embryology of lower limb Flashcards

1
Q

limbs arise form — which is the stimulation of a specific developmental pathway in one group of cells —– and by another closely approximated group of cells —-

A
  • induction
  • responding tissue
  • inducing tissue
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2
Q

gastrulation occurs in the – week of gestation and its a process established 3 germ layer which are:

A
  • 3rd week
  • ectoderm , mesoderm , endoderm all in epic;ast and hypoblast
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3
Q
  • gasturaltion:
    1- cells in inner cell mass undergo — these close are —- and —
    2- epiblast cells migrate into midline to from —- and streak elongated from — to —
    3- some epiblast checks migrate into — and enter — , transforms hybroblast into —- , and the remaining epiblast cels differentiate into —
    4- majority of epiblast cells occupy space between — and —- layers and deffrientate to form —- , the — is the first mesodermal tissue form
A
  • differention
  • epiblast and hypoblast
  • primitive streak
  • caudal to cranial
  • primitive steak
  • enter hypoblast
  • endoderm
  • ectoderm
    -epiblast and hypoblast
  • mesoderm
  • notochord
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4
Q

—– cells close to midline proliferate and form thickened plate of tissue – approx. Day —
has —- by which the mesoderm remains thins and decides into 2 layers which are:
- the —- connects parochial and lateral plate mesoderm

A
  • parochial mesoderm
  • day 17
  • lateral plate
  • divides into:
    1-Somatic, Somatopleuric or Parietal mesoderm layer
    2-Splanchnic, Splanchnopleuric or Visceral mesoderm layer
  • intermediate mesoderm
    check slide 9 pls)
    (info: Somatopleuric (Parietal Mesoderm) , Splanchnopleuric (Visceral Mesoderm)
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5
Q
  • limbs develop from — and — mesoderm
    1- —-forms segmented series of tissue blocks on each side of neural tube –—
    2- —- send signals to induce lateral plate mesoderm to condense and grow outwards
A
  • paraxial and lateral plate( Somatic/Somatopleuric/Parietal)
  • paraxial mesoderm
  • somites
  • somites
    ( check slide 11)
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6
Q

upper bud just visible at —

A
  • 24 days
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7
Q

1—– one cell thick covering of mesoderm
2- ectoderm along apex of bud differentiates into —
3- raised at the tip to form — this induces differentiation of underlying —

A

ectoderm
ridge-like
- apical ectoderm ridge AER
- mesoderm

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8
Q

more of limp development:
1- buds will —
2- distal ends become – shaped in digital plate
3- around —- weeks grooves appear between site of digit formation ( digital rays) and will eventually separate into — aka —-
4- by week – limb like appearance only 1 cm long

A
  • elongate
  • paddle
  • 5-6
  • digits
  • programmed cell death
  • 8
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9
Q
  • differention is in week : and it is — before — and — before —
A
  • 5-8 weeks
  • proximal
  • distal
  • upper
  • lower
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10
Q

— days cell death in AER creates separate ridge for each digit
— days cell death in the interdigital spaces separates digits
—- digit seperation complete

A

48
51
56

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11
Q

—- :
Solid, dense bone
Makes up bulk of diaphysis
External bone surfaces beneath periosteum
—- :
Porous bone with interconnecting trabeculae
Interior of bone
Core of epiphysis in long bones,

A
  • cortical
    trabecular
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12
Q

bones develop from — like mesodermal condensation that appear during —
1- — precursors develop first
2- ossification begins week —

A
  • column
  • 5th week
  • catlilagnous
  • 8 to 12
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13
Q
  • Skelton beings at week – when embryo is 12mm or 0,5in long
  • the bone ossification is made by 2 major mechanism:
    —- : bones forms directly from a vascularised connective tissue membrane eg: calvarium of the skull
    —– : Bone forms through replacement of an initial hyaline cartilage model eg: long bones, femur, humerus etc
A
  • 5th week
  • intramembrounoius ossification ( meschynmal cells –> osteiod formation –> spicule of bones —> trabecular bone )
  • endochondral ossification ( b which cartliguous precursors becomes fully formed bones )
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14
Q

most cells develop by — ossification and this process begins w —template at – week by which the — and — are present
- the template grows in — aka – and — aka —
- occurs in — stages

