Cartilage And Bone Flashcards

1
Q

What are the three types of cartilage and the GENERAL properties of each

A

Hyaline cartilage - forms a tissue which can form an articular surface on bones and which is strong enough to form structural components of the body, such as the C-shaped cartilage of the trachea or the septal cartilage of the nose.
Elastic cartilage - its composition allows it to be distended and recoil back to its original shape.
Fibrocartilage - its strength allows it to withstand compression force, making it suitable for joints which receive the weight of the body, such as the intervertebral discs and knee joints. It can act as a shock absorber.

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2
Q

Explain why cartilage is classified as a connective tissue

A

Cartilage is thought of as a connective tissue due to its structure and function. Structurally, cartilage is made up of cells, fibres and ground substance. Functionally, it connects tissues together, protects surfaces and forms structural components of the body.

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3
Q

Describe the cellular components of hyaline cartilage

A

The only cells type present in hyaline cartilage is the chondrocyte. They are derived from mesenchymal stem cells present in the perichondrium, appearing as flattened fibroblast-like cells. They migrate through appositional growth and form isogenous groups, growing then through interstitial growth. The function of these cells is to produce and maintain the cartilage matrix through secretion of ground substance and collagen. The chondrocytes occupy lucanae, which appear as shrinkage artefacts on slide preparations. The synthetic activity of the cells is induced by mechanical pressure application to the cartilage.

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4
Q

Describe the fibres of hyaline cartilage

A

The fibres present here are type II collagen.

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5
Q

Describe the make up of ground substance in hyaline cartilage

A

The ground substance here is made up of hyaloronic proteoglycan aggregates which, due to the hyaloronic acid, is highly hydrated. As such, nutrients can diffuse through matrix to reach chondrocytes.

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6
Q

Describe the healing capacity of cartilage and the underlying reasons for it

A

Cartilage does not heal very well due to its poor blood supply. This is a particular problem in things like osteoarthritis.

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7
Q

Describe the distribution and functional roles of hyaline cartilage.

A

Hyaline cartilage is notably present in the foetal skeleton, where it forms the precursor of long bones. It persists for a short time in life as the epiphyseal growths plates. It continues throughout adult life at articulating surfaces and in the trachea/bronchi for instance. It has a structural role in the airways and a role in long bone growth.

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8
Q

In a general sense, what is elastic cartilage?

A

Elastic cartilage is one of the three main cartilage types which is similar to hyaline cartilage in its make up, however is unique in that it contains abundant elastin fibres in order to give it differing properties of recoil. It exists in areas such as the epiglottis and pinna of the ear.

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9
Q

What is the perichondrium?

A

The perichondrium is a layer of dense connective tissue which surrounds elastic and hyaline cartilage, but is absent in articulating and fibrocartilage. It consists of two layers, the outer fibrous layer contains fibroblasts to generate collagen, the inner chondrogenic layer contains the chondroblasts/messenchymal stem cells which give rise to chondrocytes.

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10
Q

State some locations elastic cartilage and its role at each

A

Pinna of the ear - allows the structure of the ear to be maintains following deformation
Epiglottis - allows the structure to be returned to its original position following swallowing in which it covers the tracheal inlet
Eusacchian tube - returns the tube to the closed position following opening, mediated by salpingiopharyngeus muscle.

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11
Q

How do the components of fibrocartilage differ from that of elastic and hyaline cartilage?

A

Fibrocartilage is made up of type I collagen, as opposed to the type II of hyaline and elastic cartilage, and also contains both chondrocytes and fibroblasts, both of which produce and maintain the extracellular matrix of the cartilage. It can be thought of as a mixture of dense regular connective tissue (as in tendons in which type I collagen is organised in rows with fibroblasts sitting in lines) and hyaline cartilage with chondrocytes).

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12
Q

What is the function and distribution of fibrocartilage?

A

Fibrocartilage functions to withstand compression force and so is found in areas where a joint takes the wait of the body. For example, fibrocartilage makes up the minisci of the knee, intervertebral discs and pubic symphysis.

