Lecture 14 - Cartilage Flashcards

1
Q

Outline what cartilage is ?

A

It is a type of connective tissue

it has cells called chondrocytes

an extracellular matrix of
Glycosaminoglycans - GAG’s
Hyaluronic acid
Type II collagen

Cartilage is avascular - relies on the diffusion of O2 and nutrients from the extracellular matrix

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2
Q

what are the three types of cartilage and their locations

only remember 1 location for each

A

• Hyaline–Most abundant
• Lining synovial joints –E.g. Shoulder, knee
• Nasal cartilages
• Costal cartilages
• Tracheal and laryngeal cartilages (exc. Epiglottis) •
type II collagen

Elastic–Same as hyaline but with added elastic fibres
• External ear
• Epiglottis
• Eustachian tube

Fibrocartilage– Also has abundant type I collagen fibres in addition to hyaline matrix
• Intervertebral discs
• Menisci of knee joint
• Pubic symphysis

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3
Q

what is the structure and purpose of hyaline cartilage

A

external Perichondrium –Dense CT
• Vascular and nervous supply to cartilage

• Fibroblast-like cells => Chrondroblasts=> Chondrocytes (appositional growth) Flattened chondrocyte towards edge
Rounder chondrocyte in its lacuna

Extracellular matrix: •
Type II collagen • GAGs, particularly hyaluronic acid– Creates a resistant hydrated gel

Bottom - Isogenous nests of newly divided chondrocytes (interstitial growth) - sit in lacunae (lake)

cells divide and flatten as they move to surface secreting ECM to separate themselves
O2 diffuses from surface downwards to the newly dividing chondrocytes

hyaline cartilage is the precursor for model bones in fetal development

growth is inwards (appositinal growth)

forms the tacheal wall - c shaped - provents collapse from vaccum

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4
Q

what do chondrocytes do ?

A

produce ECM - GAG’s ect in response to stimuli

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5
Q

what form of cartilage is in the synovial joint , why ?

A

a highlt mobile joint

Hyaline lines opposed edges of the bone
articular cartilage lines the surfaces of the bone

synovial fluid is produced by synovial membrane, to fill joint cavity with synovial fluid

the joint is stabilised by the fibrous joint capsule - continuous with peritoneum of bone
ligaments and muscles

acts as impact absorber/ shock absorber
prevents bone/ bone grinding

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6
Q

what is osteoarthritis ?

A

degeneration and failure of articular cartilages

bone bone rubbing causes inflammation and pain

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7
Q

what is rheumatoid arthritis

A

Autoimmune disease - rhuematoid factor produced by B lymphocytes

inflammation of the synovium and thickening of the joint capsule

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8
Q

compare rhematoid arthritis and osteoarthritis

A
Osteo - 
Degenerative disease
stiff in morining for 30 mins
cartillage loss
it is asymettrical
heberdens nodes
rheumatoid - 
autoimmune
inflammed synovium
symmetrical
stiffness lasts longer
extra articular involvement
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9
Q

what is elastic cartilage ?

A

only chondrocytes like hyaline

Does not calcify with ageing unlike hyaline

rich in elastic fibers - so elastic
similar structure, perichondrim of flat condrocytes at top

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10
Q

what is fibrous cartilage ?

A

NO perchondrium

contatins chondrocytes and fibroblasts that secret type 1 collagen
cells distribute in rows and isogenious nests

chondrocytes are elongated

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