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8 Cards in this Set
- Front
- Back
what does articular cartilage contain
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water (inc w/ OA)
collagen (type II - 90-95%; tensile strength) proteoglycans (regulate/retain water) |
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how articular cartilage works
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elastohydrodynamic lubrication (micro thin layers of synovial fuilds keep bones from touching)
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how/why articular cartilage fails
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- inc water content
- proteoglycans altered & shortened - collagen matrix disrupted - proteoglycans binding inc & aggrecan mol. inc in size - metalloproteinases lvl inc |
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MCC cause of articular cartilage failure
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OA
|
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cure for OA?
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nah
hardware can be placed, but it will eventually fail |
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radiographic markers of OA
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osteophytes
subchondral cysts subchondral sclerosis jt space narrowing |
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how this failure is managed medically
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med tx - PT is CI
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how failure is managed sx'ly
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osteomy - re-align malaligned jt
arthrodesis - fusion of affected jt; useful conditions where arthroplasty is CI (infxn; neuropathic arthropathy) 0 total jt arthroplasty - does NOT cure arthritis |