A
  • endochondral
  • hyaline cartlige
  • 6 week
  • length ( intertidal growth )
  • thickness ( appositional growth )
  • 6 stages
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15
Q
  • 1 stage:
  • —- enlarge ( hypertrophy ) in the centre of model , these will enlarge their — and —- forms struts which — depriving cells of neutrinos
  • stage 2:
    -Blood vessels enter —- around cartilage and inner cells (osteogenic layer) differentiate to —-
    Perichondrium has become a —-
    stage 3:
  • Blood vessels and stem cells migrate into center of— cartilage which is eroded by multinucleated cells
    -Primary center of — forms due to osteoblast activity and spreads towards the bone ends
  • stage 4:
    Activity of osteoblasts (bone forming cells) and osteoclasts (bone resorbing cells) produces growth in —- of the bone
    stage 5:
    Center of the epiphyses develop —– (bone formation) centers
  • stage 6:
  • Epiphyses become filled with —
    —– ceases - primary and secondary ossification centers —-
    -Cartilage remains on articular surface
A
  • chondrocyte
  • lucnane and matrix
  • calcify
  • perichondrium
  • osteoblast
  • periosteum
  • calcified
  • ossification
  • length and thickness
  • secondary ossification
  • trabecular bone
  • growth
  • fuse
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16
Q

Limb muscles are from —- and these divide into :

A
  • somites
  • dermatome , myotome , sclerotome ( check slide 31)
17
Q

limb formation - muscles:
1- invade limb buds in —
2- 2 major muscle masses in limb bud , — and — to —-
1- muscles that form on anterior ( ventral ) sides are:
2- muscles on posterior ( dorsal ) side :

A
  • 5th week
  • anterior and posterior
  • acial meshcnymal coloumns
  • flexors pronator and adductor
  • extensors , abductors , and supinator
18
Q

Muscles of the limbs move their position dramatically through development either by —– or —
1- —- on upper limb
2- — on lower limb which is more dramatic

A
  • migration or rotation
  • lateral roation
  • medial rotation
19
Q
  • nerve cells are —
  • nerve roots for out between each pair of — forms – and invades —-
    —- : skeletal muscle supplied by one spinal nerve
    —-: : area of skin supplied by one spinal nerve
A
  • invasive
  • somites
  • plexus
  • upper and lower limb
  • myotome
  • dermatome
20
Q

As lower limb bud grows, a —– of the limb occurs which results in twisting spirals of — affecting both cutaneous and moro innervation pattern

A
  • medial rotation
  • dermatomes
21
Q

dermatomes - nerves:
1- upper limb :
2- lower limb:

A

Upper Limb
C5: Over deltoid
C6: Over thumb
C7: Middle finger
C8: Medial forearm
T1: Over axilla

Lower Limb
L4: Over tibia
L5: Over fibula
S1: Under 5th toe
S2: Over popliteal fossa
S3: One sits on S3

22
Q

congenital limb abnormalities :
1- reduction defects:
Part of a limb missing - —
All of a limb missing – —
All of the digits missing – —
2- duplication defect : extra limb elements especially digits —
3- dysplasia malformation of limb:
— fusion of digits
—- excessive growth of certain parts

A
  • meromelia
  • Amelia ( complete absence of one or more extremities )
  • adcatyly
  • polydactyly
  • syndactyly
  • gigantism
23
Q

The presence of extra fingers or toes ,The extra digits frequently lack proper muscle connections.
Abnormalities involving polydactyly are usually bilateral
1/500 births is known as:

A

polydactyly

24
Q

Mesenchyme between prospective digits in hand- and footplates is not removed by cell death (apoptosis).
1 per 2,000 is known as:

A

syndactyly

25
Q
  • aetiology of most limb defects is —
  • ideally is — or —
  • most limb defects – multifactorial - are interactions between — and —
A
  • unknown
  • genetic or teratogenic
  • environment and genetics
  • . lobster claw hand or foot are sometimes inherited as autosomal dominant traits
26
Q

Some environmental teratogens cause limb defects
Particularly important is the effect of some therapeutic drugs
1—- :
Developed in 1953
Morning Sickness
Initial tests on rodents
2—-: -
hands or feet are attached close to the trunk, the limbs being grossly underdeveloped or absent

A
  • thalidomide
  • phacomelia
27
Q

club foot is seen with — sole of foot turned — and foot is adducted and plantar flexed and is mainly in —

A
  • syndactyly
  • inwards
  • males