What is Cartilage? (and a bit of bone review)

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What is Cartilage? (and a bit of bone review)
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Meniscus tear

• Video of surgery

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Cartilage

• Embryo
• More prevalent than in adult
• Skeleton initially mostly cartilage
• Bone replaces cartilage in fetal and childhood
  periods

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Cartilage is connective tissue

• Cells called chondrocytes
• Abundant extracellular matrix
• Fibers collagen elastin
• 60-80 water (responsible for the resilience)
• No nerves or vessels

(hyaline cartilage)
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Types of cartilage 3

• (1) Hyaline cartilage
• flexible and resilient
• Collagen the only fiber
• Ends of long bone, costal cartilage of ribs
• (2) Elastic cartilage
• highly bendable
• Matrix with elastic as well as collagen fibers
• Epiglottis, larynx and outer ear
• (3)Fibrocartilage resists compression
  and tension
• Rows of thick collagen fibers alternating with
  rows of chondrocytes (in matrix)
• Knee menisci and parts of intervertebral discs

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Hyaline Cartilage
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Elastic Cartilage
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Fibrocartilage
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Locations of the different kinds of cartilage
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Before we look at collagen pic

• ???? cartilage flexible and resilient
• Chondrocytes appear spherical
• Collagen the only fiber
• ????? cartilage highly bendable
• Matrix with elastic as well as collagen fibers
• Epiglottis and larynx
• ????? resists compression and tension
• Rows of thick collagen fibers alternating with
  rows of chondrocytes (in matrix)
• Knee menisci and intervertebral discs

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Before we look at collagen pic

• Hyaline cartilage flexible and resilient
• Chondrocytes appear spherical
• Collagen the only fiber
• Elastic cartilage highly bendable
• Matrix with elastic as well as collagen fibers
• Epiglottis and larynx
• Fibrocartilage resists compression and tension
• Rows of thick collagen fibers alternating with
  rows of chondrocytes (in matrix)
• Knee menisci and intervertebral discs

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Bones

• Functions- can you name all 5

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Bones

• Functions
• Support
• Movement muscles attach by tendons and use bones
  as levers to move body
• Protection
• Skull brain
• Vertebrae spinal cord
• Rib cage thoracic organs
• Mineral storage
• Calcium and phosphorus
• Released as ions into blood as needed
• Blood cell formation and energy storage
• Bone marrow red makes blood, yellow stores fat

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Classification of bones by shape

• What 4 do you need to know?

(Short bones include sesmoid bones)
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Classification of bones by shape

• Long bones
• Short bones
• Flat bones
• Irregular bones

(Short bones include sesmoid bones)
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Gross anatomy of bones

• C????? bone
• Spongy (???) bone
• Blood vessels
• ???? cavity
• Membranes
• P?????
• E?????

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Gross anatomy of bones

• Compact bone
• Spongy (trabecular) bone
• Blood vessels
• Medullary cavity
• Membranes
• Periosteum
• Endosteum

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Long bones

• Tubular ????
• or shaft
• ????? at the ends covered with articular
  (joint) cartilage
• Epiphyseal line in adults
• Kids epiphyseal ????? (disc of hyaline cartilage
  that grows to lengthen the bone)
• Blood vessels
• Nutrient arteries and veins through nutrient
  foramen

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Long bones

• Tubular diaphysis
• or shaft
• Epiphyses at the ends covered with articular
  (joint) cartilage
• Epiphyseal line in adults
• Kids epiphyseal plate (disc of hyaline cartilage
  that grows to lengthen the bone)
• Blood vessels
• Nutrient arteries and veins through nutrient
  foramen

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Name this structure.

