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16 Cards in this Set

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Tumors and Tumor-Like Lesions of Joints



Ganglion cyst (bible cyst)

•Small pseudo-cyst near tendon sheath, usually only removed if unsightly, limit motion, painful, synovial fluid filled.

Tumors and Tumor-Like Lesions of Joints



Pigmented Villonodular Synovitis

•Benign but locally invasive neoplasm; does NOT metastasize. 80% in knee, tendon sheaths. Surgical excision is curative.

Tumors and Tumor-Like Lesions of Joints



Giant Cell Tumor of Tendon Sheath

•Similar to above, but in wrist, fingers.



•Surgical excision, but tends to recur.

Diseases of Skeletal Muscle



Major Determinants of Disease

•Skeletal muscle is composed of cells that cannot regenerate.



•Muscles and their nerves operate as a unit (the motor unit).



•Normal function of the motor unit is dependent on the ability of nerve signals to cross the neuromuscular synapse.

Diseases of Skeletal Muscle Major Determinants of Disease

•Muscle sheath depends on its being connected to a functioning nerve.



•Genetic defect may cause muscle disease



•Autoimmune disease often affects muscle



•Muscle is resistant to Infection

Muscle Atrophy



Neurogenic Atrophy


(shrink upon denervation)

•Type 1 and Type 2 fibers affected



•Nerve injury, peripheral neuropathy (diabetes)

Muscle Atrophy



Disuse Atrophy

•Bed rest



•Immobilization (Ex: Stroke), corticosteroid therapy



•Type 2 fibers affected (Don't use it you lose it)

Muscle Atrophy



Genetic Atrophy

•Defect in SMN protein (Survival Motor Neuron Protein) Mu



•Muscular Dystrophy

Genetic Atrophy: Muscular Dystrophy (Atrophy, Weakness)



Duchenne muscular dystrophy

•Genetic, absence of dystrophin protein in mucle cells

Genetic Atrophy: Muscular Dystrophy (Atrophy, Weakness)



Becker MD

•Milder, dystrophin is present but abnormal

Myositis and Myopathy



Polymyositis

•Autoimmune. Dense infiltrate of inflammatory - cells (Lymphocytes) among muscle cells


-High serum CK


-T-cell damage



•Other Causes:


-Viral Influenza (Common)


-Bacterial Tetanus


(Clostridium Tetani)

Myasthenia Gravis

•Motor Unit function decreases



•Type 2 (auto-) immune reaction: cytotoxic hyerpsensitivity



1. Antibodies attach to target cell, which is destroyed by phagocytosis or Inflammation.



2. Antibodies attach to target-cell receptors and interfere with Target-cell function, as in the blockage of signal transmission from nerve to muscle in myasthenia gravis.

Myositis and Myopathy


(Non- Inflammatory)



Rhabdomyolysis

•The sudden Necrosis of skeletal muscle, with release of large amounts of myoglobin into the circulation.



Causes: -Statins, Crush Injury:


(Non-inflammatory Rhabdomyolysis)

Tumors and Tumor-Like Lesions of Soft Tissue



Lipoma

•Benign fatty tumor (most common soft tissue tumor)


-Liposarcoma: Malignant, deep, large, sluggish

Tumors and Tumor-Like Lesions of Soft Tissue



Fibroma

•Collagen - producing benign tumor


-Fibrosarcoma: Malignant, commonly around knee

Tumors and Tumor-Like Lesions of Soft Tissue



Malignant fibrous histocytoma (MFH)

•Is most common soft tissue sarcoma in adults. Quite malignant, about half metastasize. Often Post-radiation therapy