L0: CT supportive Flashcards

1
Q

What does CT supportive include?

A

Bone, cartilage

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2
Q

Cartilage definition

A

contains fibers, ground substance and cells. No vascularization; cells receive nutrients via long-range diffusion. Cells are chondroblasts/cytes, which produce ground substance and fibers.

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3
Q

Chondrocytes (function, developmental sequence)

A

produce cartilage ground substance and fibers.

Developmental sequence: mesenchymal cells > fibroblasts > chondroblasts > chondrocytes

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4
Q

Describe hyaline cartilag function and location.

A

Most common cartilage type.
Found covering articular surfaces of most joints, costal cartilages, larger respiratory tubes, nasal cartilages.
Embryonically and in young it provides temporary model for endochondrial bone development.

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5
Q

What cells are in hyaline cartilage? How are they arranged?

A

chondrocytes, young chondroblasts forming isogenous nests of 2-4 cells with secreted layer of matrix around them.

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6
Q

Shape difference between chondroblasts and chondrocytes

A

chondroblasts are at the periphery of cartilage; cytes are enveloped in matrix and more rounded.

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7
Q

Hyaline Matrix

A

appears homogenous, glasslike, stains basophilic.

Matrix is composed of fine collagen fibers (invisible w/o special staining) and amorphous gel of proteoglycans.

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8
Q

Hyaline perichondrium

A

dense irregular CT that surrounds cartilage; composed of 2 cell layers.
Fibrous zone= normal dense irregular CT outer layer.
Chondrogenic zone= inne rlayer, gives rise to chondroblasts.

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9
Q

Appositional cartilage growth

A

adding new layers to outside

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10
Q

interstitial cartilage growth

A

formation of isogenous nests + secretion of matrix around nests (= territorial cartilage)

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11
Q

What type of growth(s) do hyaline undergo?

A

appositional and interstitial

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12
Q

Describe elastic cartilage.

A

Adapted to resist bending.
Found in external ear, epiglottis, some laryngeal cartilages
Similar to hyaline in appearance and composition except that matrix contains extensive network of elastic fibers.
Not prone to undergo degeneration or calcification as sometimes occurs in hyaline cartilage.
Surrounded by perichondrium.

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13
Q

Describe fibrocartilage.

A

Structurally intermediate between dense regular CT and cartilage; contains collagen bundles + chondrocytes with min amount of matrix.
Occurs where tough support or high tensile strength is needed (like intervertebral discs and certain joints).
Functions to attach dense regular CT to cartilage or bone.
Lacks perichondrium
Chondrocytes tend to be grouped in short rows (capsules) between collagen bundles.

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14
Q

What is bone?

A

rigid supportive tissue making up most of the skeleton in evolutionarily advanced vertebrates.
composed of cells and matrix with a dense CT periosteum covering the outside.

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15
Q

There are 4 general types of cells in bone. Name them.

A

Osteogenic cells
Osteoblasts
Osteocytes
Osteoclasts

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16
Q

What are osteogenic cells?

A

precursor cells derived from mesenchyme; capable of mitotic division; found near bone surface and in inner portion of periosteum.

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17
Q

What are osteoblasts?

A

deposit bone matrix, found at margins of growing bone.

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18
Q

What are osteocytes?

A

occupy lacunae (holes) in bone matrix.

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19
Q

What are osteoclasts?

A

multinucleated cells acting in dissolution of bone; derived from monocytes which collect at sites of bone resorption and fuse together.

20
Q

Describe bone matrix.

A

Contains collagen fibers in bundles which act as strengthening frame work, ground substance of matrix becomes impregnated with calcium salts (mainly hydroxyapatite = crystalline calcium phosphate)

21
Q

Bone is ____ _____, unlike cartilage.

A

Highly vascular.

22
Q

Canaliculi

A

tiny canals interconnecting osteocyte lacunae; eventually connect lacunae (directly or indirectly) to a fluid surface.

Contain cytoplasmic processes of osteocytes- so allow nourishment and gas exchange for osteocytes.

23
Q

How does bone growth occur?

A

appositional growth only, since osteocytes become embedded in hard matrix, no interstitial growth is possible.

24
Q

What are the two types of bone structure?

A

Spongy (cancellous) or Compact.

25
Q

Describe spongy (cancellous) bone

A

Consists of a latticework of slender trabeculae enclosing a large number of marrow cavities; found in flat bones of the skull, sternum, and epiphysis of long bones.
Blood cells and red bone marrow found in marrow cavities.

26
Q

Describe compact bone.

