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Lecture 2
Musculoskeletal System
89
Veterinary Medicine
Professional
09/03/2016

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Term
What three cell types compose bone?
Definition
-osteoblast
-osteocyte
-osteoclast
Term
Definition: Osteoblast
Definition
-produce bone matrix (osteoid) and initiate mineralization
Term
Definition: Osteocyte
Definition
-osteoblast surrounded by matrix (lacunae)
Term
Definition: Osteoclast
Definition
-multinuclate cells active in bone resorption
Term
What makes the bone matrix?
Definition
-type I collagen and ground substance (water, proteoglycans, glycosaminoglycans, protein, lipid)
Term
How is compact/cortical bone organized cellularly?
Definition
-arranged into osteons or Haversian System
-cortex of long bones q
Term
Describe the cellular organization of cancellous/trabecular/spongy bone.
Definition
-lamellae, perpendicular to surface, plates
-medullary cavity of long bones
Term
Describe the cellular organization of woven bone.
Definition
-eactive, haphazard collagen arrangement
-fetal bone, new bone formation (injury)
Term
Describe intramembranous ossification bone formation. Which bones undergo this?
Definition
-mesenchymal cells differentiate into osteoblasts but cartilage precursors are not involved
-flat bones of skull
Term
Describe endochondral ossification bone formation.
Definition
-form from a cartilagenous model, ossification centers (epiphysis, metaphysis, diaphysis)
-greater strenght and occurs in majority of bones
Term
If you learn only one thing in this class, what should it be?
Definition
-bone is a dynamic organ
Term
Defend the statement "bone is a dynamic organ"
Definition
-mineralization and resorption of bone are normal and continuous
-death of osteocytes triggers cytokines that attract osteoclasts
-end reult of remodeling is also dependent on mechanical forces
Term
Definition: Osteopenia
Definition
-atrophy of bone
Term
Definition: Exostosis
Definition
-hypertrophy of bone
Term
Definition: Callus
Definition
-hyperplasia of bone
Term
Definition: Osteolysis
Definition
-necrosis of bone
Term
Briefly describe a fracture and how it repairs.
Definition
-fractures produce a torn periosteum, soft tissue traua, and bleeding (hematoma)
-necrosis of bone fragment ends and marrow
-growth factors and mesenchymal cells present gnerate woven bone or callus which bridges area and stabilizes
bone
-in time, woven bone is remodeled to mature lamellar bone (secondary callus)
-healing (End shape) dictated by mechanical forces
Term
What are the implications of surgical implants in regards to fracture repair?
Definition
-dec callus formation
-debris can attract leukocytes and cytokines
-damage blood supply (fibrous or cartilage)
-dec mechanical forces (osteopenia)
Term
What are some of the more common abnormalities of bone growth? What species are affected by each?
Definition
-Osteopetrosis: deg, cow, horse, sheep
-Congenital Hyperostosis: pig
-Craniomandibular osteopathy: dog
-Osteogenesis Imperfecta: calf, lamb, puppy
-Angular Limb Deformity
Term
Definition: Osteopetrosis
Definition
-increased obne mass within medulla
-failure of osteoclastic resorption at endochondral ossification sites
-recessive genetic defect in Angus calves
Term
What is craniomadibular osteopathy? Which breeds are affected? WHich bones are affected?
Definition
-bilaterally symmetrical periosteal bone and irregular resorption that is apparent at 4-7 months of age
-West Highland White and Scottish Terrier
-mandibles, occipital, and temporal bones, occasionally others of skull
Term
Which species is most predisposed to angular limb deformity? Contributing factors?
Definition
-equine, but can occur in any species (congenital or acquired)
-Factors: malposition, joint laxity, trauma, nutrition, hypothyroidism, defective endochondrial ossification
Term
What are soem of the causes of metabolic bone disease?
Definition
-nutritional
-emdocrine
-toxic
Term
Definition: Osteodystrophy
Definition
-a general term which implies defective bone formation
Term
What happens in the case of osteoporosis?
