Limb Development Flashcards

(26 cards)

1
Q

When do limb buds form

A

week 4

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2
Q

when do digits separate

A

week 8

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3
Q

when does primary ossification occur

A

week 12

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4
Q

What 3 things doppelgänger’s limbs develop from

A

1) somite (paraxial) mesoderm: muscles
2) Somatic (lateral plate) mesoderm: cartilage and bone
3) somatic (lateral plate) mesoderm: connective tissue

Collectively they are limb-forming mesoderm

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5
Q

Explain limb formation starting with what Limb-Forming mesoderm releases

A

1) Limb-forming meso term releases FGF-10, which induces the AER (apical ectodermal ridge) to release FGF-4 and FGF-8
2) FGF-4 and FGF-8 stimulate the limb-forming mesoderm to proliferate, causing growth in the proximal to distal direction

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6
Q

Where do limb buds appear?

A

Under the AER

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7
Q

When do individual bone structure begin to differentiate

A

during proliferation of the limb-forming mesoderm

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8
Q

What do the stylopod, zeugopod and autopod form

A

1) stylopod - humerus and femur
2) zeugopod - radius/ulna, fibia/tibia
3) autopod - carpals, metacarpals, digits, tarsal, metatarsals, digits

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9
Q

When do upper limb and lower limb buds appear?

A

upper limb - 24 days

lower limb - 1-2days later

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10
Q

What occurs during Week 4

A

Limb buds form

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11
Q

What occurs during Week 5

A
  • Hand and foot plates form
  • chondrofication (cartilage) centers appear
  • Limbs are LATERALLY & CAUDALLY facing
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12
Q

What occurs during Week 6

A

Digital rays of hand form (somatic lat. plate mesoderm. condensing into digit shape)

Entire limb is CARTILAGINOUS

Libs BEND ANTERIORLY

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13
Q

What occurs during Week 7

A

Digital rays of feet form (somatic lat. plate mesoderm. condensing into toe-like shape)

Osteogenesis of long bones

Upper limbs – rotate laterally 90degrees

Lower limbs – rotate Medially 90degrees

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14
Q

What occurs during Week 8

A

Separate digits form due to APOPTOSIS of extra tissue which is stimulated by BMP

Lower limbs – “Barber pole” dermatome formation occurs

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15
Q

Limb musculature is derived from ___ and occurs during ___

A

dorsolateral cells of the somite

week 5

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16
Q

Explain how blood supply forms in the Upper limbs

A

Dorsal Aorta —> Intersegmental A. (enter limb bud) —> Primary Axial Artery —> Brachial A. ——(REMODLING OF ARTERIES TO CREATE ANATOMICAL VARIATION)—–> the limbs we’re born with

17
Q

Explain how blood supply forms in the lower limbs

A

Aorta —-> Intersegmental A. (enter limb bud) —–> Primary Axial A. —–> Deep Artery of the Thigh —-(REMODLING)—–> Leg Arteries

18
Q

Talipes Equinovarus

A

aka Club Foot

  • Most common MSK defect
  • 2x more in males
  • sole of foot turned medially and is inverted
  • ALL structure present, cases can be treated with casting
19
Q

Developmental Hip Dysplasia

A
  • more common in women
  • underdevelopment of the acetabulum, dislocation of femur from hip joint
  • Clinical = joint laxity
20
Q

Proximo-distal Limb Patterning

A

Mesenchyme releases FGF-10, AER is stimulated to release FGF-4 and FGF-8 (continues in a cycle)

21
Q

What do Hox genes do?

A

Regulate types, shapes and positioning of bones

Tuning them off/on at specific times is what dictates shape/type/position

22
Q

Dorso-ventral patterning

A
Ventral Surface (Flexor muscles) = BMPS 
Dorsal surface (Extensor muscles) = Wnt7
23
Q

Anterior-Posterior Patterning

A
  • Established by the Zone of Polarizing Activity (an area of mesenchyme that directs ant/post axis)
  • ZPA releases SHH and Retinoic Acid which signals the posterior elements

Posterior first —-> Anterior follows after

24
Q

Clinically, why is it important that posterior elements from before anterior elements

A

Defects in posterior elements (little finger/ulna) formation and disruption of A-P patterning and growth can result in problems/loss of anterior elements (thumb/radius)

25
What happens if there is a: 1) Loss of ZPA 2) Upregulation of ZPA 3) Duplication of ZPA
1) loss of posterior elements (digit or ulna) 2) Additional posterior elements (Polydactyly - extra digit) 3) duplication of posterior elements (little fingers on both sides of thumb
26
Explain the following clinical limb development issues: 1) Polydactyly 2) Syndactyly 3) Bradydactyly 4) Meromelia 5) Phocomelia 6) Amelia 7) Arthrogryposis 8) Ectodactyly
1) extra digit, upreg of ZPA (Week 6 and 7 for hands and feet respectively) 2) Fusion of digits -- failure of BMP to apoptosis the tissue 3) Short digits ---- failure of BMP to to apoptosis tissue 4) Part of limb is absent (during week 4) 5) Type of Meromelia where the hands and feet are close to the body -issues with FGF signaling during WEEK 4 6) No limb bud formed --- THALIDOMIDE 7) Congenital joint contractures -- neurological defects, joint/contiguous tissue problems 8) Split Foot/Hand (looks like a claw) ---- Center of aER did not develop properly (WEEK 6 for hand......WEEK 7 for foot