ligaments and tendons Flashcards

1
Q

what are tendons

A

connect muscle to bone

provides a solid base on which muscles can pull

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2
Q

function of tendons

A

produce joint torque

stabilize joint during isometric contractions and in opposition to other torques

enable joint motion during isotonic contractions

act as a dynamic joint restraint

interact with ligaments and joint capsule to mitigate loads that they receive

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3
Q

what is a ligament

A

attach bone to bone

high elastin content

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4
Q

functions of ligaments

A

Augment mechanical stability of joints.

Guide joint motion
.
Prevent excessive motion

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5
Q

Aponeurosis

A

Small flat tendon

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6
Q

what is an isotonic contraction

A

muscle maintains the same tension as it shortens during contraction,

running , walking lifting

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7
Q

tendon and ligaments of knee

A

quadricep tendon
medial and lateral collateral ligament
patellar tendon
anterior and posterior cruciate ligament

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8
Q

tendons and ligament structure

A

dense connective tissue
cells
extracellular muscle
sparsely vascularised

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9
Q

purpose of the dense connective tissue

A

enables tissue to sustain high tensile stress

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10
Q

what do the knee ligament and peridontal ligament have in common

A

have a longitudinal section which has a crimped structure with fibroblasts aligned along the fibre axis

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11
Q

what does crimping allow for

A

increase in ligament length during tension

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12
Q

what is a fascicle

A

contains bundles of fibrils and is enclosed by a connective tissue sheath know as the endotenon.

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13
Q

what is a fibril

A

basic load bearing unit of tendon and ligament

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14
Q

what is a microfibril

A

5 rows of triple helixes in parallel

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15
Q

what does the lubricating fluid in myofibrils contain

A

proteoglycans

water/ tissue fluid

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16
Q

what is the major component of tendon and ligament

A

type 1 collagen 90-95

type 3,

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17
Q

collagen is synthesised how

type 1 ?

A

synthesised from fibroblast as procollagen

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18
Q

structure of type 1 collagen

A

3 individual polypeptide chain
left hand helix
3 alpha chains combine in a right handed triple helix

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19
Q

differences between ligaments and tendon

A

ligament- Connect bone to bone.
Lower collagen I (90% dry weight).
Higher elastin content.
Fibre organisation more random

tendon-Connect muscle to bone.
Higher collagen I (95-99% dry weight).
Very little elastin.
Fibres highly organised.

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20
Q

place of insertion of a tendon or ligament into bone

21
Q

functions of skeletal muscles

A

Produce movement of body parts
support soft tissues

Maintain posture and body position:

Communication:

Control of openings and passageways:

Maintain body temperature

22
Q

universal characteristics of muscles

A
responsiveness
conductivity 
contractility 
extensibility 
elasticity
23
Q

are all muscle fibres equivalent in their energy consumption

A

slow fibers are metabolically economical

fast fibres are metabolically expensive

24
Q

difference between slow and fast twitch fibers

A

slow are half the diameter of fast fibers
take longer to contract after nerve stimulation

fast fibres take 10msc or less to contract

25
what is muscle fatigue
progressive weakness of muscle contraction until there is no response
26
when does muscle fatigue strike
ATP synthesis decreases due to shortage of glycogen (aerobic conditions). Lactic acid levels rise and lower the pH of sarcoplasm, which prevents normal functioning of muscles (anaerobic conditions). Failure from motorneurons (production of Ach due to reduced availability of Ca2+.)
27
Structure of type 1 collagen
Three polypeptide strands 2 alpha one 1 alpha 2 Coil together in a triple helix
28
What allows type 1 collagen to coil so tight
Every three turns there is a glycine molecule
29
How is collagen joint
Covalent cross links between triple helix Intra / intermolecular cross links need copper Between hydroxyproline it is hydrogen bonds , need iron
30
How to test for collagen
Find conc of p1np
31
How is collagen broken down
By enzymes called proteinases , collagenages
32
What is a telopeptide
The ends of the tropocollagen helix
33
Where is type 1 collagen usually found
Bone tendon , ligament skin
34
Type 2 collagen is found where
Articular cartilage | Vitreous
35
Importance of type 10 collagen
Growth plate
36
functions of joints
Movement in three planes Weight bearing Transfer load evenly to msk system
37
Tissue associated with joints
Bone Muscle cartilage Synovium Synovial fluid
38
Types of joints structurally
Fibrous Cartilaginous Synovial
39
Types of joints functionally
Synarthroses Amphiarthroses Diarthroses
40
Three types of fibrous joints
Sutures - only between bones and skull , allow for skull growth Syndesmoses - bones are connected by a cord of fibrous tissue Gomphoses- a peg in socket fibrous joint found only in tooth articulation
41
Types of cartilaginous joints
Synchondroses- bones are connected via hyaline cartilage | Symphyses- here the connecting cartilage is a pad or plate of fibrocartilage
42
5 characteristics of synovial joints
``` Articular cartilage Joint capsule Joint cavity Synovial fluid Reinforcing ligaments ```
43
Characteristics of hyaline cartilage
``` Almost frictionless surface Resists compressive loads High water content Low well content No blood supply ```
44
Why is cartilage slow to heal
Has no blood supply
45
Composition of hyaline cartilage
Extracellular matrix is rich in type 2 collagen , proteoglycans Aggrecan as the most abundant proteoglycan
46
Types of synovial joints
``` Ball and socket Condyloid Hinge joint Pivot Saddle Gliding ```
47
What is shentons line
Formed by the medial edge of the femoral neck and the inferior edge of superior pubic ramus
48
Describe the stress strain curve
Toe region - collagen fibres start to uncoil , and become linear Linear region- fibres straighten and have 100% recoil Plastic region - maximum deformation of fibres , Yield point - beyond this point , muscle injury may occur , micro tears