Definition
-reduced bone density and mass with the remaining bone mineralized normally
-dec cortex, trabeculae hthinner
-medullary cavity enlarged by resorption
Term
What are some of the causes of osteoporosis?
Definition
-Ca deficiency, physical inactivity, glucocorticoids, starvation, post menopausal
Term
What are Rickets and Osteomalacia? Cause?
Definition
-failure of mineralization, bone deformity or fracture, generally painful, inc metaphyseal cartilage, enlarged metaphysis long bones/ribs
-Vit D or Phosphorous deficiency
Term
What is fibrous osteodystrophy? Causes?
Definition
-widespread osteoclastic resorbtion of bone with replacement by fibrous tissue
-fibrosis/woven bone medulla/cortex, inc fibrous tissue maxilla/mandible
-primary hyperparathyroidism (neoplasia or hyperplasia), secondary hyperparathyroidism (more common)
Term
What is toxic osteodystrophy? Causes?
Definition
-in young animals induces osteoclast malfunction of physis
-Causes: lead, hypervitaminosis D, persistent hypercalcemia, mineralization
Term
What is asepctic vone necrosis?
Definition
-dec venous outflow, inc bone marrow pressure
Term
What is Legg-Calve-Perthes Disease? What breeds of animals are commonly affected?
Definition
-osteonecrosis of femoral head, with collapse
-small dogs, rarely cats
Term
Definition: Osteitis
Definition
-inflammation of the bone
Term
Definition: Periostits
Definition
-inflammation of the pereosteum
Term
Definition: Osteomyelitis
Definition
-if medullary cavity is involved
Term
What are some of the routes of entry of osteitis?
Definition
-hematogenous: most common in young animals
-direct penetration
-extension from adjacent region
Term
What is the common name of mandibular osteomyelitis? What organism causes it?
Definition
-lumpy jaw
-gram positive anaerobe Actinomyces bovis
Term
Which anmals are predisposed to metaphyseal osteopathy?
Definition
-young, growing, large breed dogs
Term
What are the clincial signs of metaphyseal osteopathy?
Definition
-3-6 moths fever, anorexia, lameness with swelling/pain of metaphysis of long bones
-intense suppurative inflammation with retained cartilage lattice/periostitis
Term
What animals are predisposed to canine panosteitis?
Definition
-young large breeds, especially German Shepherds
Term
What are the clinical signs of canine panosteitis?
Definition
-5-12 months, shifting leg lameness, multiple legs, periosteal reaction, diaphysis
-inc cortical bone formation, mild plasma cell/histiocyte infiltration
Term
Definition: callus
Definition
-reactive or woven bone, variety of causes
Term
Definition: Exostosis or osteophyte
Definition
-nodular bony growht projecting outward form the surface
Term
Definition: Enthesophyte
Definition
-osteophyte at origin or insertion of ligament
Term
Definition: Enostosis
Definition
-bony growth within the medullary cavity
Term
Which species are predisposed to hypertrophic osteopathy? Clinical signs?
Definition
-all domestic animals but primarily dog
-bilateral periosteal new bone of diaphysis, intrathoracic mass, endocarditis, HW, rhabdomyosarcoma
Term
What species get osteochondromas? What are they?
Definition
-developmental defect in dog, horse, acquired in cats
-mass adjacent to physis
Term
What are some of the neoplasias of bone?
Definition
-Ossifying fibroma
-osteoma/ osteosarcoma
-fibrosarcoma
-chondroma/ chondrosarcoma
-multilobular tumor of bone
Term
Which species get ossifying fibromas? Where?
Definition
-horses and cattle
-madible and maxilla
Term
Which animals get osteosarcomas?
Definition
-mature dogs, large and giant breeds
Term
Definition: Upper site of biopsy site
Definition
-diagnostic sample where tumor has extended through the caudal cortex
Term
What is the middle site of biopsy site?
Definition
-diagnostic sample of tumor in metaphysis
Term
What is the lower site of biopsy site?
Definition
-non-diagnostic sample of endosteal bridge and caudal cortex
Term
What is a fibrous joint?
Examples?
Definition
-no movement
-sutures of skull
Term
What is a syndesmosis? Examples?
