Musculoskeletal anatomy Flashcards

1
Q

What is cartilage?

A

-Hard but flexible, compressible, and elastic connective tissue
-Consists of chondrocytes embedded in matrix of chondroitin
-No blood vessels so nutrients and oxygen must diffuse through matrix to cells

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2
Q

What are the features of hyaline cartilage?

A

-Highest proportion of collagen
-Surrounded by perichondrium
-weakest type of cartilage
-becomes bone in foetus (ossification)
-retained in adults
. At end of joints to reduce friction
.nose
.larynx
.trachea
.bronchi

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3
Q

What are the features of elastic cartilage?

A

-Intermediate strength
-Chondrocytes surrounded by collagen and network of elastic fibres
-Elastic but maintains shape
-Ear pinna and epiglottis

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4
Q

What are the features of fibrocartilage?

A

-Strongest
-More collagen than cells
-Collagen organised as dense fibres, higher tensile strength
-Fibres arranged in direction of stress
.Intervertebral discs
.Knee joints (meniscus)
.Ligaments

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5
Q

What are the functions of bone?

A

-Structural support
-Movement
-Physical protction of organs
-Mineral regulation
-Store Calcium and Phosphate
-Trap harmful minerals (lead)
-Regulate calcium conc in blood
-Red blood cell formation (red marrow)
-Lipid storage (yellow marrow)

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6
Q

What is in the matrix of compact bone?

A

-30% organic (collagen) to resist fracture
-70% inorganic (main component hydroxyapatite, containing Calcium and Phosphate)
helps prevent compression

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7
Q

What is compact bone?

A

-Surrounds most bones, makes up 75% of bones
-White and shiny
-Strong and rigid
-Haversian and Volkmann canals run through bone to allow blood vessels to penetrate

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8
Q

What is spongy bone?

A

-Found at ends of long bone and vertebrae
-Network of spaces containing red marrow
-Bone marrow-flexible tissue where blood cells are made
-Lamellae form honeycomb like structures (made by osteocytes)

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9
Q

What do osteoblasts do?

A

-Forms bones
-Matures to osteocytes
-Secrete collagen and hydroxyapatite

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10
Q

What do osteoclasts do?

A

-Break down lamellae

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11
Q

What do osteocytes do?

A

Maintain mineral concentration of matrix

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12
Q

What is the cause of rickets/osteomalacia?

A

-lack of Calcium and Vitamin D

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13
Q

What are the symptoms of rickets/osteomalacia?

A

-Skeletal deformation
-Bone bending

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14
Q

What is the treatment for rickets/osteomalacia?

A

-Cod liver oil
-UV B

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15
Q

What is the cause of brittle bone disease?

A

Genetic mutation in collagen gene

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16
Q

What are the symptoms for brittle bone disease?

A

-Loose joints
-Poor muscle
-Weak bone

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17
Q

What is the treatment for brittle bone disease?

A

-Drug to increase bone mass
-Surgery
-physio

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18
Q

What is the cause of osteoporosis?

A

-Loss of bone density in spongy and compact bone
-More likely in female due to hormone imbalance

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19
Q

What is the treatment for osteoporosis?

A

Calcium and vitamin D

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19
Q

What are the symptoms of osteoporosis?

A

-Fast loss of bone density

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20
Q

What is the order of the ultra structure of muscles?

A

-Muscle
-Multinucleated bundle of fibres (striated)
-Myofibrils
Sarcomeres

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21
Q

What do sarcomeres contain?

A

-Actin
-Myosin

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22
Q

What are the components of sarcomeres?

A

-Z band: connect actin
-I band: Actin only
-A band: both
-H zone: myosin only
-M line: join myosin

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23
Q

What happens to sarcomere components when muscle contract?