• Connective tissue membrane
• Covers entire outer surface of bone except at
  epiphyses
• Contains osteoprogenitor cells used to make
  osteoblasts (bone building cells)
• Secured to bone by perforating fibers (Sharpeys
  fibers)
• Endosteum
• Covers the internal bone surfaces
• Is also osteogenic

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Periosteum

• Connective tissue membrane
• Covers entire outer surface of bone except at
  epiphyses
• Contains osteoprogenitor cells used to make
  osteoblasts (bone building cells)
• Secured to bone by perforating fibers (Sharpeys
  fibers)
• Endosteum
• Covers the internal bone surfaces
• Is also osteogenic

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Bone markings reflect the stresses
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Compact bone

• O??? pillars
• L??? concentric tubes
• Haversian canals
• Osteocytes

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Compact bone

• Osteons pillars
• Lamellae concentric tubes
• Haversian canals
• Osteocytes

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Isolated osteon

• Nutrients diffuse from vessels in central canal
• Alternating direction of collagen fibers
  increases resistance to twisting forces

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Spongy bone

• Layers of lamellae and osteocytes
• Seem to align along stress lines

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Chemical composition of bones

• Cells, matrix of collagen fibers and ground
  substance (O?? 35)
• Contribute to the flexibility and tensile
  strength
• Mineral crystals (I??? 65)
• Primarily calcium ph??????
• Lie in and around the collagen fibrils in
  extracellular matrix
• Contribute to bone hardness
• Small amount of water

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Chemical composition of bones

• Cells, matrix of collagen fibers and ground
  substance (organic 35)
• Contribute to the flexibility and tensile
  strength
• Mineral crystals (inorganic 65)
• Primarily calcium phosphate
• Lie in and around the collagen fibrils in
  extracellular matrix
• Contribute to bone hardness
• Small amount of water

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Bone development

• Osteogenesis formation of bone
• From osteoblasts
• Bone tissue first appears in week 8 (embryo)
• Ossification to turn into bone
• Intramembranous ossification (also called
  dermal since occurs deep in dermis) forms
  directly from mesenchyme (not modeled first in
  cartilage)
• Most skull bones except a few at base
• Clavicles (collar bones)
• Sesamoid bones (like the patella)
• Endochondral ossification modeled in hyaline
  cartilage then replaced by bone tissue
• All the rest of the bones

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Endochondral ossification Video
Stages 1-3 during fetal week 9 through 9th month
Stage 5 is process of long bone growth during
childhood adolescence
Stage 4 is just before birth
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• Organization of cartilage within the epiphyseal
  plate of a growing long bone

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Epiphyseal growth plates in child, left, and
lines in adult, right (see arrows)
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Factors regulating bone growth

• Vitamin D increases calcium from gut
• Parathyroid hormone (PTH) increases blood
  calcium (some of this comes out of bone)
• Calcitonin decreases blood calcium (opposes PTH)
• Growth hormone thyroid hormone modulate bone
  growth
• Sex hormones growth spurt at adolescense and
  closure of epiphyses

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Bone remodeling

• Osteoclasts
• Bone resorption
• Osteoblasts
• Bone deposition
• Triggers
• Hormonal parathyroid hormone
• Mechanical stress
• Osteocytes are transformed osteoblasts

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Terms (examples)

• chondro refers to cartilage
• chondrocyte
• endochondral
• perichondrium
• osteo refers to bone
• osteogenesis
• osteocyte
• periostium
• cyte refers to cell
• osteocyte

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Repair of bone fractures (breaks)

• Simple and compound fractures
• Closed and open reduction

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Disorders of cartilage and bone

• Defective collagen
• Numerous genetic disorders
• eg. Osteogenesis imperfecta (brittle bones) AD
  (autosomal dominant)
• eg. Ehlers-Danlos (rubber man)
• Ehlers-Danlos video
• Defective endochondral ossification
• eg. Achondroplasia (short limb dwarfism) - AD
• Inadequate calcification (requires calcium and
  vitamin D)
• Osteomalacia (soft bones) in adults
• Rickets in children

Note AD here means autosomal dominant
inheritance
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(continued)

• Pagets disease excessive turnover, abnormal
  bone
• Paget's Disease Video
• Osteosarcoma bone cancer, affecting children
  primarily
• Osteoporosis usually age related, esp. females
• Low bone mass and increased fractures
• Resorption outpaces bone deposition

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Normal bone
Osteoporotic bone