Bone and Cartilage Physio - Smith Flashcards

1
Q

What are the three types of cartilage? and what is the function of each?

A

fibrocartilage - highly compressible to resist pressure
hyaline cartilage - absorbs compression, provides support
elastic cartilage - provides strength and elasticity

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2
Q

What are two large differences between bone and cartilage?

A

cartilage is avascular and less organized than bone

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3
Q

what is the perichondrium?

A

a fibrous connective tissue sheath

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4
Q

Where does cartilage get its nutrients from?

A

diffusion across the perichondrium from blood vessels near the perichondrium

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5
Q

What type of cartilage lacks a perichondrium?

A

fibrocartilage

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6
Q

where are the 2 locations of elastic cartilage?

A

external ear and epiglottis

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7
Q

where are the 3 locations of fibrocartilage?

A

menisci of the knees
pubic symphysis
intervertebral discs

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8
Q

what kind of cartilage is in the external part of the nose?

A

hyaline

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9
Q

which cartilage cells create new cartilage?

A

chondroblasts

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10
Q

What are collagen fibers stronger than?

A

steel

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11
Q

Which type of cartilage has both type 1 and type 2 collagen?

A

fibro

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12
Q

What types of cartilage have only type 2 cartilage?

A

hyaline and elastic

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13
Q

What provdes much of the resistance to compression of cartilage?

A

electrostatic repulsion due to the negatively charged repulsive forces between proteoglycans in the ground substance

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14
Q

What kind of cartilage makes up the cartilage scaffolding for bone formation in the embryo?

A

hyaline

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15
Q

What are the functions of bone?

A
support
protection
assisting movement
mineral homeostasis
blood cell production
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16
Q

How much of long bone is compact bone and how much is trabecular?

A

80% compact

20% trabecular

17
Q

What cells build bone and what cells degrade them?

A

osteoblasts build

osteoclasts degrade

18
Q

what three homones promote healthy bone remodeling?

A
Parathyroid hormone (PTH) increases calcium release from bone 
1,25-Dihydroxycholecalciferol (Vit D) and calcitonin - both increase Calcium in bone
19
Q

What two major molecules does bone help regulate?

A

Calcium and Phosphate

20
Q

what are the key players in bone homeostasis as it pertains to Calcium?

A

GI tract - absorbs calcium
ECF - moves calcium
kidney - filters/reabsorbs calcium
Bone - store calcium

21
Q

Where is most of the calcium in the body?

A

in the bone

22
Q

What is the regulatory feedback between PTH and Vitamin D?

A

PTH helps activate Vit D and then that down regulates PTH

23
Q

What 4 other hormones impact Calcium metabolism and how?

A

Glucocorticoids - lower plasma calcium
Growth hormone - increase calcium excretion in urine
estrogens - prevent osteoporosis
insulin - increases bone formation

24
Q

what is osteopetrosis?

A

disease in which osteoclasts are defective and unable to resorb bone, so osteoblasts operate unopposed

25
Q

What can bisphosphantes cause in the jaw?

A

osteonecrosis of the jaw