A

-Z disc shorten
-I band shorten
-H band smaller
-A band same

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24
What happens to sarcomere components when muscles relax?
-Z disc lengthen -I band lengthen -H zone bigger -A band same
25
What is the structure of an actin filament?
Two twisted chains of actin monomers with myosin head binding sites, Tropomysin runs length of chains and blocks myosin binding site
26
What is the structure of Myosin?
-rod shaped with two heads with ATPase -Heads project from fibrous tail -Myosin arranged in radial symmetry
27
What is the sliding filament theory?
-Calcium binds to troponin, changing shape -Tropomyosin moves, expose binding site -Myosin head form cross bridges to actin -ADP + P attached to head released, change myosin head shape -Myosin head relax, pulls actin past myosin (power stroke) -Another ATP binds to myosin, breaks cross bridge -Hydrolysis of ATP -Repeats until calcium pumped back in sarcoplasmic reticulum
28
What are the features of fast twitch fibres?
-Strength, rapid -Anaerobic -Fewer blood vessels -Small energy quick -Less mitochondria -Less myoglobin
29
What are the features of slow twitch fibres?
-Stamina, endurance -Aerobic -More blood -Lots of energy slow -More mito -More myoglobin
30
What are the features of using creatine phosphate?
Stores phosphate for rapid ADP to ATP conversion when oxygen levels too low for oxidative phosphorylation, last 6 sec
31
What are the cons of glycolysis?
-muscle fatigue and lactate buildup
32
What does the Axial skeleton consist of?
-Skull -Vertebral column -Ribcage -Sternum
33
What does the appendicular skeleton consist of?
-Pectoral (clavicle and scalpula) -Forelimb (humerus, radius to thumb, ulna) -Pelvic girdle -Hind limb (femur, tib/fib)
34
What are the types of fracture?
-Simple -Compound -Displaced/non-displaced -Comminuted
35
What is the treatment for fracture?
-Realignment of bone and immobilisation -Osteoblast make new bone tissue, osteoclast model
36
Describe cervical vertebrae
-7 -Wider canal -Vertebroarterial canal carries blood vessels to brain -Smaller body to bear less weight
37
Describe thoracic vertebrae
-12 -Articulate with ribs -Large transverse process
38
Describe lumbar vertebrae
-5 -Largest to provide support -Absorb stress when carry and lift
39
Describe scoliosis
Sideways spinal curve
40
What is the cause of scoliosis?
-Mutation -Muscle imbalance
41
What is the treatment for scoliosis?
-Physio -Brace -Surgery
42
Describe flat foot
-Lack of arch -Overpronation causing muscle and ligament strain
43
What is the cause of flat foot?
-Genetic -Congenital -Injury -Arthritis
44
What is the treatment of flat foot?
-Supportive shoes -Exercise -Surgery
45
Describe knock knees
Feet don't meet when knees touch
46
What is the cause of knock knees
Lack of calcium and vitamin D
47
What is the treatment for knock knees?
-Resolve itself in childhood -Brace -Surgery
48
Describe gliding joint
-Bones glide over each other collectively, creating whole range of movement -Vertebrae, wrist, ankles
49
Describe hinge joint
-Movement in one plane -Knee, finger, elbow
50
Describe ball and socket joint
-Movement in more than one plane -Hip, shoulder
51
What is an example of an immovable joint?
Cranium
52
What are risk factors of osteoarthritis?
-Repeated and rigorous bending of joint -Damage -Overweight
53
What is the treatment for osteoarthritis?
-NSAIDs -Joint replacement
54
What are the advantages of hip replacement?
-Relief from pain -Increase mobility -Reduce drug intake -Restore quality of life
55
What are the disadvantages of hip replacement?
-Long recovery -Replacement could fail after 15-20 years -More risks after 2nd surgery -Infection
56
What cause rheumatoid arthritis?
-Genetic and environmental factors -Recognises protein in joint tissue as antigens -Severe inflammation of joints, increased blood flow and temp
57
What is the treatment for rheumatoid arthritis?
-Injection of steroid anti inflammatories -Physio -Surgery
58
Describe the bicep
Main insertion in radius Origin is scalpula
59