Lecture 22 9/27/23 Flashcards

1
Q

What is endochondral ossification?

A

replacement of hyaline cartilage template by bone

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2
Q

What is the responsibility of the physis?

A

longitudinal growth of bone

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3
Q

In what direction does the physis grow bone?

A

towards the diaphysis

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4
Q

What are the layers of the physis?

A

-resting chondrocytes
-proliferating chondrocytes
-hypertrophied chondrocytes
-calcified cartilage matrix

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5
Q

Which region of the physis is the weakest?

A

hypertrophied chondrocytes

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6
Q

Why is the hypertrophied chondrocyte layer of the physis the weakest?

A

-large cells filled with glycogen
-no matrix

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7
Q

What happens to the chondrocytes in the calcified matrix?

A

they undergo apoptosis

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8
Q

How do osteoblasts interact with the calcified matrix?

A

it turns the calcified matrix into osteoid

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9
Q

How does the epiphysis grow bone?

A

from the articular-epiphyseal cartilage complex (growth plate)

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10
Q

How long does the physis persist?

A

until skeletal maturity

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11
Q

Which type of cartilage remains following skeletal maturity?

A

articular cartilage

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12
Q

What is a type one Salter-Harris fracture?

A

physis fracture at resting chondrocytes layer

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13
Q

What is a type two Salter-Harris fracture?

A

physis fracture at the hypertrophied chondrocytes layer

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14
Q

What are the characteristics of type 3 and type 4 Salter-Harris fractures?

A

-partial fractures at physis
-some of bone continues to grow, other has altered growth

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15
Q

How does type # relate to severity of the Salter-Harris fracture?

A

-higher type # is associated with greater disruption to normal function and growth

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16
Q

What is intramembranous ossification?

A

replacement of mesenchymal template from bone

17
Q

What are the characteristics of intramembranous ossification?

A

-bone forms from condensed mesenchymal cells
-cartilage not involved
-forms flat bones of skull and clavicle

18
Q

What are the characteristics of bone remodeling?

A

-occurs constantly, even in adults
-weight bearing determines bone density

19
Q

What are the characteristics of fibrous joints?

A

-bones connected by dense collagen
-little to no movement
-skull sutures

20
Q

What are the characteristics of cartilaginous joints?

A

-bones connected by fibrocartilage
-little to no movement
-intervertebral discs

21
Q

What are the characteristics of synovial joints?

A

-ends of bones covered by hyaline cartilage
-bones connected by ligaments and fibrous joint capsule

22
Q

What is the synovial membrane?

A

-lining on the inside of the synovial joint capsule
-synoviocytes produce the synovial fluid

23
Q

What are the functions of the synovial fluid?

A

-lubricate the joint
-provide nutrients to the cartilage