Embryology - Development of limbs Flashcards

1
Q

When does limb development begin

A

~end of week 4

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2
Q

When do the upper and lower limb buds appear

A

Upper bud appears day 24 lower 1 or 2 days later

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3
Q

What regulates patterning

A

Homeobox Gene

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4
Q

What causes limb buds to elongate

A

Proliferation of mesenchyme

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5
Q

where do upper and lower limb buds develop

A

Upper - Opposite the caudal cervical segments

Lower - Opposite the lumbar and sacral segments

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6
Q

What happens and what is formed at the apex of each bud

A

The ectoderm thickens forming an Apical Ectodermal Ridge (AER)

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7
Q

What happens to the distal ends of the limb buds and what does this form

A

They flatten into paddle-like hand and flipper-like foot plates

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8
Q

What is formed by the end of the 6th week

A

Mesenchymal tissue in the hand plates has condensed enough to form DIGITAL RAYS

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9
Q

What is formed during the 7th week

A

DIGITAL RAYS are formed in the foot plates

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10
Q

What is responsible for tissue breakdown in the interdigital regions (i.e. what gets rid of webbed fingers)

A

Programmed cell death/Apoptosis - mediated by Bone Morphogenetic Proteins
(Process absent in Dundee)

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11
Q

What occurs in week 6 (related to joints)

A

Cartilaginous precursors of limb bones develop by chondrification within the mesoderm

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12
Q

What appear between week 8 to 12 in response to growth factors

A

Primary centres of ossification

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13
Q

What kind of Ossification occurs in limb bones

A

Endochondrial ossification

EXCEPT FOR CLAVICLE (membranous)

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14
Q

Describe the rotation of upper and lower limbs

A

Upper limbs rotate 90 LATERALLY, so that extensors are on LATERAL and POST. surfaces (and the thumb is lateral)
Lower limbs rotate 90 MEDIALLY, so that extensors are on ANTERIOR surface (and the big toe is medial)

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15
Q

When do peripheral nerves grow from the developing limb plexus

A

During the 5th week

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16
Q

Names for total and partial absence of a limb

A
Total = Amelia 
Partial = Meromelia
17
Q

Some long bone absence

A

Phocomelia

18
Q

All parts present but small

A

Micromelia

19
Q

Critical period for limb development

A

24-36 days after fertilisation

20
Q

What is Polydactyly

A

Presence of more than 5 digits on hands or feet

Extra digit is incompletely formed and lacks muscular development.

21
Q

What is Cutaneous and Osseous Syndactyly

A

Cutaneous - Simple webbing between digits

Osseous - Fusion of bones (occurs when notches between digital rays fail to develop)

22
Q

Sensitive period for and action of Thalidomide

A

4-8 weeks
Caused Meromelia if mother ingested it
Disrupting cell adhesion and angiogenesis
Now used in Cancer, Leprosy and AIDS

23
Q

Describe Congenital Clubfoot

A

A.K.A. Talipes Equinovarus

Sole of foot is turned medially and foot is inverted

24
Q

Cause of Talipes Equinovarus/Congenital Clubfoot

A

Multifactorial (genetic and environmental)

? Abnormal positioning or restricted movement of fetus’ lower limb in utero - evidence is inconclusive.

25
Q

What is a common defect after breech deliveries

A

Developmental Dysplasia of the Hip

26
Q

Does Syndactyly occur more in the hands or feet

A

Feet