Cartilage and ossification Flashcards

1
Q

what are the properties of cartilage

A

maintains form
resists deformation
flexible

due to matrix of collagen and proteoglycans

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2
Q

what are the two ways that cartilage can grow

A

interstitial growth - mitosis

appositional growth - add cartilage onto the outside

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3
Q

does cartilage have nerves and blood vessels

A

no

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4
Q

what is cartilage composed of

A

2 parts:
cells - chondrocytes
ecm

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5
Q

what is cartilage ecm composed of

A

fibrous component - collagen type 2

ground substance - proteogylcans and gags

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6
Q

which type of collagen is found in cartilage

A

type 2

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7
Q

which gag is found in synovial joints?

A

hylauronan

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8
Q

what is a proteoglycan

A

core protein with gags

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9
Q

what is a proteoglycan aggregate

A

proteogylcans stuck to hylauronic acid

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10
Q

what is the role of proteoglycan aggregate

A

create a high swelling pressure and make it permeable

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11
Q

why are there rings of cartilage in airways

A

prevent airway collapse

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12
Q

what are the three types of cartilage joints

A

symphysis
synovial
synchondrosis

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13
Q

as get older what happens to cartilage

A

more cartilage gets mineralised

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14
Q

what are the two processes of bone formation

A

endochondral - cartilage becomes bone - for long bone

intramembranous - where osteoblasts form bone directly

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15
Q

what happens to the growth plate at puberty

A

it is ossified and disappears under the influence of sex hormones - oestrogen

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16
Q

where are the three areas that mineralisation of cartilage occurs

A

hyaline cartilage in elderly
tidemark zone
endochondral ossification

17
Q

vitamin d deficiency ?

A

rickets in children - no mineralisation
osteomalacia in adults - which causes lack of mineralisation
= defective mineralisation

18
Q

what is the name of condition in which there is cartilage destruction?

A

osteoarthritis - due to wear and tear

19
Q

how does it present in histology

A

irregular mineral tidemark

20
Q

what is the AUTOIMMUNE CONDITION that results in cartilage destruction?

A

rheumatoid arthritis - inflammatory cytokines tnf-alpha and il1 are seen - antibodies against tnfalpha in some patients are effective