A

Lamellar bone made of osteons (haversian system_= concentric layers of bone surrounding central haversian canal; small amount of soft tissue present.

27
Q

Haversian canal

A

carry nerves, blood and lymph vessels along longitudinal plane of bone

28
Q

Volkman’s canals

A

carry nerves, blood and lymph vessels between marrow cavity, haversian systems, and periosteum.

29
Q

What are sharpey’s fibers?

A

direct extensions of dense irregular CT from periosteum into compact bone.
Function to anchor tendon (with fibers penetrating periosteum to bone) to bone.

30
Q

How do sharpey’s fibers form?

A

Formation by appositional growth around original tendon attachment site.

31
Q

Describe bone appositional growth.

A

Transition between compact bone and periosteum:
1) outer bone layers = outer circumfrential lamellae, enclose entire bone.
2) periosteum outside of circumrential lamellae - 2 zones:
osteogenic zone = gives rise to osteogenic cells
fibrous zone = dense irregular CT

32
Q

Describe intramembranous bone development

A

forms spongy bone and eventually may form compact bone.
Forms directly from mesenchyme.
ossification centers form from dense vascular regions of mesenchyme.
Mesenchymal cells > osteoblasts > secrete matrix which eventually becomes calcified (ossified) as thin needlelike spicules.
When osteoblasts become embedded in calcified matrix they are osteocytes.
New osteoblasts on surface of spicules continue to lay down bone by appositional growth, form trabeculae = radiating network of spongy bone.

33
Q

Describe endochondrial bone development.

A

Bone forms replacing cartilage model.
Sequence: formation of primary ossification center. Expansion of primary ossification center. Formation of secondary ossification center.

34
Q

Describe the formation of the primary ossification center.

A

Hyaline cartilage model is formed.
Cells in middle of model enlarge, absorb matrix, leaving irregular cartilage spicules which subsequently calcify.
Capillaries and osteogenic cells and mesenchyme cells invade, disintegrating cartilage as osteogenic bud from periosteum (perichondrium).
Simultenous with “c”, osteoblasts form from inner perichondrium and begin laying down a tube of periosteal bone encircling the middle third of the cartilage model. Periosteal bone forms as intramembranous bone but fills in to form compact bone.
Ossification of calcified cartilage spicules internally to form trabeculae and primary marrow from osteogenic bud.
With continued formation of periosteal bone, get trabecular resorption inside leaving primary marrow cavity (osteoclasts involved in resorption).

35
Q

Describe the expansion of the primary ossification center.

A

As bone increases in size by appositional growth, primary center expands towards ends of bone as adjacent cartilage regions become osteogenic

epiphyses at each end continue interstitial production of cartilage, but epiphyseal regions don’t expand because cartilage is replaced on diaphyseal side by bone at same rate as it is produced.

Epiphyseal plate extends horizontally across bone and is the region where cartilage replacement during expansion occurs.

36
Q

4 regions of the epiphyseal plate

A

zone of resting cartilage, proliferation, maturation, and calcification.

37
Q

What is the zone of resting cartilage?

A

chondrocytes are not actively contributing to bone growth, acts to anchor epiphyseal plate to epiphysis

38
Q

What is the zone of proliferation?

A

chondrocytes proliferate to replace dying chondrocytes from calcification; chondrocytes are stacked into parallel columns

39
Q

What is the zone of maturation?

A

chondrocytes hypertrophy and accumulate glycogen and lipid, secrete alkaline phosphates, which are involved in formation of calcified cartilage spicules

40
Q

What is the zone of calcification?

A

hypertrophied cells become surrounded by calcified cartilage and die; trabeculae form as osteoblasts secrete bone onto calcified cartilage spicules.

41
Q

formation of secondary ossification center

A

Develop in epiphyses of long bones sometime after birth.

Chondrocytes in middle of epiphyseal zone hypertrophy and mature, matrix between them calcifies and disintegrates, osteogenic bud then invades giving rise to osteoblasts which deposit bone on cartilage spicules.

42
Q

What is bone remodeling?

A

bone growth stops at about 20 years of age in humans. adult bone continuously adapts to prevailing stresses by appropriate deposition and resorption.

43
Q

What are the controls on bone remodeling?

A

Deposition and resorption are under hormonal control.

Integrated with regulation of blood calcium levels. Parathyroid hormone and calcitonin.

Intense activity increases blood lactic acid levels (decreases pH), causes dissolution of bone and can increase blood calcium levels.

44
Q

parathyroid hormone

A

promotes resorption, increases blood calcium

45
Q

calcitonin

A

reduces resorption, decreases blood calcium.