Unit 2.L1-Development of Limbs, Integumentary System, Body Cavities, Mesenteries & Diaphragm Flashcards
What are the 4 cellular processes that promote Limb formation?
- Cell divison promotes the growth of limb
- Cell migration causes cells to reach their correct location
- Cell Differentiation produces specialized cells, such as muscle cells
- Apoptosis eliminates cells in between fingers
By Day 26 & Day 28 respectively what appears and from where?
By Day 24, upper limb buds & Day 26 lower limb buds appears from the somatic lateral mesoderm.
What appears from the somatic lateral mesoderm by Day 26, Day 28?
- Day 24→Upper limb buds
- Day 26→Lower limb buds
What does the upper and lower limb buds contain? (2)
The bud has a mesenchyme core & outer epithelial ectoderm (comes from epiblast)
What migrates into the buds from the somites?
The muscle cells migrate into the bud from the somites.
What is present underneath the tip of the limb buds and what is its function?
Progress zone (PZ) (underneath the tip of the bud) has dividing & proliferating mesenchyme, which elongates the limb buds
What lays above the progress zone (PZ) and what is its function?
The epithelial Apical Ectodermal Ridge(AER) (lays above the progress zone) and initiates limb bud formation
Where does the Upper limb buds appear and what grows faster compared to it?
Upper limb buds appear low as the cranial half grows faster
Upper limb buds form opposite to what?
Upper limb buds form opposite to the caudal cervical segments
Lower limbs form opposite to what?
Lower limb buds form opposite to the lumbar/upper sacral segments
What are the 2 developmental fields/organizing centers that are formed in the early limb? And include their locations
- Apical Ectodermal Ridge (AER) at the limb bud tip (anterior)
- Zone of Polarizing Activity(ZPA) with 2 PZ (Progress Zones) at the posterior by aggregation/condensation of mesenchymal cells
Limb patterning is regulated by positioning information
What is the location and function of the Apical Ectodermal Ridge (AER)?
1 of 2 developmental fields/oganizing area
The AER at the distal border, induces proliferation of the underlying undifferentiated mesenchyme, elongating the limb bud
What is function of the Zone of Polarizing Activiy (ZPA)?
When this zone of proliferating cells (proliferating/progress zone; PZ) begin differentiation and condense into the cartilage precursors, initiation of limb bones begin
What are the 2 Progress zones of the Zone of Polarizing Activity (ZPA)?
- The proximal PZ
- The distal PZ (tip)
What does the Promixal PZ differenitate into?
Part of the Zone of Polarizing Activity (ZPA)
The proximal PZ differentiate into blood vessels & cartilage bone models
What does the distal PZ (tip) differentiate/flatten into?
Part of the Zone of Polarizing Activitiy (ZPA)
The distal PZ (tip) of the limb buds flatten into hand plates and foot plates
Upper limbs develop __________ than lower limbs
earlier
By Day 44 of hand formation, what condenses and what does it form?
Day 32-56, Wk 5-8
By Day 44, mesenchyme in the hand plates condense to form digital rays, forming fingers in the hand plates.
How are fingers in the the hand plate formed?
Mesenchyme in the hand plate condensing to form digital rays
Footplate develops in the same way
By day 48 of foot development, what condenses and what does it form?
By Day 48, mesenchyme in the foot plates condense to form digital rays, forming toes in the foot plates.
What is present at the tip of each digital ray (formed in the hand and foot plate) and what does it become?
At the tip of each digital ray, the AER induces the mesenchyme to become bone primordia (phalanges)
What induces mesenchyme (at the tip of each digital ray) to become bone primordia (phalanges)?
Apical Ectodermal Ridge (AER)
What happens to the mesenchyme between the digital rays and what is formed?
The mesenchyme between the digital rays apoptose and separate digits. This form fingers and toes by eighth week
Apoptose: death of cells that is normal
When are fingers and toes formed by in the developing fetus?
By the eight week
What forms bone models?
