris which were taken from patients during the first operation, showed big changes in their ultrastructure. These changes included: myofibrils disintegration; disturbance of regularly arranged striation in sarcomers; dissappearance of Z line. In the sarcoplasm, we observed large vacuolisation, and in the interfibrillar spaces--an accumulation of exudate and morphotic elements of blood outside the capillary vessels. Observations of muscle tissue after regeneration, showed a big improvement in the muscle cell's ultrastructure--the myofibrils were regularly arranged, and the sarcomers striations showed no deviations from normal structure. We also observed a considerable increase in the number of properly formed ultrastructure mitochondria when compared with the first group.