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PATHO-Muscle
Muscle
70
Nursing
Graduate
11/30/2011

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Cards

Term
What is the function of bones?
Definition

To support and protect the body's tissue and organs.

 

Also and important source of minerals and blood cells

Term
When does bone formation begin?
Definition

Begins in utero with the differentiation of mesenchymal cells into either chondrocytes or osteoblasts

Term
What do bone minerals do after differentiation in utero?
Definition

Either crystallize on a catilage framework or beceom bone-forming cells without cartilage

Term
Bone Tissue
Definition
Continuously being resorbed and syntheseid by bone-remodeling units of osteoclasts and osteoblasts
Term
How does RANKL work?
Definition

It induces osteocalst activeation and bone resorption

Term

How does OPG work?

And what is it?

Definition

OPG is a protein, that binds to a protein called OPG ligand.

 

This attachment serves as a decoy receptor for RANKL and blocks osteroclast activity, thus decreasing bone resorption

Term
What does the balance of RANKL and OPG affect?
Definition

It determines the quality of bone

Term
What are bones made up of?
Definition

Compact bone and spongy bone tissue

Term
What is compact bone?
Definition

Highly organized into haversian systems that concists of concentric layers of crystallized matrix surrounding a central canal that contains blood vessels and nerves

 

Dispersed throughout the concentric layers of crystallized matrix are small spaces containing osteocytes

Term
What are the smaller canals called in compact bones?
Definition

Canaliculi: interconnect the osteocyte containing spaces

Term
How is the crystallized matrix arranged in spongy bone?
Definition

In bars or plates

 

Spaces containing osetocytes are dispersed between the bars or places and interconnected by canaliculi

Term
How are bones classified?
Definition

SHAPE: long, short, flat, or irrgular

 

Long bones have a broad end (epiphysis), broad neck (metaphysis), and narrow midportion (diaphysis)

Term
What occurs in the stages of repair in bone injuries?
Definition

Hematoma formation provides the fibrin framework for formation and organization of granulation tissue

 

Granulation tissue provides a cartilage model for the formation and crystallization of bone matrix

 

Remodeling restored the orignal shape and size to the injured bone

Term

What is a joint?

 

What to they provide?

Definition

Where two or more bones attach

 

They provide stability and mobility to the skeleton

Term
How are joints classified?
Definition

Synarthroses, amphiarthroses, or diathrosis: depending on the degree of movement they allow

 

 

Term
How are fibrous joints connected?
Definition

Fibrous joints are connected by dense fibrous tissue, ligaments, or membranes

 

 

 

 

Term
How are cartilaginous joints connected?
Definition

Cartilaginous joints are connected by fibrocarilage or hyaline cartilage

 
Term
How are synovial joints connected?
Definition

Synovial joints are connected by a fibrous joint capsule. Within the capsule is a small fluid-filled space. The fluid in the space nourishes the articular carilage that covers the ends of the bones meeting in the synovial joint

 

Term
What is articular cartilage?
Definition

A highly organized system of collagen fibers and proteoglycans

 

The fibers firmly anchor the cartilage to the bone, and the proteoglycans control the loss of fluid from the cartilage

Term
What is the function of joints?
Definition

To help move bones and muscle

Term
Skeletal muscle
Definition

The largest muscle in the body and is mae up of millions of individual fibers

 

Whole muscles vary in size (2-60cm) and shape (fusiform and pennate)

Term
How are skeletal muscles encased?
Definition

In a 3 part connective tissue framework

Term
What is the fundemental concept of muslce function?
Definition

The motor unit

 

defined as all muscle fibers innervated by a single motor nerver

Term
What do muscle fibers contain?
Definition

Bundles of myofibrils arranged in parallel along the longitudinal axis and include the muscle membrane, myofibrils, sarcotubular system, aqueous sarcoplasm, and mitochondria

Term
What are they two types of muscle fibers?
Definition

Type 1 and Type 2 determined by motor nerve innervation

Term
What do myofibrils and myofilaments contain?
Definition

The major muscle proteins, actin and myosin

 

These interact to form cross-bridge during muscle contration.

Term

What are the nonprotien muscle constituents?

 

And what do they do?

Definition

They provide an energy source for contraction and regulate protein synthesis, enzyme systems, and membrane stabilization

Term
What does muscle contraction include?
Definition

Excitaion, coupling, contraction, and relaxation

Term
How is muscle strength graded?
Definition

by the 'all or nothing' phenomenon and recruitment

 

Term
What is affects the speed of muscle contraction?
Definition

Muscle fiber type

Temperature

Strech

Weight of the load

Term
What are they two types of muscle contraction?
Definition

Isometric and Isotonic

 

Muslce shortening occurs during contraction but can be seen also during pathologic and physiologic contracture

Term
What do actin and myosin form?
Definition

They form the cross-bridges that cause the sarcomere to shorten, a process now known as the cross-bridge theory of muscle contraction

Term
What does skeletal muscle need to fuel contraction, growth and repair?
Definition

A constant supply of ATP and phosphocreatine

 

These can be generated aerobically or anaerobically

 

Phosphocreatine concentration is an extemely sensitive indicator of muscle fiber activity

Term
What determines how force is transmitted from the actin-myosin cross-bridge on individual muscle fibers to accomplish whole-muscle contraction?
Definition

When a motor unit responds to a single nerve stimulus, it develeps a phasic contraction

 

The central nervous system smoothly grades the force generated by 'recruiting' additional motor units and varying the discharge frequency of each ative motor unit

Term
What constitutes bone?
Definition

Osteoblasts:build bone

Osteoclasts:breakdown bone

Osteocytes: transformed osteroblasts 

Term
What are osteoblasts?
Definition

Bone forming

 

Derived from mesenchymal cells

 

Produce osteocalcin, TGF beta, MCSF, RANKL, and OPG

Term
What are Osteocytes?
Definition

Transformed osteoblasts surrounded in osteoid as it hardens from depositied minerals (the actual bone cells)

 

Within the lacuna

 

Helps concentrate nutrients in matrix

Helps synthesize and replace needed elements

Aids in bone remodeling

Term

What are Osteoclasts?

