Bone, joints and soft tissue Flashcards

(70 cards)

1
Q

Bone matrix is composed of

A

an organic component known as osteoid (one third wet weight) and a mineral component (two thirds)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Osteoid composed of

A

Type I collagen, GAG, proteins

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What are specialized cells in bone?

A
  • Osteoblasts
  • Osteocytes
  • Osteoclasts
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Osteoblasts

A

Located on surface of matrix, synthesize, transport and assemble bone matrix and regulate its mineralization

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Osteocytes

A

located within the bone in lacunae

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Osteoclasts

A

Located on the surface of bone, are specialized multinucleated macrophages. Responsible for bone resorption

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Bone formation- During embryogenesis, long bones develop from a

A

cartilage mold by the process of endochondral ossification

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Intramembranous ossification, by contrast, is responsible for development of

A

flat bones

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Newly developed bone is

A

woven bone

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Woven bone

A

Rapidly formed, more cellular, has random orientation, is only produced physiologically until the end of puberty

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Compact (cortical) bone is organized as

A

parallel columns, known as Haversian systems, which run lengthwise down the axis of long bones

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Columns in compact bone are composed of

A

lamellae, concentric rings of bone, surrounding a central channel, or Haversian canal, that contains the nerves, blood vessels, and lymphatic system of the bone

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Parallel Haversian canals are connected to one another by the

A

perpendicular Volkmann’s canals

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

The lamellae of the Haversian systems are created by

A

osteoblasts

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

As osteoblasts secrete matrix, they become trapped in spaces called lacunae and become known as

A

osteocytes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Osteocytes communicate with the Haversian canal through

A

cytoplasmic extensions that run through canaliculi (interconnecting canals)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Osteogenesis Imperfecta

A

Type I collagen disease

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

How can osteogenesis imperfecta manifest orally?

A

Teeth are small, misshapen, blue-yellow

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

Dentinogenesis imperfecta Type I, the teetha re

A

discolored and show structural defects such as bulbous crowns and small pulp chambers radiographically

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

What is marble bone disease called?

A

Osteopetrosis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

What is osteopetrosis?

A

Group of inherited disorders caused by a defect in osteoclastic
activity

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

In osteopetrosis, bone continues to be laid down with

A

minimal resorption- woven bone, no remodelling

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

In osteopetrosis, net gain in bone results in

A

thickened bone, heavily mineralzied and also brittle

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

osteopetrosis AD form is

A

benign-mild, Dx in adolescence or young adults, fractures, cranial nerve problems, infections

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Osteopetrosis AR form is
malignant, dxed in utero
26
In osteopetrosis, foramina become arrowed and nerves pinched. Marrow spaces ______
decrease
27
What are metabolic disorders of bone?
- Osteopenia/osteoporosis - Rickets and soteomalacia - Hyperparathyroidism
28
osteopenia is
radiological decrease of the bone density - increased the risk of fractures
29
What are the most common forms of osteoporosis?
Senile and postmenopausal
30
Rickets and osteomalacia are due to
Vit D def or its abnormal metabolism
31
Rickets and Osteomalacia is insufficient mineralization of bone due to
Vit D abnormalities
32
Osteomalacia =
soft bones
33
Osteomalacia is from
vit D def or chronic renal failure
34
Radiologically, how does osteomalacia appear?
Osteopenia and stress fractures
35
Hyperparathyroidism
Excess production and activity of PTH result in increased osteoclast activity, bone resorptiona dn osteopenia
36
X-rays of hyperparathyroidism
Salt and pepper skull, erosion of clavicle, osteopenia, subperiosteal resorption, fractures
37
Hyperparathyroidism- bones appear
osteopenia and osteoporosis- generalized but more severe in phalanges and spine. Fractures, bone deformities and joint problems
38
Describe brown tumor
Bone loss predisposed to microfractures and secondary hemorrhages that elicit an influx of macrophages and an ingrowth of reparative fibrous tissue, creating a mass of reactive tissue, known as a brown tumor
39
Paget disease-osteitis deformans is common in
England, Western Europe, Australia and New Zealand
40
Paget’s disease- bone overgrowth, higher risk for
osteosarcoma
41
Fractures
Loss of bone integrity due to mechanical injury or reduced bone strength
42
Fracture healing (Hunter)
- Hematoma and inflammation (1-7 days) - Soft callus (2-3 weeks) - Hard callus (2-4 months) - Remodeling (several months-several years)
43
Osteonecrosis presentation
pain
44
Osteonecrosis X-rays
Increased radiodentsity
45
Osteonecrosis Outcome
Repair - Hyperemia - Fibrous tissue/creeping substitution - Removal of dead bone and new bone formation Collapse - Weight beraing bones
46
Pyogenic osteomyelitis is commonly from
S. aureus
47
Pyogenic osteomyelitis in children
hematogenous spread
48
Osteomyelitis in adults
Open Fracture or contiguous extension
49
How do you diagnose osteomyelitis?
Culture of bone biopsy and blood culture
50
How do patients present with acute osteomyelitis?
Very sick with fever, malaise and elevated ESR
51
Histology of acute osteomyelitis
Bone necrosis and acute inflammation
52
Chronic osteomyelitis
low drade inflammation, persistent for months/years, presence of necrotic bone and fistulous tract
53
Complications of chronic osteomyelitis
- Limb length discrepancies - Extension into joints - Amyloidosis - Epithelialization of tracts and squamous carcinoma
54
What are types of joints?
- Non-synovial- fibrous (teeth, symphisis - Synovial
55
What are 2 examples of smooth muscle tumors?
- Leiomyoma (benign) in uterus, GI, subcutaneous - Leiomyosarcoma
56
What are 2 examples of skeletal muscle tumors
- Rhabdomyoma (benign) - Rhabdomyosarcoma: Embryonal and alveolar- children; pleomorphic in adults
57
What are examples of vascular tumors?
- Hemangioma (benign) - Kaposi-intermediate - Angiosarcoma
58
What are examples of peripheral nerve tumors?
- Neurofibroma and schwannoma
59
Neurofibroma is more common associated with what?
NF1 and may transform to malignant tumor, especially in NF
60
Most sarcomas are
sporadic
61
What are examples of fibrous tumors?
Fibroma, superficial and deep fibromatosis
62
Sarcomas are 1% of all
malignant tumors
63
Soft tissue tumors are classified as
- Benign - Intermediate (locally aggressive, rarely metastasizing) - Malignant
64
Describe liposarcoma
Common in adults 50+, soft tissue sarcoma
65
What are the 3 main types of liposarcomas?
- Well differentiated - Myxoid - Pleomorphic
66
Who does Ewing's sarcoma commonly affect?
Children/ young individuals
67
Describe Ewing's sarcoma
Translocation (11;22), very aggressive, small round blue cell tumor
68
What are the most common metastases in adults?
Adenocarcinoma of breast, lung, prostate, kidney
69
What is the most common metastases in kids?
Neuroblastoma, Wilms, Rhabdomyosarcoma
70