Joint Physiology Flashcards

1
Q

seperate by cavity, united by fibrous capsule

A

synovial joint

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2
Q

Inner capusle of synovila joint is lined by …

A

synovial membrane

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3
Q

Synovial membrane contains

A

synovial cells which produce synovial fluid

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4
Q

articualr surfaces are covvered with …

A

cartilage

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5
Q

A pair of articular surfaces =

A

simple synovial (e.g. finger)

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6
Q

more than a couple of articualr surfaces =

A

compound synovial (e.g. elbow)

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7
Q

Synovial fluid: How much? + what does it do?

A

<3.5ml in adult knee

  • lubricates joint,
  • facilitates movement,
  • minimises wear and tear,
  • aids in nutirtion of cartilage,
  • supplies chondrocytes with O2 and nutrients
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8
Q

Viscosity vaires with….

A

joint movement

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9
Q

Rapid movement =

A

decreased viscosity and increased elasticity

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10
Q

appearance of normal synovial fluid

A

clear and colourless

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11
Q

Inflamed or infected synovial fluid looks

A

straw to yellow due to WBC increase

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12
Q

Haemorrhagic arthritis causes fluid to look

A

red

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13
Q

Articular cartilage (hyaline) is compised of …

A
  • Extracellular Matrix (70% -made of water)
  • Collagen (20% - tensile stiffness and strength)
  • Proteoglycans (10% - compression and load bearing)
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14
Q

Chondrocytes

A

synthesise and degrade Extracllular matrix of cartilage (>98% of volume). Normally the rate of degradation doesn’t exceed the rate it is replaced.

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15
Q

Markers of cartilage degradation:

A
  • Serum + synovial keratin sulphate (increase with age and osteoarthritis)
  • type II collagen in synovial fluid (useful in determining cartilage erosion)
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16
Q

Osteoarthritis

A

wear and tear, cartilage and synovial composiiton and function deteriorate with age.

17
Q

Rheumatoid arthritis

A

synovial cell proliferation and inflammation

18
Q

Gouty arthritis

A

deposition of salt crystals (e.g. uric acid)

19
Q

Soft tissue rheumatism

A

injury and inflammation to periarticular structures e.g. injury to the tendon causes tendonitis.