Mesenchymal cellular condensation
What occurs to the bones model in the 5th week, 6th week, 7th week and 12th week of development?
- 5th week: What centers appear?
- 6th week: What is the limb skeleton made of?
- 7th week: What begins in the primary ossification centers?
- 12th week: What is present in all long bones?
- 5th week: Chondrification centers appear.
- 6th week (Day 42): The limb skeleton is cartilaginous
- 7th week: Osteogenesis of long bones begins in the primary ossification centers.
- 12th week: Ossification centers are present in all long bones
What occurs with the fingers and toes by day 52?
- The fingers separate toes begin to separate.
- Feet are fan shaped but toes have not separated.
What occurs to the fingers and toes by day 56? And what other features are visible?
- Digits of the hands and feet are separated.
- Elbows , Knees and distinct digits visible.
Rotation occurs during this time
How do the Upper limbs rotate? and where do the elbows point?
By day 56
- Upper limbs rotate laterally by 90 degrees
- Elbows come to point dorsally & point Caudally
How do Lower limbs rotate? And where do the knees point?
By day 56
- Lower limbs rotate medially by 90 degrees
- Knees come to face ventrally & point Cranially
Development of what by the 5th week provides innervation of the limb?
Development of the Dermatomal Patterns & Cutaneous Innervation of Limbs
From the Pre-axial mesoderm
What grows into the dorsal and ventral masses of the limb buds?
5th week
Motor axons & later Sensory axons (from the spinal cord) grow into the dorsal & ventral muscle masses of the limb buds
What type of cells do neural crest cells give rise to? and what does it form?
5th week
Neural crest cells give rise to Schwann cells, myelin sheath surround motor/sensory nerve fibers in the limbs and form the Neurolemma (aka Sheath of Schwann)
Where does every dermatome originate from? And has an areas of skin innervated by what?
5th week
Every dermatome originates from a single somite & has area of skin innervated by a single spinal nerve & its spinal ganglion
The dorsal dermatome is also called the? and which somites are present in the upper and lower limb?
5th week
- Preaxial border
- Upper Limb: Cervical somites C3-C6; Lower Limb: Lumbar somites L2-L4
The ventral dermatome is also called the? and which somites are present in the upper and lower limbs?
5th week
- Postaxial border
- Upper Limb: Cerivcal and Thoracic somites C7-T2
- Lower Limb: Lumbar and Sacral somite L5-S3
What seperates the preaxial and postaxial borders in the upper and lower limbs?
5th week
Ventral axial line
What is caused by medial rotation of the lower limb?
5th wk
Original ventral surface of the lower limb goes to the back of the adult limb
Where does L5 and L2 (somites) of the lower limb rotate towards?
5th wk
L5 and L2: Rotated towards the posterior aspect
Where does S1, S2, and S3 (somites) of the lower limb move to?
5th wk
S1, S2, S3: Moves to the center at the ventral axis
Where does the developing blood supply to the upper limb start from?
Dorsal aorta
What does the dorsal aorta become before it enters the upper limb bud?
Intersegemental arteries
Where do intersegmental arteries go and what arteries do they become?
Intersegmental Arteries enter the upper limb bud and bifurcates into the Primary axial artery which becomes the Branchial artery (proximal arm)
What are the 4 branches of the brancial artery (proximal arm)?
- Ulnar
- Radial
- Medial
- Anterior Interosseous arteries
What does the Ulnar and Radial branches of the branchial artery form?
Palmer arches
Where does the developing blood supply to the lower limb start from?
Dorsal Aorta
(Umbilical, Common/External Iliac arteries)
What other important vessels that formed in the upper limbs? (2)
- Deep Superficial palmar arch
- Fine Capillary Network in limb mescenhyme & hand plate
What does the Dorsal Aorta bifurcate into in the Lower limbs? What does it give rise to?
The common Iliac artery which gives rise to the:
1. Primary axial artery
2. External Iliac artery
Which artery does the primary axial artery give rise to in the lower limb buds?
