Shared Flashcard Set

Details

Cartilage and Bone
Week 2 lectures
81
Veterinary Medicine
Graduate
07/06/2015

Additional Veterinary Medicine Flashcards

 


 

Cards

Term
Types of connective tissues
Definition
reticular, elastic, loose, dense (regular/irregular), SPECIAL (adipose, cartilage, bone, marrow)
Term
CT cell types
Definition
fibroblasts, mast cells, plasma cells, macrophages, adipocytes, melanocytes, lymphocytes, neutrophils
Term
CT fibre types
Definition
collagen, reticular, elastic
Term
CT ground subtance
Definition
dense fluids (proteoglycans, glycoproteins)
Term
Cartilage classification
Definition
Adult supportive/special CT
Term
Cartilage cells
Definition
chondroblasts mature into chondrocytes which maintain and produce ECM
Term
3 types of Cartilage
Definition
Hyaline
Elastic
Fibro-cartilage
Term
Hyaline Cartilage
Definition
most common in adult. abundant ground sub and few Type II collagen fibers
H&E stain - pink/purple
responsible for growth of LONG BONES
Term
Layers of Hyaline
Definition
Perichondrium
Chondrogenic Zone
Isogenous Group
Term
Elastic Cartilage
Definition
found in ear pinna and epiglottis
Staining: Collagen Type II fibres BLUE
Elastic Fibers RED
less ground substance, so closer together
perichondrium
Term
Fibro-cartilage
Definition
intermediate between dense regular CT and hyaline
limited distrobution: intervert discs, intra articular discs, attachment of lig and tendon to bone.
no perichondrium
Term
Bone
Definition
cells and fibres are embedded in hard, unbending, calcified matrix
Term
Compact Bone
Definition
forms outer wall
Term
Interior
Definition
spongy/trabecular/cancellor
Term
Epiphysis
Definition
Rounded end of long bone
Term
Metaphysis
Definition
Wide portion between epiphysis and diaphysis
Term
Diaphysis
Definition
shaft of bone
Term
Periosteum
Definition
a dense layer of vascular connective tissue enveloping the bones,
except at the surfaces of the joints.
Term
Articular Surface
Definition
point of contact for joint
Term
Lamellar Bone
Definition
specific orientation of fibres.
Compact/cortical bone
spongy/cancellous/trabecular bone
Term
Haversian System/Osteon
Definition
[image]
Term
Woven Bone
Definition
temporary form associated with developing bone, fracture repair, and bone tumours.
random orientation of collagen fibres
Term
Bone Function
Definition
rigidity and hard support
protects vital organs
contains marrow
reservoir for CA, Phosphate, other ions
transforms skeletal muscle forces to movement
Term
Bone Cell types
Definition
Osteoblasts
Osteocytes
Osteoclasts
Term
Osteoblasts
Definition
located on internal and external surfaces
synthesis of OSTEOID
become osteocytes
Term
Osteocytes
Definition
located in lacuna between lamella/layers of calcified osteoid
communicate via canaliculi
maintain bony matrix
Term
osteoclasts
Definition
type of macrophage
located on internal and external surfaces
originates from bone marrow
enzymatic digestion of bony matrix
Term
Bone ECM
Definition
organic component (osteoid)
inorganic component
Term
Compact Bone \microscopic Structure
Definition
Periosteum and Endosteum
Volkmann's Canals
Haversian System/Osteone
Term
Compact Bone \microscopic Structure
Definition
Periosteum and Endosteum
Volkmann's Canals
Haversian System/Osteone
Term
Formation of Haversian System
Definition
new osteone forms under periosteum. A capillary fits into a groove and 2 opposing ridges grow around it. Once the ridges completely enclose the cap. new lamella grows within the tube to constrict around the BV
Term
Spongy/Cancellous/Trabecular Microscopic Appearance
Definition
lamellar bone is NON HAVERSIAN
osteoprogenitor cells assoc, with endosteum
Term
Intra-membranous Ossification
Definition
restricted areas only. made with no pre-existing hyaline cartilage model.
formation of flat bones in SKULL, MANDIBLE, MAXILLA
Term
Endochondrial Ossification
Definition
main form: replacement of hyaline cart. with bone
Stages 1-3: hyaline is template. osteoprogenitor cells formperiosteal collar on perichondrium of diaphysis. Primary center of oss forms
Stages 3-6:Secondary centers form.
Term
Osteoblasts
Definition
form matrix, initiate bone mineralization and reabsorption
Term
Osteocytes
Definition
detect changes in mechanical environment and signal osteoblasts
Term
Osteoclasts
Definition
reabsorb bone
Term
Microdamage
Definition
"stress" fractures may be preceeded by exercise-induced microfractures
Term
DMD
Definition
Dorsal Metacarpal Disease
racehorses with decreased bone stiffness and periosteal bone formation in dorsal cortex of 3rd metacarpal
24-70% of race horses have, ~12% develop fractures
Term
Complications of fracture repair
Definition
bony ends can move into a pocket and become false joint
malnutrition
bacterial osteomyelitis
necrotic bone/tissue
age
Term
Fractures
Traumatic v Pathologic
Definition
excessive force v abnormality in bone leading to break with little to no force
Term
Slater Harris Classification
Definition
categorizing of fracture at growth plate
I and II - usually few complications
III and IV - growth plate crossed
V - growth plate crushed
Term
Infraction (fracture class.)
Definition
trabecular bone only, with no cortical deformation
Term
Simple cortical Fracture
Definition
skin unbroken
Term
Compound Cortical Fracture
Definition
skin broken and bone exposed to external environment
Term
Comminuted Cortical Fracture
Definition
