cartilage

Question 1

Intima

Answer 1

produce synovial fluid

phago joint debris

Question 2

stroma

Answer 2

irregular connective tissue
blends w fibrous joint
has macro, lympho, mast

Question 3

capsule
function?
contains?

Answer 3

irregular connective tissue
joint stability, vessel/nerve supply
mecohano’s for proprioception

Question 4

Pacinian

Answer 4

sensory nerves

responsive to stretch, tension, pressure

Question 5

Free nerve endings

Answer 5

pressure stretch, temperature pain

Question 6

Articulated cartilage

contains? function

Answer 6

chondrocytes , glychoamino, type II collagen

shock absorption/ gliding

Question 7

At osteochondral junction, collagen fibres from the ____ zone of calcified cartilage insert directly into the ____ bone

Answer 7

radial zone

cortical bone

Question 8

T or F bones provide some shock absorption

Answer 8

true

Question 9

T of F osteoporosis is not protective against OA development

Answer 9

false it is

Question 10

the phyis

Answer 10

plate of proliferating cartilage during growth

Question 11

Osteochondrosis

Answer 11

physis inflamed due to overuse/ biomechs

Question 12

How is cartilage healing in synovial joints

Answer 12

limited not much blood

Question 13

in adults defects larger than 2mm heal?

Answer 13

rarely

Question 14

can any defects heal by local proliferation of chondros

Answer 14

very small ones

Question 15

if defect extends to bone what happens?

Answer 15

inflammatory repair can occur (secondary healing)

Question 16

Secondary healing

Answer 16

healing by formation of scar tissue

Question 17

primary healing

Answer 17

local proliferation of chondros

Question 18

Acute chondrol injuries in synovial joints

Answer 18

an acute mechanical disruption of articular cartilage

Question 19

Types of acute chondrol injuries in synovial joints

Answer 19

Type 1, 2, 3, 4

Question 20

Type 1

result of?

Answer 20

shearing force through cartilage

rotational injury

Question 21

Type 2

result of?

Answer 21

compression
rotational force
bruised MRI
flattening on center or blister sometimes

Question 22

Type 3

result of

Answer 22

rotational
can’t alway recall what they did
present similar to meniscus tear (catch lock)

Question 23

Type 4
where?
who
similar to
what

Answer 23

tidemark (between calcified n non calc cart)
adults
osteochondritis
loose cartilage fragments catch n lock

Question 24

risk factors for chondrol injuries

Answer 24

athletes, trauma to joint, age

Question 25

T/F 100% of patients who's ankles dislocated had chondrol lesion

Answer 25

true

Question 26

Pathophysiology of chondrol issues

Answer 26

acute overload of cart increased loading of chondro associated joint injury

Question 27

Why is patho of chondrol issues progressive

Answer 27

lack healing increased tension/sheer forces across lesion inflammation leads to abnormal envior

Question 28

signs n symptoms chondrol issues

Answer 28

asymptomtic pain, mm spasm, swelling, catch n lock identified with another injury if a joint sprain is painful or swollen longer than normal

Question 29

diagnostic tests chondrol

Answer 29

xray MRI

Question 30

treatment chondrol

Answer 30

<2 treated conservatively | >2 mosiacplasticity, subchondrol drilling, periosteal transplant

Question 31

PT on chondrol

Answer 31

``` specific to procedure passive motion non weight bearing POLICE stim up range and load with surgeon ```

Question 32

OA

Answer 32

cell matrix softening | loss of art cartilage

Question 33

Primary OA

Answer 33

mechanical (BMI, job), age, predisposition

Question 34

Type of secondary OA

Answer 34

crystal deposition disease

Question 35

crystal disposition disease types

Answer 35

gout | pseduogout

Question 36

epi of oA

Answer 36

adults

Question 37

Risk factors OA

Answer 37

physically demanding job (knees , joints), athletes | age, BMI, biomechanics

Question 38

soft tissue changes OA

Answer 38

lax ligs or stiffness, pain, instability

Question 39

patho OA

Answer 39

gradual, cartilage damaged, bony changes (loose bodies), decreased ROM, pain

Question 40

diagnostic tests OA

Answer 40

specific for joints

Question 41

knee OA test

Answer 41

``` greater than 50 morning stiffness less than 30 minutes crackling bondy tenderness bony englargement no warmth at joint ```

Question 42

hemophilia from? leads to?

Answer 42

``` heredity or spontaneous coagulation impaired (leads to uncontrolled bleeding, cart breakdown) ```

Question 43

crystal deposition disease involves

Answer 43

deposition of crystals in joint cartilage / legs | can lead to secondary OA

Question 44

Gout who diagnose

Answer 44

middle age men/w | blood test for urate

Question 45

pseduogout type of crystal risks diagnosed

Answer 45

pyrophospate both sexes, age related age, injury, fam MD, X-ray

Question 46

is gout curable

Answer 46

yes with urate lowering treatment

Question 47

most common inflammatory arthorpathy

Answer 47

gout

Question 48

treat gout and p gout

Answer 48

NSAID, corticosteroids, ULT, rest educaiton