Deep artery of the thigh (profunda femoris)
Which arteries does the External Iliac artery of the lower limb give rise to? (2)
Femoral artery→Popliteal artery
Which arteries does the Popliteal artery (from the ext. iliac artery) in the lower limbs give rise to? (3)
- Fibular artery
- Anterior tibial artery
- Posterior tibial artery
- Lateral Planter Artery
- Medical Planter Artery
What are the foot & toe capillaries and where do they arise from?
- Lateral Planter Artery
- Medial Planter Artery
- Arise from the Posterior tibial artery
When do limb defects occur in fetuses and how often?
- D24 -36: Limb defects occur during the most critical period of limb development.
- Common: 1:500 neonates
Causes include genetics, environmental (tabacoo, alcohol)
Birth Defect of the Limbs
What is Quadruple Amelia and what causes it?
- Quadruple Amelia means all four limbs are missing
- Cause was Thalidomide (teratogen) that is most potent at 3-5 week stage
- Amelia: Absense of limbs
- Thalidomide a medication from Europe that helped treat morning sickness
Birth Defect of the Limbs
What is Meromelia?
Partial limb formation
Birth Defect of the Limbs
What is Sironomelia (Mermaid Syndrome)? and is cause known?
- Caudal dysgenesis: lower limbs fused; appears like a mermaid’s tail
- Exact cause unknown; sporadic!
Birth Defect of the Limbs
What are some examples (5) of split hand/foot malformations (SMFMs) and what is the cause?
- Bifurcated (forked) hand
- Cleft foot
- Absence of one or more central digits
- Fingers missing
- Toes missing
- Cause: Failure of development of one or more digital rays
Birth Defect of the Limbs
What is Brachydactyl and what type of genetic trait is it? What clinical manifestation is seen?
- Shortness of the digits (fingers or toes) due to reduction in the length of the phalanges
- Dominant inherited trait
- Shortness of body or overall short stature
Birth Defect of the Limbs
What is Polydactylyl and what type of gentetic trait is it?
- Shows more than five digits on the hands or feet.
- Extra digits are called “supernumerary digits”
- Dominant inherited trait.
Birth Defect of the Limbs
What are the extra digits caused by Polydactylyl called?
Supernumerary digits
Birth Defect of the Limbs
What are the two types of Syndactyly?
- Cutaneous Syndactylyl
- Osseous Syndactylyl
Birth Defect of the Limbs
What is Cutaneous Syndacytyl? Where is it more frequent? And what causes it?
- Simple webbing between digits is called “cutaneous syndactyly” . It is seen more frequently in the foot than in the hand.
- Cause: Failure of the webs to degenerate between two or more digits due to blockade of cell apoptosis; thus, the digits do not separate
Birth Defect of the Limbs
What is Osseous Syndactyly and what causes it? Where is it seen frequently?
- Fusion of bones (synostosis).
- Cause: Notches between the digital rays fail to develop & digits do not separate. Seen frequently between the third and fourth fingers and between the second and third toes
- What is Talipes equinovarus aka Clubfoot?
- How common is it and what is the cause?
- Explain the characteristics present (What is the position of the foot and what does it cause? Where is the sole of the foot turned? The foot is what? How is it seen in 50% of the cases? Who gets affected more?)
- What is the treatment?
- Talipes equinovarus (Latin talus (ankle) + pes (foot)) or clubfoot is a common birth defect with musculoskeletal deformation
- 1:1000 births
- Cause: Multifactorial inheritance
Characteristics
- Abnormal position of the foot does not allow normal weight bearing
- The sole of the foot is turned medially
- The foot is inverted (incurving)
- Seen bilaterally in 50% of cases
- Occurs twice as frequently in males
- Treatment: Casting or taping & physiotherapy
Limb buds appear _______ of gestation as ________ on the __________.
Limb buds appear 24-28th day of gestation as slight bulges on the ventrolateral body wall
Upper limbs develop _______ of lower limbs from ___________ and _________.
Upper limb buds develop 2 days ahead of lower limb buds from mesoderm + ectoderm.