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13
Q

In general terms, describe the two types of bone

A

Bone can exist in two histological and macroscopic forms; compact/corticol/hard bone, or trabecular/spongy/cancellous bone. The former is much more dense, creating a strong margin of bone. The latter is more porous, containing within it bone marrow and reducing the weight of the bone.

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14
Q

Describe the structure/parts of a long bone in general

A

A bone consists of a central shaft called the diaphysis, which is flanked at each end by the epiphyses. The outer surface is coated with periosteum and the inner surface with endosteum. In the growing bone the junction between the diaphysis and epiphyses is lined with hyaline cartilage, called the epiphyseal growth plate. The articulating surfaces are coated with hyaline cartilage also, which does not have a perichondrium.

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15
Q

Microscopically, how is cortical bone structured?

A

Cortical/hard bone is made up of multiple concentric lamellae, which surround a single Haversian’s Canal, which transmits blood vessels and nerves. The entire structure is called an osteon. Linking such canals are Volkmann’s Canals. Between the lamellae are osteocytes, which are former osteoblasts which communicate with the Haversian’s Canals through canaliculi. Between the concentric lamellae are interstitial lamellae. These lamellae are remnants of previous concentric lamellae, replaced due to the continuous turnover of bone. The outer surface is lined with periosteum, the inner surface with endosteum.

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16
Q

Microscopically, how is trabecular bone structured?

A

This type of bone is more hollow and consists of bone bone tissue, organised into interstitial lamellae, organised into a trabecular mesh work between which white, red and yellow bone marrow exists. Lining the bone tissue are osteoblasts.

17
Q

Outline the dynamic nature of bone

A

Bone is not a static tissue, but is constantly being remodelled at variable rates, through the action of osteoblasts and osteoclasts. These cells are, in turn, under the regulation of hormones such as calcitriol, PTH and calcitonin. This remodelling allows bone to change structure according to the stressed it is exposed to, while also resorting calcium when required.

18
Q

What is the ‘cutting cone’ with respect to bone?

A

The cutting cone is is histological structure related to the remodelling of cortical bone. It is formed where osteoclasts line the base of the cone going forward, resorbing bone, while osteoblasts line the space left behind, laying down new concentric lamellae.

19
Q

Describe the extracellular matrix of bone

A

Like other connective tissue, bone ECM consists of fibres and ground substance. The fibres consist of abundant type I collagen. The ground substance consists of proteoglycans, glycosaminoglycans, osteonectin, osteocalcin and glycoproteins. There is some water (25%), however this is less abundant than in other connective tissue. The up calcified matrix is called osteoid, however osteoid becomes calcified through deposition of calcium and phosphate, forming calcium hydroxyapatite crystals which give the bone it’s strong properties.

20
Q

What is osteoid and which is more abundant in conditions such as Rickets and Osteomalacia?

A

Osteoid is uncalcified bone matrix. Normally the deposition of calcium hydroxyapatite crystals forms the hardened bone matrix, however where calcium in in short supply, such as in Rickets or Osteomalacia in which a deficiency in calcium or vitamin D, osteoid cannot be calcified and so remains in a weaker structure.

21
Q

Outline briefly the four stages of bone healing

A
  1. Heamatoma. This phase involves the leakage of blood into the break due to the damage of blood vessels. With this, macrophages are released into the area which remove bone spicules.
  2. Soft callus. A procallus of granulation tissue, containing blood vessels (from angiogenesis), macrophages and collagen fibres, is laid down but soon replaced by the formation of a fibrocartilage callus. Fibroblasts both produce collagen to span the break and differentiate into chondroblasts, giving rise to the fibrocartilage tissue. 3. Hard callus. Osteoblasts from the nearby remaining periosteum and endosteum invade the soft callus and begin to lay down new cancellous bone. Bone is formed through both endochondrial and intramembranous ossification.
  3. Remodelling. Here the osteoblasts and osteoclasts remodel the bone according to the stresses placed upon it.