Early lectures Flashcards
What are some causes of osteoporosis?
Lifestyle factors: lack of exercise (exercise stimulates the bone cells to make new bone), nutritional factors (good sources of calcium), peak bone mass (bone as a bank) (teenage years + early twenties = building bone mass. Reach this peak in early twenties)
- Old age
What is the genral cartilage composition?
Collagen fibres in a ground substance (resists tension)
Chondrocytes live in lacuna
Nutrients diffuse through matrix by joint loading (normal movement of the joints) (not vascular - does not have blood vessels, when it degrades its gone)
Hyaline (articular) cartilage composition?
Collagen fibres are barely visible
High water content in the matrix
Function is to resist compression
Provides a smooth frictionless surface
Fibrocartilage composition?
Collagen fibres bundles throughout the matrix
Orientation of fibres aligns stresses to resist tension and compression
What are the functions of hyaline cartilage?
- To provide frictionless movement of bones in synovial joints (moveable joints)
Moulds to surfaces of the bone where they articulate and where they move over each other. Tells you about the range of movement
Degrades with age (loses water content, flaking away from bone so degrading)
Trauma (fractures which set up infections and damage articular cartilage. Bone then rubs on bone)
What are some functions of Fibrocartilage?
E.g. meniscus (a structure formed of fibrocartilaginous tissue) they are concave discs of fibrocartilage.
Function = deepens articulation at knee joint. Can adapt to its shape stresses on joint during movement to accommodate it, can resist tension and compression like this.
Distributes forces over a wider area (protecting the articular cartilage underneath). If there is not meniscus, the forces will come over a smaller area and the articular cartilage is more vulnerable to trauma and then developing arthritis
What is bony congruence?
the sum of the bone surfaces that form an articulation. Less BC = more soft tissue support. E.g. knee joint is an area of low bony congruence, hip is a joint of high bony congruence (head goes into deep socket). Where there is low bony congruence, more soft tissue support is needed to deepen the articulation and hold the joint together.
What is the general compisiton of Ligaments and tendons?
formed by dense fibrous connective tissue (DFCT). Has a lot of collagen in it, formed by fibroblasts (cytes). Function is resisting tension only. Some vascularity but minimal compared with bone (can heal, but will heal very slowly)
What are some examples of fibrous joints?
cranial sutures, distal tibiofibular joint (fibula and tibula connection, holding the two leg regions bone together distally.
What are some examples of cartilaginous joints?
intervertebral disc; symphysis.
What are features of synovial joints?
- Complex association of tissues and structures. High congruence = stable (ability to create movement and to stay together)
Facilitation of free movement AND control of movement
Bone ends determine the range of motion at a joint
What is the structure of a synovial joint?
- Bone ends
- Hyaline cartilage (wraps around bone where they may rub)
- Joint capsule of DFCT (can be thickened to form ligaments)
- Joint cavity has synovial membrane which secretes synovial fluid (Fluid filled pockets = there for cushioning and support)
- Ligaments
What are capsular ligaments?
Capsular ligament (joint capsule) - Holds bones together - Tight and thick where more support is required and less movement is required - Loose where movement is allowed Potential space or cavity E.g. collateral (on the side of) ligaments of the knee (Medial restricts abduction Lateral restricts adduction)
What are intracapsular ligaments?
- Restricts movements between bones (contained within the capsule itself, internal to the joint)
E.g. cruciate ligaments
Arise from the tibia and insert into the femur
Anterior cruciate restricts posterior displacement of the femur (skiing, femur will try to slide forward. Femur pops of front of tibia)
Posterior cruciate restricts anterior displacement of femur
What is a key difference between Fibrous and cartilaginous vs synovial
Direct connections between the bone ends vs no direct connect, absolute space. Capsule that surrounds the joint and fluid filled space.
What is the movement at the joint determined by?
The structure of the joint, including:
- Bone end shape
- Ligament location and length
- Body surface contact
Plane joints
Multiaxial
‘Sliding and gliding’
Flat articular surfaces.
Reserved for blocky and short bones E.g. intercarpal and intertarsal joints.
And acception: joint between clavicle and sternum
Hinge joint
Uniaxial
Movements are flexion and extension
E.g. ankle, elbow (humerus with ulna), interphalangeal joints.
Pivot joint
Uniaxial
Movement is rotation
E.g. radioulnar joint.
Between first two cervical vertebrae (C1-C2)
Condylar joint
Biaxial, flexion and extension, rotation (when flexed)
E.g. knee, temporomandibular (TMJ, connects the mandible)
Ellipsoid joint
Biaxial - NO ROTATION, every other movement
E.g. wrist joint
Saddle joint
Biaxial + - circumduction, abduction, adduction, flexion, extension, rotation is obligatory (opposable thumbs, creating some rotation)
E.g. base of thumb joint (carpometacarpal)