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73 Cards in this Set
- Front
- Back
Solubility Product
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A critical value of the product of calcium and phosphate concentration in the tissue fluids leading to the formation of Hydroxyapatite crystals
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ectopic ossification
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Out-of-place formation of osseous tissue in the lungs, brain, eyes muscles, tendons, arteries, and other organs.
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Calculus
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A calcified mass in an otherwise soft organ such as the lungs.
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Mineral Resorption
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The process of dissolving bone and releasing the minerals into the blood, making them available for other uses
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Acid Phosphatase
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An enzyme secreted by the osteoclast that digests the collagen of the bone matrix.
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Mineral Deposition (Mineralization)
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A crystallization process in which calcium, phosphate, and other ions are taken from the blood plasma and deposited in bone tissue as hydroxyapatite.
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Roles of Calcium in the body
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Interneural communication, Enzyme co-factor
Muscle contraction, Cell signalling processes Blood clotting, and Exocytosis |
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Roles of Phosphate in the body
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DNA, RNA, ATP
Phospholipids Correction of acid-base imbalances |
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Hypocalcemia
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A calcium deficiency in the blood. Causes excessive excitability of the nervous system leading to muscle tremors, spasms, or tetany (the inability of muscles to relax.
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Hypercalcemia
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An excess of calcium in the blood rendering nerve and muscle cells less excitable than normal.
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Causes of Hypocalcemia
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Vitamin D deficiency, Diarrhea, Thyroid tumors,
Underactive parathyroid glands, Pregnancy, lactation. |
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Hormones Regulating Calcium Homeostasis
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Calcitriol (Vitamin D)
Calcitonin Parathyroid Hormone |
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Calcitriol
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Produced by sequential action of the skin, liver, & kidney
Raises Blood Ca concentration by 1. Increasing Ca absorption by small intestine, 2. increasing Ca resorption from skeleton, 3. Ca resorption by kidney |
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Calcitonin
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Secreted by C cells of thyroid when blood-Ca levels are too HIGH. Lowers concentration by 1. Osteoclast inhibition, 2. Osteoblast stimulation. May prevent bone loss in pregnant and lactating women.
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Parathyroid Hormone (PTH)
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Raises Ca level by: 1. Stimulate osteoblasts to secrete RANKL to promote osteoclast population, 2. Promote kidney Ca resorption, 3. Promotes calcitriol synthesis in kidneys, 4. inhibits collagen synthesis by osteoblasts
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Orthopedics
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A branch of medicine dealing with bone disorders.
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Stress fracture
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a break caused by abnormal trauma to a bone.
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Pathological fracture
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a break in a bone weakened by some other disease, such as bone cancer or osteoporosis, usually caused by a stress that would not normally fracture a bone.
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Bone Fractures
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stress, pathological, nondisplaced, displaced, comminuted, greenstick
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Healing Stages of a Bone Fracture
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1. Formation of Hematoma
2. Granulation Tissue 3. Formation of soft callus & Conversion to hard callus 4. Remodeling |
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Bone Tissues
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Epithelial Tissue
Connective Tissue Nervous Tissue Muscle Tissue |
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Connective tissue composition and roles
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Widely spaced cells separated by fibers and ground substance. Connects organs, gives support & protection, Energy storage, heat production, movement and transportation of materials
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Connective Tissue Types
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Fibrous: Dense & Loose
Supportive: Cartilage & Bone Fluid: Blood |
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Dense Regular C.T.
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Densely packed parallel collagen fibers, compressed fibroblast nuclei, Tendons and ligaments
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Supportive Connective Tissue
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Cartilage: Hyaline, Elastic, Fibrocartilage
Bone: Spongy, Compact |
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Cartilage
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Supportive, rubbery matrix. glucosaminoglycans, Chondroblasts. made of Collagen and Elastin fibers. Avascular.
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Perichondrium
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Found around most hyaline and all elastic cartilage.
2 Layers: Fibrous outer layer - Dense irregular C.T Chondrogenic inner layer - contains many chondroblasts |
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Hyaline Cartilage
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Most common. Chondrocytes in small clusters enclosed in lacunae. Usually has a perichondrium (except in articular cart.) Pliable, eases joint movement.
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Hyaline Cartilage Locations
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costal cartilage, nose
epiphyseal plate, trachea bronchi, fetal skeleton |
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Elastic Cartilage
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Hyaline Cartilage with weblike mesh of elastic fibers amongst lacunae. ALWAYS has perichondrium. Provides flexible elastic support. Found in: External ear, epiglottis, Eustachian canal.
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Fibrocartilage
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Contains extensive parallel collagen fibers with chondrocytes in lacunae. NEVER has perichondrium. Resists compression and absorbs shock. Found in pubic symphysis & intervertebral discs.
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Bone - Osseous Tissue
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Cells, Fibers, and Ground substance. Matrix hardened by mineral deposition.
