Biomechanics Connective Tissue Flashcards

1
Q

What are the four types of tissue?

A

connective tissue
muscle
nerve
epithelium

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2
Q

types of connective tissue

A

periarticular connective tissues
-ligament, tendon, perimuscular fascia, capsule, articular cartilage
bone
-specialized CT

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3
Q

composition of periarticular connective tissue (3 general)

-structure drives…

A
fibrous proteins
ground substance
cells
structure drives function
-different composition, proportions, arrangements
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4
Q

fibrous proteins

-types

A

type I, II collagen

elastin

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5
Q

ground substance

-composition

A

proteoglycans (glycosaminoglycans - GAGs)
water
solutes

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6
Q

cells

-types

A

fibroblasts

chondrocytes

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7
Q

type I collagen

  • characteristics
  • higher proportions in
A
characteristics
-thick, little elongation
-stiff, strong
-binds, supports body articulations
higher proportions in
-ligaments
-fibrous joint capsules
-tendons
-perimuscular fascia
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8
Q

type II collagen

  • characteristics
  • higher proportions in
A
characteristics
-thinner than type I
-lower tensile strength
-provide framework, structure for other tissues
-provide internal strength
higher proportions in
-hyaline cartilage
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9
Q

elastin

  • characteristics
  • higher proportions in
A
characteristics
-small fibrils (but larger than type II collagen)
-resist tension but have 'give'
-elastic properties (return to original shape)
higher proportions in
-hyaline cartilage
-perimuscular fascia
-ligamentum flavum
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10
Q

ground substance

  • saturated with
  • GAG molecule
  • -charge
  • –purpose
  • -hydrophilic or hydrophobic?
  • water
  • -purpose
A
saturated with water
GAG molecules
-repel each other --> increases volume
-hydrophilic --> high water content
water
-allows for diffusion of nutrients
-provides mechanical properties
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11
Q

cells

  • functions
  • two specific types
A
functions
-synthesize ground substance
-tissue maintenance and repair
-constant turnover
-do not influence mechanical properties (sparse)
types
-fibroblasts
-chondrocytes
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12
Q

fibroblasts

-found in…

A

ligaments
tendons
supportive CTs

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13
Q

chondrocytes

-found in…

A

hyaline articular cartilage

fibrocartilage

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14
Q

non-muscular soft tissues

  • types (examples)
  • composition
  • characteristics
A

types
-irregular (joint capsules, perimuscular fascia)
-regular (ligaments, tendons, perimuscular fascia)
composition
-HIGH type I collagen
-LOW elastin
-LOW fibroblasts
characteristics
-poor healing (low vascularity)
-adapts to stress/strain with increased stiffness (increased collagen, fibroblast, and GAG synthesis)

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15
Q

irregular dense connective tissue

  • locations
  • how does it get its name?
  • purpose
A

locations
-joint capsule
-perimuscular fascia
how
-collagen is arranged irregularly in ground substance
purpose
-resists tensile forces from multiple directions

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16
Q

regular dense connective tissue

  • locations
  • how does it get its name?
  • purpose
A
locations
-ligaments
-tendons
-fascia
how
-orderly, parallel (or nearly) arrangement of collagen
purpose
-resists tension along the longitudinal axis
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17
Q

ligaments

-purpose

A

constrain excess movement at bony articulations

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18
Q

tendons

  • purpose
  • elastin content vs. ligament
A

transmit large forces from muscle to bone

more elastin in tendon

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19
Q

fascia

-purpose

A

transmits forces between muscles

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20
Q

scar tissue

  • how are collagen fibers laid down?
  • what type of collagen fibers
  • what happens to these fibers?
A

disorganized deposition of collagen fibers
Type II collagen fibers
-remodeled into Type I during maturation phase of healing

21
Q

stress-strain curves

  • stress =
  • strain =
A

stress = force/area (omega)
-newtons/meter squared (Pascal)
strain = change in length/initial length (epsilon)
-measures as percentage

22
Q

stress-strain curves

  • how is stiffness measured
  • how is energy measured?
  • how is elasticity measured
A
stiffness
-slope of linear (elastic) region
energy
-area under curve
elasticity
-Young's Modulus of Elasticity
-stress/strain
23
Q

viscoelastic

-what does it mean and what is an implication?