 

 

Definition

The major reabsoptive cell of the bone

 

Secrete HCL and cathepsin K which dissolves bone mineral, collagenace, and cytokines

 

 

Term
What makes up the bone matrix?
Definition

Organic = bone strength

 

Inorganic = actual crystals

 

Proteoglycans

 

Glycoproteins

Term

Compact bone

 

Cortical

Definition

85% of skeleton

Organized and stong

Made up of haverisan system: contains blood vessels and nerves, lamellae, lucunae, osteocyte and canaliculi

 

Term

Spongy bone

 

Cancellous

Definition

Lacks haversian systems: less complex

 

Lamellae arranged in trabeculae; pattern determined by stress on bone

Term
Periosteum
Definition

Covers bone

 

The outer layer contains blood vessels and nerves, some of which penetrate to the inner strucutres of the bone through channels call Volkmann canals

 

The inner layer is anchored to the bone by collagenous fibers that penetrate the bone

 

Sharpey fibers also help hold or attach tendons and ligaments

Term

What is the structure of a long bone?

 

What is the function of the sturctures?

Definition

Diaphysis: long midportion (shaft)

- contained within is the elongated marrow (medullary) cavity

- contains yellow marrow or fatty tissue

 

Epiphysis: the broad end (bottom)

- red marrow (blood forming)

- spongy bone

 

Metaphysis: the broader neck 

- spongy bone

 

Term
What are the 3 phases of bone remodeling?
Definition

1. activation: a stimulus activated programmed osteocyte cell death (apoptosis). The distribution of these apoptotic osteocytes provides osteoclasts with information about where to begin resorbing damaged bone

 

2. resorption: the osteoclasts form a cutting cone with gradually resorbs bone, leaving behind an elongated cavity termed a resorption cavity. 

 

3. formation: laying down of new bone, termed secondary bone, by osteoblasts lining the walls of the resorption cavity. Succesive layers (lamellae) in compact bone are laid down until the resorption cavity is reduced to a narrow haverisan canal around a blood vessel

Term
What makes up a haversian system?
Definition

1. a central canal called the haversian canal

2. concentric layers of bone matrix called lamellae

3. tiny spaces (lacunae) between the lamellae

4. bone cells (osteocytes) within the lacunae

5. small channels or canals call canaliculi

Term
How do you classify a joint based on movement?
Definition

Synarthrosis: immovable

 

Amphiarthrosis: slightly movable

 

Diarthrosis: freely movable

Term
What are the stages of bone repair?
Definition

Hematoma formation

Procallus formation

Callus formation

Callus replacement

Remodeling

Term
What are proteoglycans?
Definition

Provide stiffness and regulate movment of synovial fluid

 

It acts as a pump permitting fluid to be pressed out to ensure a fluid film is always present on articular cartilage

Term
What are the types of movments joints have?
Definition

Uniaxial- elbow

Biacial- finger

Multiaxial- hip

Term
What is fusiform muscle?
Definition

Are elongated muscles shaped like straps and can run from one joint to another

Term
What are pennate muscles?
Definition

Are broad, flat, and slightly fan shaped, with fibers running obliquily to the muscle's long axis

Term
What surrounds each skeletal muscle?
Definition
facia
Term
What is contained within the facia?
Definition

Epimysium: the outer most layer

- tapers at each end to form the tendon

 

Perimysium: subdivides the muscle fibers into bundles or fascicles

 

Endomysium: surround the mucsle fascicles, the smallest unit of muscle fibers

Term
Muscle fiber is equal to?
Definition
muscle cell
Term
What is voluntary skeletal muscle?
Definition

Indicates that the muscle is controlled directly by the central nervous systme

Term
What is striated skeletal muscle?
Definition

Described the striated, or striped pattern of skeletal muscle viewed under a microscope

 

The striations result from the organizeaiton of the muscle fibers into the contractile unites called sarcomeres

Term
What is estrafusal skeletal muscle?
Definition

Distinguishes the skeletal muscle fibers from other contractile fibers located within the sensory oragans of the muscle

Term
What is the motor unit?
Definition

Each anterior horn cell, its axon, and the muscle fibers innervated by it are called a motor unit

Term
What is the motor unit?
Definition

Each anterior horn cell, its axon, and the muscle fibers innervated by it are called a motor unit

Term

What is a high innervation ratio muscle? 

 

How is it defined?

Definition

The calf muscle

 

one motor axon will innervate approx 2000 muscle fibers out of 1,200,000 fibers

 

The higher the ration the greater the indurance

Term
What is a low innervation ratio muslce?
Definition

The laryngreal muscles

 

the lower the ration, allows for more precision of movement

Term
What are spindles?
Definition

They are the mechanoreceptors that lie parallel to muscle fibers and respond to stretching

Term
What are golgi tendon organs?
Definition

They are dendrites that terminate and branch to tendons near the neuromuscular junction

Term
What do the muscle fibers contain?
Definition

They contain bundles of myofibrils, the fiber's functional subunits, in a parallel arrangement along the longituduial axis of the muscle

Term
What are the precursor cells for muscle fibers
Definition
myoblasts
Term
What are type I fibers
Definition

red muscle

 

slow muscle fibers

 

Term
What are type II  fibers
Definition

white muscle

 

fast motor fibers

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