Session 12 Body Logistics CARTILAGE Flashcards

(38 cards)

1
Q

NAME THE SPECIALISED CELLS OF CARTILAGE AND STATE THEIR FUNCTION

A
  • CHONDROCYTES

- THEY PRODUCE AND MAINTAIN THE EXTRACELLULAR MATRIX IN WHICH THEY LIE.

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2
Q

BRIEFLY DESCRIBE CARTILAGE:

A

CARTILAGE IS AN EXAMPLE OF SPECIALISED CONNECTIVE TISSUE

  • It is AVASCULAR
  • Consists of an extensive extracellular matrix in which the chondrocytes lie
  • Chondrocytes - produce and MAINTAIN the extracellular matrix
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3
Q

DESCRIBE THE COMPOSITION OF CARTILAGE

A
  • Higher ratio of GAG to Type 2 collagen ( allows ready diffusion of sub between chondrocytes and blood vessels)
  • A lot of hyaluronic acid in ECM
  • High density of negatively charged GAG’s ( attract water)= hydrated gel
  • Hyaluronic acid with its many proteoglycan monomers interwoven in network of type 2 collagen fibrils.
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4
Q

What are the three types of cartilage?

A

H- Hyaline
E- Elastic
F- Fibrocartilage

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5
Q

DESCRIBE THE STRUCTURE OF HYALINE CARTILAGE

A
  • only cell =Chondrocytes :- Singly or cluster isogenous groups (newly divided) ( each chondrocytes sits in a lacuna)
    Matrix- Hyaluronic acid, proteoglycan (hydration of the matrix), TYPE 2 collagen fibres
  • Perichondrium covers the margin of hyaline cartilage (but not at articulating surfaces and at the epiphyseal plate)
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6
Q

Where is Hyaline Cartilage found?

A
  1. ARTICULATING SURFACES- ARTICULATING CARTILAGE AT JOINTS( no perichondrium)
  2. EPIPHYSEAL PLATE ( no perichondrium)
  3. CARTILAGE IN THE NOSE
  4. COSTAL CARTILAGE
  5. RIBS AND STERNUM
  6. RESPIRATORY- TRACHEA AND LARYNX AND Lungs ( disappears in the smaller respiratory tubes
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7
Q

What is the link between endochondral ossification and hyaline cartilage?

A
  • Hyaline cartilage= template for most bones
  • Becomes mineralised to form bones
  • In a 14 week foetus - have a lot of cartilage left especially at the epiphyses
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8
Q

What are the two types of ossification?

A
  • ENDOCHONRAL OSSIFICATION- Hyaline cartilage acts as model for the development of bone ( long bones- limbs)
  • INTRAMEMBRANOUS OSSIFICATION - Direct formation from mesenchymal cells no cartilage involved ( flat bones - those of the skull, scapula)
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9
Q

What is the perichondrium?

A

-Covers the margin of cartilage
- (edge of cartilage)
= DENSE CONNECTIVE tissue
Contains elongate fibroblast like cells which develop—> FLAT chondroblasts (secrete ECM components)—> (Round) Chondrocytes

Fibroblast like cell—> Chondroblast—> Chondrocytes ( apposition always growth)

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10
Q

What are Two types of growth in the cartilage?

A
  • Appositional growth ( growth from the periphery fibroblast—> chondroblast—> chondrocytes)
  • Interstitial growth- mitotic division of chondrocytes ( form isogenous groups- that separate as they secrete ECM)
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11
Q

Explain the calcification of cartilage

A
  • Hyaline cartilage calicifies with age
  • Elastic cartilage does not

E.g. the c shaped cartilage in the trachea= hyaline cartilage can be calcified in elderly people

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12
Q

DESCRIBE THE COMPOSITION OF ELASTIC CARTILAGE:

A
  • Proteoglycans
  • Hyaluronic acid
  • Type 2 collagen fibres ( same composition as HC but have *)
  • *Elastic fibres
    • Elastic lamellae
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13
Q

WHERE IS ELASTIC CARTILAGE FOUND ? (4 LOCATIONS)

A
  1. Pinna ( external ear)
  2. External auditory meats
  3. Eustachian Tube
  4. Epiglottis
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14
Q

How is elastic cartilage different from hyaline cartilage in terms of histology?

A
  • Elastic fibres present in the ECM - have dark staining in hyaline cartilage you would not see this
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15
Q

DESCRIBE THE COMPOSITION OF FIBROCARTILAGE

A
  • Abundant type 1 cartilage (gives its strength to resist shearing forces)
  • Hyaluronic acid, Proteoglycans, Type two collagen
  • Two cell types- chondrocytes - arranged in rows or as isogenous groups and fibroblast
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16
Q

FIBROCARTILAGE IS A COMPOSITION OF

A
  • DCT and hyaline cartilage
17
Q

WHERE IS FIBROCARTILAGE LOCATED IN THE BODY?

A
  1. Pubic symphysis
  2. Sternoclavicular joint
  3. Tempromandibular joint
  4. Intervertebral discs
  5. Menisci of the knee ( as c shaped along with the hyaline cartilage)
18
Q

What do footballers tend to damage and what is significant about this?

A

Meniscus of the knee ( menisci of the knee joint)-
CARTILAGE is said to be irreparable because it is avascular therefore need to have surgical intervention.
( However, some research drilling lots of tiny holes into cartilage stimulates it to repair)

19
Q

WHAT IS ENDOCHONDRAL OSSIFICATION?