A

has fluid properties

elastic properties are largely determined by fluid content

24
Q

biological materials toe region

  • what is it?
  • why does it occur?
A

what

  • non-linear beginning to curve
  • due to collagen fibers - begin to straighten and take up slack
25
rate dependent response of biological materials - explain - faster loading rate results in
if you load a tissue rapidly, it behaves differently than if you load it slowly if loaded rapidly -increase tissue stiffness (steeper slope in the stress-strain diagram) -higher modulus
26
viscoelastic creep - what is it? - when does it happen - what characterizes this phenomenon?
what -deformation (strain) response occurs when exposed to a constant load (stress) for a period of time characterized by rapid initial deformation, followed by a slow deformation (creep) until equilibrium reached
27
clinical application of creep
plastic changes to connective tissue are thought to be brought about by slow, low-intensity, and long-duration stretches
28
what happens if we apply a fast stretch
minimal changes due to 1. rate-dependent response to stretch AND 2. lack of stretch time
29
stress-relaxation - what is it - when does it occur? - purpose
stress response -rapid high initial stress -followed by a slow decreasing stress required to maintain the deformation occurs when exposed to a constant deformation purpose -distributes the stress across the tissue - protective
30
articular cartilage functions (3)
increase area of load distribution for joints -attenuate joint contact stresses provide a smooth, wear resistant bearing surface -near frictionless behavior between joint survaces (due to synovial fluid) limited capacity for repair -injuries near sub-chandral bone may heal better --if it does heal, it repairs with fibrocartilage rather than hyaline cartilage
31
biomechanical behavior - contact forces between joint surfaces - contact areas between joint surfaces - stress =
``` contact forces -varies greatly depending on the joint and the activity contact areas -varies depending on the joint stress = force/unit area contact stress can be very high ```
32
anisotropic material - what does it mean - what gives it this characteristic
mechanical properties very between directions/modes of loading collagen fiber arrangements and densities vary throughout the tissue
33
bi-phasic material | -composed of...
``` solid components (porous, permeable) fluid components (incompressible) ```
34
solid components of articular cartilage - what makes up these? - organic matrix characteristics
organic matrix -fibrous proteins (type II collagen) -proteoglycans (PGs): organic part of ground substance -organic part is strong in tension but not compression (like pulling vs. pushing a string cells -chondrocytes: manufacture and maintain organic component
35
PGs | -purposes
provides structural framework (along with collagen) | provides stiffness and strength (collagen)
36
fluid components of articular cartilage - purpose - location - permits exchange of _____ between _____ and _____
dictates the biomechanical behavior -viscoelastic responses, resists compression concentrated near articular surface (80%) -decreases linearly with depth (65%) permits exchange between chondrocytes and synovial fluid of -gases -nutrients -waste products
37
water - primarily located where? - fluid shifts with...
most fluid in extracellular matrix -water, solutes (60-85% of volume) fluid shifts with -electrochemical stimuli --solutes have charges: Na+, K+, Ca2+ -mechanical loads (compression) create pressure gradients --compression --> deformation --> internal pressure > external pressure --> fluid flows out --like a saturated spongs -up to 70% of fluid may shift with compression
38
creep in articular cartilage -____ is balanced by ____ -creep caused by -
applied load balanced by resistive stress within the tissue creep caused by fluid 'leaking' out (exudation) when resistive stress in the solid matrix = applied stress -fluid flow ceases -creep equilibrium (no further deformation)
39
creep equilibrium - how long does it take to reach? - how much fluid can be lost - condition necessary for recovery
takes 4-16 hours to reach creep equilibrium for thick (2-4 mm) articular tissues 50% of the fluid may be lost recovery if experiment done in physiological conditions
40
stress-relaxation in articular cartilage - how is this applied in tissues? - what do we find?
apply load until equilibrium displacement reached maintain this displacement, and monitor the stress required stress-relaxation -the magnitude of stress required to maintain the equilibrium displacement decreases over time
41
stress-relaxation in articular cartilage - initial increase in stress is due to... - stress-relaxation is due to - purpose during physiological loading
initial increase in stress (during displacement phase) due to fluid exudation stress-relaxation during the displacement maintenance phase due to fluid redistribution under physiological loading, stress-relaxation attenuates stress developed within the tissue
42
tensile properties of articular cartilage - stiffens with... - toe region caused by... - final elastic region caused by... - failure occurs when...
stiffens with increasing strain when strain becomes large (ie elastic region) toe region -caused by collagen fiber pull-out final elastic region -stretching of the straightened collagen fibers failure -all fibers rupture
43
cyclic loading (fatigue) - occurs in what structures? - due to...
occurs in cartilage due to... -repeated application of high loads over a short time -repeated application of low loads over a long time
44
proposed mechanisms wearing out (3)
tensile failure of collagen fiber network -accumulate tissue damage leads to lower strength 'washout' of PGs from extracellular matrix from repeated fluid exudation/imbibition -results in decreased stiffness and increased permeability rapid applications of high loads -if loads applied too quickly, no time for stress-relaxation (fluid redistribution) resulting in high stresses that may cause damage
45
cartilage defects
``` fibrillation -splitting of the cartilage surface -can extend through the full depth to sub-chondral bone erosion of the cartilage surface -smooth-surfaced destructive thinning ```
46
markers of articular cartilage degeneration and how does it occur?
progressive deterioration of the tensile properties of solid matrix loosening of structural collagen matrix responsible for swelling how -increase water content: decreased compressive stiffness and increased permeability -may be influenced by contact stress
47
osteoarthritis | -factors
tissue level -changes in collagen and PG content and structure loosening of structure -increased permeability and fluid content increased fluid flow -increased deformation --> decreased ability to resist loading biomechanical changes at muscle/skeletal level may change loading profiles
48
effects of aging (4) | -what can be done?
cell turnover (fibroblast and chondrocyte) is decreased accumulation of microtrauma can lead to tissue failure smaller and fewer GAG molecules --> lower water content, less force attenuation decreased tendon stiffness -collagen fibers become stiffer, but there are fewer of them mitigated through physical activity