Definition
-fibround joint b/n long bones (interosseous)
-ex: b/n radius and ulna or b/n MCII and MCIII
Term
Describe the movement of a cartilagenous joint?
Definition
-minimal movement
Term
What is a synchondrosis?
Definition
-a cartilagenous joint b/n ossification centers
Term
Describe the range of motion of a synovial joint.
Definition
-lots of movement, most common
Term
Give some examples of a hing joint.
Definition
-elbow, stifle
Term
Give an example of a pivot joint.
Definition
-atlanto-axis
Term
What are some examples of a ball and socket joint?
Definition
-coxofemoral joint, scapulohumeral joint
Term
Give an example of a synarthrosis joint?
Definition
-sutures of skull
Term
Give an example of an amphiarthorosis joint?
Definition
-vertebrae, interosseous ligaments, costo-chondral junction
-minimal motion
Term
Give an example of diarthrosis.
Definition
-moveable joints like an articular cartilage surface
Term
What are the components of a synovial joint?
Definition
-articular cartilage
-subchondral bone
-joint margins
-synovial lining
-joint capsule
Term
HOw does DJD affect the articular cartilage?
Definition
-DJD begins with wearing away cartilage
Term
HOw does DJD affect subchondral bone?
Definition
-DJD produces progressive hickening (referred to as schlorosis)
Term
How does DJD affect joint margins?
Definition
-produces perarticular lip and enthesophytes
Term
How dows DJD affect the synovial lining?
Definition
-causes villous hyperplasia and chondroid metaphysis
Term
How does DJD affect the joint capsule?
Definition
-causes thickening of capsule with loss of range of motion
Term
How does cartilage react to injury in general?
Definition
-very limited ability to repair
Term
What is fibrillation?
Definition
-initial proteoglycan loss from collagen fivers, frayed surface
-progresses to erosion
Term
What is eburnation?
Definition
-rubbing directly on subchondral bone
Term
What are bone cysts?
Definition
-focal damage to cartilage with compression of synovial fluid beneath the surface producing necrosis/lysis of subchondralbone
Term
Which species are predisposed to hip dysplasia? Describe the condition.
Definition
-dogs, cattle
-biomechanical disease initiated by decreased muscle tone/mass with resultant joint laxity
-flattening or crushing of femoral head and remodeling of acetabulum
Term
Which animals get spondylosis?
Definition
-older animals
-most clinically relevant in the bovine and canine
Term
Definition: Arthritis
Definition
-inflammation of intra-articular structures
Term
Defintiion: Synovities
Definition
-inflammation of the synovium
Term
What are some of the infectious causes of joint inflammaion?
Definition
-bacterial, mycolplasma, viral
Term
What are some of the non-infectous causes of joint inflammation?
Definition
-immune-mediated: RA, Lupus
-Gout
Term
True or False: Non-infectious, infections, and traumatic joint inflammation progress to degenerative joint disease.
Definition
-TRUE
Term
What is Osteochondrosis? Which animals get it?
Definition
-group of focal/multifocal decay of endochondral ossification
-occurs in young animals => at the metaphysis and epiphysis of pig, dog, horse, cow, poultry, and rat
Term
What is osteochondritis dissecans?
Definition
-clefts can develop and necrosis of cartilage by pressure result in a flap
Term
What is interverebral dis disease?
Definition
-loss of water and proteoglycans, increased collaged reduce the distinction of nucleus poposus and annulus fibrosis which leads to tearing of the annulus and bulging of the nucleus material
Term
Are synovial sarcomas common or rare? Which species is most commonly affected?
Definition
-rare
-dogs
Term
True or False: Tenocytes originate from same mesenchymal pool as myocytes.
Definition
-TRUE
Term
What do tenocytes differentiate into?
Definition
-type 1 collagen
Term
What surrounds a tendon?
Definition
-peritendon
Term
What are a couple examples of tendon degeneration?
Definition
-osseous metaplasia
-fibrosis
Term
Is complete tendon repair possible? Why or why not?
Definition
-NO, 20-30% will be Type III colalgen
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