A
  • Replacement of existing hyaline cartilage ( model for bone development)by bone
  • the way most bones of our body are produced
  • Flat bones eg. Ribs and Limbs
20
Q

What DO we see in 14 Week foetus in regards to endochondral ossification?

A

Most of the bones are replaced by bone (the diaphyses)

However at the epiphysis you can still se cartilage present eg. In the metacarpals of the hand

21
Q

What is the epiphyseal plate?

A
  • Growth plate made up of hyaline cartilage
  • Still present in an individual is growing
  • Will disappear after the CESSATION of growth
22
Q

DESCRIBE THE PROCESS OF LONG BONE FORMATION BY ENDOCHONDRAL OSSIFICATION

A
  1. Initial cartilage (5-6 wk embryo)
  2. Formation fo the collar of periosteal bone in the diaphyses (6-8 wk embryo- newly formed osteoblasts gather at diaphyses wall form the bone collar.
  3. Central cartilage calcifies, nutrient artery penetrates, supplying bone depositing osteogenic cells- PRIMARY OSSIFICATION CENTRE FORM (Fetus 8-12 wks)
  4. Medulla = to spongy bone , CARTILAGE FORMS at the epiphyseal plate - secondary ossification sites develop at epiphyses - POST NATAL
  5. EPIPHYSES OSSIFY AND growth plates continue to move part at which lengthens the bone.- PREPUBERTAL
  6. Epiphyseal growth plates(Ossify-cessation of growth) are replaced by bone. Hyaline articular cartilage persists. MATURE ADULT
23
Q

BONE INCREASES IN LENGTH VIA

A

ENDOCHONDRAL OSSIFICATION

24
Q

INCREASE IN GIRTH OF THE BONE ( BONE IS WIDER) IS VIA

A

Periosteal ossification which increases girth of the bone is INTRAMEMBRANOUS OSSIFICATION

25
What are the 5 zones of the epiphyseal growth plate?
RC, P, H ,CC, R 1. Zone of reserve cartilage 2. Zone of proliferation 3. Zone of hypertrophy 4. Zone of calcified cartilage 5. Zone of resorption
26
WHAT HAPPENS AT THE ZONE OF RESERVE CARTILAGE? HINT ONE OF THE FIVE ZONES OF THE EPIPHYSEAL PLATE
- No cellular proliferation | - No active matrix production
27
WHAT HAPPENS AT THE ZONE OF PROLIFERATION? | EPIPHYSEAL PLATE - 5 ZONES
- Cells actively dividing to form columns | - Cells enlarge and Secrete matrix
28
WHAT HAPPENS AT THE ZONE OF HYPERTROPHY?
- Cells enlarge greatly -Matrix compressed into linear strands between cell columns ( between the two cell columns you will have cartilage which is basically squashed)
29
WHAT HAPPENS AT THE ZONE OF CALCIFIED CARTILAGE? RC, P, H,CC,R
- Enlarged cells begin to degenerated | - Matrix calcifies
30
WHAT HAPPENS AT THE ZONE OF RESORPTION?
- Calcified matrix is in direct contact with the marrow cavity - Small blood vessels and connective tissues invade the region occupied by DYING CHONDROCYTES - Leaving calcified cartilage as spicules between them - BONE IS LAID DOWN ON THESE CARTILAGE SPICULES
31
WHAT IS BONE LAID DOWN ON ?
- CARTILAGE SPICULE
32
DESCRIBE THE THREE DIFFERENT CELLS OF THE BONE:
1- Osteoblasts which deposit the new bone (osteoid) 2.- Osteocytes is a an osteoblasts surrounded by new osteoid Trapped in the bone ( still living ) 3. Osteoclasts - resort bone and lie in the resulting depression
33
WHAT IS A SYNOVIAL JOINT?
- Moveable joint - to opposed - (juxtaposed ) bone ends covered by hyaline cartilage - lie in articular capsule = joint cavity - Inside is the synovial fluid which lubricates the joint - The articular capsule is lined by synovial membrane and is reinforced with fibrous tissue and ligaments.
34
WHAT ARE THE CELL OF THE SYNOVIAL MEMBRANE?
- Macrophages- remove debris from the joint space | - Fibroblast like cells which thought to secrete the SYNOVIAL FLUID
35
WHAT IS THE ARTICULAR CAPSULE MADE UP OF ?
- Synovial membrane and the fibrous capsule
36
WHAT ARE the most common synovial joints we will deal with in our medical career?
- Shoulder - Hip - Knee joints
37
WHAT IS OSTEOARTHRITIS (OA)?
- Degeneration and mechanical failure of ARTICULAR CARTILAGE - Narrowing of the joint space -Growth of bony spurs (osteophytes- bony projections) Bone rubs agains bone This causes the pain and inflammation
38
WHAT IS RHEUMATOID ARTHRITIS (RA)?
- Autoimmune inflammation of the synovial membrane - Inflammation and thickening of joint capsule - Subsequent Damage to underlying bone and cartilage- in a way that they DISINTEGRATE - Lots of immune cells present - Macrophage, DC,T CELL, B CELL, MAST CELLS, you also have extensive angiogenesis- Inflammation