Exam 3: Arthrology Of Vertebral Column Flashcards
“Tightly bonded together condition”
Syndesmosis
Material responsible for “Tightly bonded together condition” in the joint
Dense fibrous connective tissue, a ligament
The study of ligaments
Syndesmology
Protein fiber that makes dense connective tissue
Collagen fibers (give it a whitish color)
Proteins making up ligaments (besides collagen)
Elastin fibers (give a yellowish tinge to the ligament)
Classification of first cartilage joint to appear developmentally
(Amphiarthrosis) synchondrosis
Classification of primary cartilage joints
(Amphiarthrosis) synchondrosis
Characteristics of a (amphiarthrosis symphysis)
Limited motion, median plane location, support ligaments both anterior and posterior to the joint, more permanent in longevity than synchondrosis and they occur between bones developing by endochondral ossification
4 features of synovial (diarthorsis) joints
- Articular or fibrous capsule
- Synovial membrane
- Articular cartilage
- Synovial fluid
Accessory ligaments that accompany/ support capsular ligament
Intracapsular and extracapsular ligaments
Type II articular receptor characteristics
Located in deeper strata of the fibrous capsule
Resemble Pacinian corpuscles
Most numerous in the cervical spine
Monitor the joint during normal range of motion
Type III articular receptor characteristics
Present in collateral and intrinsic ligaments
Resemble Golgi tendon organs
Not observed along the vertebral column
Monitor extreme joint motion
Function of type IV articular receptors
Nociceptive, they monitor pain
Locations of Type IVa articular receptors
Fibrous capsule, articular fat pads or adventitia of blood vessels
Locations of type IVb articular receptors
Accessory ligaments in general, dense in the posterior longitudinal ligament of the spine
3 classifications of synovial membrane
Articular, vaginal and bursal synovial membrane
3 modifications of articular synovial membrane
- Synovial villi
- Articular fat pads or Havesian glands
- Synovial menisci and intra-articular discs
Function of modifications of articular synovial membrane
Aid in spreading synovial fluid
Function of synovial villi
Increase the surface of synovial membrane available for secretion- absorption phenomena
Agings effect on synovial villi number
Increase with age
Articular fat pads are mostly numberous
Along the lumbar zygapophyses
Condensed fibrous connective tissue or fibrocartilage projections of the synovial membrane are called ______
Synovial menisci or intra-articular discs
Synovial menisci are features of what joints
Femur-tibia aarticulation, cervical zygapophyses, lumbar zygapophyses
Functions of type A synovial cells
Phagocytic
Function of Type B synovial cells
Secrete proteinanceous substances and hhyaluronic acid
Common functin of type A and B synovial cells
Formation and absorption of synovial fluid
Primary constituents of articular cartilage
Water, cells, collagen type II fibers and a proteoglycan gel
Primary function of bound GAGs in articular caartilage
Forms a network for water retention
Cartilage that has elastic properties
Cartilage can deform and returns to original volume rapidly, a time independent property
Viscoelastic properties
Cartilage can deform but returns to original volume slowly, a time dependent property
Properties of synovial fluid
Yellow-white
Viscous
Slightly alkaline
Tastes salty
Substance in synovial fluid first thought to be responsible for viscosity and lubrication
Hyaluronate
Substance of synovial fluid proposed to be responsible for viscosity and lubrication
Hyaluronate
Classifications of synovial joints (diarthroses)
- based on number of articulation surfaces
Simple and compound synovial joints
Complex synovial joint (diarthrosis)
Within the simple or compound joint, the articulating surfaces are separated by an articular disc (intra-articular disc) or miniscus
Morphological classifications of nonaxial synovial joints
Plane (diarthrosis arthrodial)
Morphological classifications of synovial joints that are uniaxial
Hinge (diarthrosis ginglymus) and pivot (diarthrosis throchoid)
Morphilogical classifications of synovial joints classified as biaxial
Bicondylar
Condylar
Ellipsoidal
Saddle
Common ligaments of vertebral column (9)
ALL, IVD, PLL, ligamentum flavum, capsular lig, interspinous, ligamentum nuchae, supraspinous, intertransverse
Maximum number of common ligs identified with a vertebral couple
8
Why are there 9 common ligs but only 8 attaches at any specific vertebral couple
Ligamentum nuchae takes over for supraspinous
Common ligament that will attach to vertebral arch
Ligamentum flavum
Common ligaments that will attach to spinous apophysis
Interspinous, supraspinous and ligamentum nuchae
Number of true IVDs in the adult
23
In the adult which vertebral levels will demonstrate a true IVD