bone broken in two or more pieces
Term
Avulsed Cortical Fracture
Definition
a fragment of bone tears away from the main mass of bone as a result of physical trauma.
generally caused by the pull of a ligament (generally a tuber/tuberosity/etc)
Term
Greenstick Cortical Fracture
Definition
break does not run all the way through
Term
Oblique or Transverse or Spiral cortical Fracture
Definition
refers to orientation of break
Term
Segmental Cortical Fracture
Definition
two fractures closely associated
Term
Impacted Cortical Fracture
Definition
the ends of the bone are driven into each other
Term
Compression Cortical Fracture
Definition
causes a bulge in the diaphysis
Term
Stable Fracture Repair
Definition
immobilized to give relative stability
growth factor released by macrophages
24-48 hrs: undifferentiated mesenchymal cells and neovascularisation
36 hrs: first woven bone is visible. Primary callus
Months-years: secondary callus replaces primary. woven bone replaced by lamellar bone
Term
Rigid Fracture Repair
Definition
surgical application of a device to stabilise and align fracture. Gap in break of <1mm prevents callus
Term
Complications of Fracture Repair
Definition
inadequate blood supply
instability
fibrous tissue doesn't stabilize fracture
Term
Osteitis
Definition
inflammation of bone
Term
Periostitis
Definition
inflammation of the periosteum
Term
Osteomyelitis
Definition
inflammation involving the medullary cavity
Term
Sequestrum
Definition
fragment of dead bone
(isolated from blood supply and surrounded by exudate)
Term
Portals of entry for infection
Definition
Directly through periosteum and cortex
direct extension (jaw: introduced to oral mucosa)
haematogenous
embolic osteomyelitis - embolus lodges in the capillary loop at metaphysis
Term
Articular Cartilage
Definition
white/blue color, glossy
thickest in young and at site of max weight bearing
no nerves, blood or lymph
nutritional diffusion from synovial fluid
Term
DJD and cartilage
Definition
Degenerative Joint Disease
chondromalacia (softening) leads to erosion and fibrillation, leads to ulceration
can lead to OSTEOPHYTES
Term
Fibrillaion
Definition
condensing and fraying of collagen fibers due to proteoglycans lost from cartilage injury
Term
Osteophytes
Definition
multiple bony outgrowths/spurs found associated with DJD
do not grow continuously but persist once formed
Term
Pannus
Definition
happens with chronic infectious synovitis or immune mediated diseases
a fibrovascular and inflammatory tissue arises in synovium, spreads over articular cartilage.
macrophages and collagenases destroy cartilage
Term
Osteochondrosis
Definition
Disease of growth plate cartilage.
Group of lesions in young animals, often bilaterally symmetrical
focal or multifocal failure of endochondrial ossification
Term
3 stages of Osetochondrosis
Definition
latens: lesion restricted to epiphyseal cartilage
manifesta: lesion paired with a delay in endochondral ossification
dissecans: which is a cleft formation in the articular cartilage
Term
Synovial Membrane
Definition
the soft tissue found between the joint capsule and the joint cavity of synovial joints.
not epithelium. specialized CT with secretory capacity
Parts: INTIMA, SUBINTIMA
Term
Intima
Definition
the inner layer of the synovial membrane, consists of a sheet of cells thinner than a piece of paper. 2-4 cells wide.
Two types of synovial cells
Term
Synovial Cell Type A
Definition
Macrophage, responsible for the removal of undesirable substances from the synovial fluid
Term
Synovial Cell Type B
Definition
Fibroblast, manufacture a long-chain sugar polymer called hyaluronan;
Term
Hyaluronan
Definition
long-chain sugar polymer; which makes the synovial fluid "ropy"-like egg-white, together with a molecule called lubricin, which lubricates the joint surfaces. The water of synovial fluid is not secreted as such but is effectively trapped in the joint space by the hyaluronan.
Term
Subintima
Definition
supportive tissue, can be of almost any type of connective tissue – fibrous, fatty or areolar. has capillaries
Term
Function of Synovial Fluid
Definition
Lubrication of joint and nutrient support
Term
Arthrocentesis
Definition
the process of removing synovia
Term
Indications of Arthocentesis
Definition
Joint effusion
suspect infection
mutiple joints affects
pyrexia of unknown origin
Term
Procedure of Arthrocentesis
Definition
GA or sedation
Radiogrpahs
Clip and Clean
No touch or steile gloves
Needle BLUE 23g 0.6mm or GREEN 21g 0.8mm
Syringe (lean towards smaller)

gentle flexion/extension may help aspiration
Term
Arthrocentesis Sample Handling
Definition
Contact lab for requirements
EDTA for cytology
air dried smear for small volumes
PATIENT SIDE ASSESSMENT done for visual qualities
Term
Patient Side Assessment
Definition
look for visual qualities of synovia
presence of blood
Volume (0.1-1.0ml normal for dogs, cats can be 0.0ml)
appearance (egg white normal, clear to pale yellow: DJD, tubid: inflam dz)
viscosity (5cm hanging is ok, decreased visc: inflam dz)
Term
Sample Processing Priorities
Definition
Small Volume: SMEAR! Diff Quik or Romanowsky stain. allows cytological eval and NUCLEATED CELL COUNTS (NCC)
Large Volume: EDTA tube, allowed automate NCC, proteins, and cytology
Term
Synovial Fluid Cytology
Definition
examine history, assess RBC count, differential, assess NCC
Supporting users have an ad free experience!