MSK 1 - Development Of Limbs Flashcards

1
Q

What are the three different types of grasp with the hand?

A

Cylindrical, hook/snap, spherical

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2
Q

What are the three different types of precision grip with the hand?

A

Tip, palmar, lateral

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3
Q

When do the limb buds develop?

A

Towards the end of the 4th week

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4
Q

Which develops first - the upper or lower limb?

A

Lower limb development lags around two days behind the upper limb

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5
Q

What are the limb buds composed of?

A

Core of proliferating mesenchymal cells with an ectoderm covering

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6
Q

How does elongation of the limb bud occur?

A

Through proliferation of mesenchymal core. There is a thickened ectoderm at the apex of the limb bud.

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7
Q

What are the three spatial axes in limb development?

A
  • proximal-distal axis (shoulder to fingertips)
  • dorsal-ventral axis (palmar surface to dorsal surface)
  • anterior-posterior axis (side to side)
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8
Q

What does the ‘zone of polarising activity’ (ZPA) control?

A

Specification of anterior-posterior axis

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9
Q

What does the ‘apical ectodermal ridge’ (AER) control?

A

Specification of apical-ectodermal ridge

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10
Q

What controls the specification of the dorsal-ventral axis?

A

The ectoderm

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11
Q

What does AER stimulate?

A
  • Induces immediately underlying mesenchyme, which begins to differentiate.
  • causes appearance of ‘paddles’ which form digits.
  • AER regresses after this.
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12
Q

Where is the ZPA found? What does it do?

A

It is a signalling centre located at the posterior base of the limb bud, where it controls patterning and maintains AER, generating asymmetry in the limbs

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13
Q

How do hand and foot plates form fingers and toes?

A
  • mesenchyme condensations within plates lead to cartilaginous models of the digital bones
  • apoptosis of tissue between digits leads to interdigital spaces.
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14
Q

What is syndactyly?

A

Fusion of digits, may be just connective tissue or may also affect bones

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15
Q

What is polydactyly?

A

Extra digits, a recessive genetic trait

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16
Q

What is ‘amelia’?

A

Complete absence of a limb

17
Q

What is ‘meromelia’?

A

Partial absence of one or more limb structures

18
Q

Give some examples of the underlying problem in behind a limb defect

A
  • malformation (intrinsic error in coordination of morphogenesis)
  • deformation (constriction bands)
  • disruption via an external agent eg thalidomide
19
Q

What are the TORCH infections?

A
  • Toxoplasmosis
  • Other
  • Rubella
  • Cytomegalovirus
  • Herpes

These can be passed from mother to child and cause congenital anomalies

20
Q

How do muscles form within the limb bud?

A
  • myogenic precursors migrate into limbs from somites (body segments)
  • coalesce into two common muscle masses around skeletal elements
  • individual muscles split from common masses
21
Q

How do the limbs rotate as they are formed?

A

They extend ventrally at first, but as they elongate they rotate. The upper limb rotates laterally and the lower limb rotates medially.