C2 — S1 inclusive
What percent of vertebral column length is contributed by IVD
20-25%
Length of IVD contribution to vertebral column length
7 inches
Percent of IVD height contribution to length of each region of vertebral column
Cervical — 22-25%
Thoracic — 20%
Lumbar — 33%
What is the IVD histologically composed of
Cells
Collagen fibers
Hydrated proteoglycan gel
What is cervical nucleus pulposus composed of
Fibrocartilage
What is the water concentration in lumbar nucleus pulposus at birth and after 30
Birth — 88%
Thirty — 70%
What is consequence of non-aggregated glycosaminoglycans in the lumbar nucleus pulposus
It will lose water under deformation conditions
What cell is associated with the nucleus pulposus until about age 11
Notochord cells
What cells are associated with the mature nucleus pulposus
Reticulocyte-fibroblast and chondroblast
Which type of collagen is dominant in the nucleus pulposus
Collagen type II
What is the organizational pattern for collagen fibers in the nucleus pulposus
They are irregularly oriented and randomly scattered
What is unusual about the cervical annulus fibrosus
It lacks any lamellar or layered organization
What is appearance of cervical annulus fibrosus
Horse-shoe w/ anterior margin thick and lateral margins tapering to uncinate processes; posterior margin is thin
What compensates for the thinness of posterior part of cervical annulus fibrosus
PLL
What is organization of lumbar annulus fibrosus
12-14 concentric cylindrical lamellae
Why is posterior part of lumbar annulus fibrosus more susceptible to rupture, herniation, prolapse or protrusion
Posterior margin of lamellus is thin
PLL is less developed
What is water concentration in the lumbar annulus fibrosus at birth and after 30
Birth —78%
30 — 70%
Which type of collagen is dominant in annulus fibrosus
Collagen type I
What is the organizational pattern for collagen fibers in annulus fibrosus
Parallel w/ one another in a single lamellus and angled
What is organization of collagen fibers between lamellae
Collagen fibers will be angled in opposite direction
Spiral — counterspiral organization is observed
What is the average angle of collagen fibers within the annulus fibrosus
They average 50-60 degrees
What cell type is associated with annulus fibrosus
Fibroblast and fibrocyte
What is thickest part of cartilage end plate
Around periphery
What is principal type of collagen fiber within the cartilage end plate
Type II collagen fiber
What is direction of collagen fibers within cartilage end plate
Collagen fivers are aligned anterior to posterior
What is attachment site for collagen fibers of inner lamellae of annulus fibrosus
Cartilaginous end plate
Earliest indicator of intervertebral disc pathology or degeneration
Changes in the histology of the cartilage end plate
Part of intervertebral disc that is innervated
Outer lamellae of the annulus fibrosus
Types of receptor endings in the intervertebral disc
Nociceptors and proprioceptors
Relationship between size of the intervertebral disc and receptor endings
The larger the disc, the greater the variety of receptor endings
Proposed function of receptor ending density in the anterior part of the intervertebral disc
They provide feedback during extension
Sources of innervation of intervertebral disc
the sinu-vertebral nerve (sinus vertebral nerve, recurrent meningeal nerve), fibers from the ventral primary ramus, fibers from the white ramus communicans, fibers from the paradiscal ramus communicans, fibers from the gray ramus communicans
What innervates the annulus fibrosus at the posterior part of the intervertebral disc
the recurrent meningeal/ sinu-vertebral/ sinus vertebral nerve
What innervates the annulus fibrosus at the anterior part of the intervertebral disc
fibers from the ventral primary ramus
What innervates the annulus fibrosus at the lateral part of the intervertebral disc
fibers from the ventral primary ramus, fibers from the white ramus communicans, fibers from the paradiscal ramus communicans, fibers from the gray ramus communicans
Name given to the white ramus communicans which becomes embedded within the annulus fibrosus of the intervertebral disc
paradiscal ramus communicans
How does the intervertebral disc help shape the spine
anterior height is greater than the posterior height in the cervical and lumbar regions thus creating a lordotic or anterior curve
What is the popular theory of intra-abdominal cavity pressure and intervertebral disc response to weight bearing
increasing the intra-abdominal cavity pressure will diminish the amount of resistance the intervertebral disc needs to generate by up to 50%
Part of the intervertebral disc that allows distribution of weight over a maximum surface area
the nucleus pulposus
Vertebral levels the ALL attaches to
those between occiput and S3 inclusive are traditionally indicated