1.2. Musculoskeletal Growth Injury and Repair - Ligament Injuries Flashcards

1
Q

What are Ligaments?

A

Dense bands of Callagenous Tissue which span across a joint

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2
Q

What do Ligaments connect?

A

Bone to Bone

They are Anchored in to the bone at either end

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3
Q

What is the function of Ligaments?

A

Ensure Joint Stability through a range of motion

Different portions ligament tensioned at different joint positions

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4
Q

Which type of Collagen Fibers do Ligaments contain?

A

Type 1

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5
Q

What are the function of the Fibroblasts in Ligaments?

A

Communication

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6
Q

What are the function of Sensory Fibers in Ligaments?

A

They sense:

  1. Proprioception
  2. Stretch
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7
Q

Where are Vessles of Ligaments found?

A

On the Surface

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8
Q

What is the function of the Crimping Fibers of the Ligament?

A

They allow for Stretch

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9
Q

What is the difference in composition between Ligaments and Tendons?

A

Ligaments have:

  1. Lower percentage of Collagen
  2. Higher percentage of Proteoglycans and Water
  3. Less organized Collagen Fibers
  4. Rounder Fibroblasts
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10
Q

When does a Ligament Rupture occur?

A

When the Force exceeds the Strength of the Ligament. This can be:

  1. Expected
  2. Unexpected (Position / Muscle)
  3. Rate Load
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11
Q

What are the 2 types of Ligament Rupture?

A
  1. Complete

2. Incomplete

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12
Q

What are the common side effects of Ligament Rupture?

A
  1. Pain
  2. Stability Loss in the Joint
  3. Proprioception Loss in the Joint
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13
Q

How does the Haemorrhage, associated with Ligament Rupture, heal?

A
  1. Blood Clotting occurs
  2. This is Resorbed and replaced with a heavy cellular infiltrate
  3. There is a Hypertrophic Vascular Response
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14
Q

How does the Proliferative Phase, associated with Ligament Rupture, heal?

A

Production of “Scar Tissue” - disorganised collagenous connective tissue

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15
Q

How does the Remodelling Phase, associated with Ligament Rupture, heal?

A
  1. Matrix becomes more Ligament-like

2. There is a major difference in composition, architecture and function which may persist

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16
Q

How is a ligament rupture treated?

A
  1. Conservatively: a patient with partial / no instability is a poor candidate for surgery
  2. Operative: a patient with instability, expectation (sportsmen) and compulsory (multiple) ligament ruptures are likely to be operated on