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Cells of Osseous Tissue
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Osteogenic Cells in endosteum & periosteum
Osteoblasts Osteocytes Osteoclasts |
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Bone Matrix
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1/3 Organic weight (collagen and other protein fibers)
proteoglycans, glycosaminoglycans, glycoproteins Inorganic: hydroxyapatite and 10% calcium carbonate |
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Bone Strength and Flexibility
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Minerals resist compression
Collagen Protein resists tension/twists Adaptable with different stressors |
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Osteoclast structure and function
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Sits in resorption bays on bone surface.
Ruffled border releases H+ HCl dissolves bone salts. Acid phosphatase: a proteolytic enzyme that digests collagen. |
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Endochondral Ossification
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Embryonic Mesenchyme forms model of hyaline cart. (mostly collagen) which is remodeled into bone.
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Steps in Endochondral Ossification
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1. Hyaline Cart. Model; 2. Bony Collar on inner surface of perichondrium; 3. Primary ossification center; 4. Blood vessels invade with osteoblasts/clast; 5. Secondary ossification; 6. Epiphyseal plate ossifies by 20 yrs.
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Epiphyseal Plate
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Hyaline cartilage; Separates marrows of epiphysis and diaphysis; Metaphysis on diaphyseal side; site of bone lengthening
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Bone Remodeling
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Osteoclasts resorb and osteoblasts deposit bone to remodel according to stresses and allowing body to access Ca+
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Requirements for Bone Growth
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Salts: Ca, P, Mg, F, Fe, Mn
Vitamins: A, K, B12, C and D3 (Calcitriol) Hormones: Parathyroid, sex, calcitriol (Vit. D) |
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Mineral Resorption
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Dissolving bone
Releasing minerals into blood Carried out by osteoclasts by HCl and acid phosphatase |
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Calcium in the Bones
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99% in bones:
Stable Pool Exchangeable calcium (<1%) |
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nonossified Calcium in the Body
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1%:
Free Ca2+ (45%) Bound Ca in plasma proteins, not physiologically active Mostly tightly regulated in the blood |
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Calcium Phosphate Homeostasis must balance:
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Intake: Digestive system
Loss: Urinary and digestive systems Exchange: Skeletal system |
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Calcium Phosphate Homeostasis Regulated by:
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Calcitriol (vitamin D)
Calcitonin Parathyroid hormone |
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Joints
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Articulations of bone classified by mobility or by connective tissues between bones
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Joint Classification: Mobility
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--Diarthrosis: Freely movable (Elbow, Knee)
--Amphiarthrosis: Slightly moveable (Intervertebral discs) --Synarthrosis: Little or no movement (teeth, skull) |
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Joint Classification: Structural
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--Fibrous: Collagen (sutures, gomphoses, syndesmoses)
--Cartilaginous: (synchrondroses, symphyses) --Synostoses: Bones fused by osseous tissue --Synovial: joint cavity (amphiarthroses & diarthroses) |
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Fibrous Joints: Sutures
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Immovable joints of the skull bound by collagen fibers
Serrate: Coronal, sagittal & lambdoid) Lap: overlapping bevels at temporal and parietal bones Plane or butt: palatine processes |
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Fibrous Joints: Gomphoses
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Articulation of a tooth in its bony socket. Held in place by fibrous periodontal ligament.
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Fibrous Joint: Syndesmoses
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Joint in which two bone shafts are bound by a ligament only (Interosseous membrane)
Most moveable of fibrous joints (Radius and Ulna; Tibia and fibula) |
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Cartilaginous Joint: Synchondroses
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Bones joined by hyaline cartilage - mostly synarthrotic
- rib to sternum -epiphyseal plate in children binds epiphysis & diaphysis |
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Cartilaginous Joint: Symphyses
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Joined by fibrocartilage (intervertebral discs & pubic symphysis); Only slight movement is possible. Synarthrotic and amphiarthrotic.
NO Joint Cavity. |
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Bony Joints: Synostoses
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Originally separate bones fused by osseous tissue
No Joint Cavity. |
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Synovial Joint
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Diarthrotic joint where two bones are separated by a joint cavity filled with synovial fluid.
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Synovial Joint Anatomy
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Articular capsule;
Synovial fluid; Articular cartilage; Meniscus; Tendon; Ligament |
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Articular Capsule
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- Fibrous Capsule &
- Synovial Membrane: Areolar connective tissue; Produces synovial fluid (hyaluronic acid and albumin) - Provides lubrication, nourishment, shock absorption |
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Non-Joint Synovial Membranes
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Bursae - filled with synovial fluid between bone & skin, tendons & bone, ligaments and bone
Tendon sheath - where tendons cross joints. Cylindrical double synovial sac |
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Tendon Sheath and Bursae Examples
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Radial bursa
Ulnar bursa Tendon sheaths of phalanges |
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Movements of Synovial Joints (1)
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Flexion, Extension, & Hyperextension (hinges)
Abduction & Adduction Elevation & Depression (shoulders, jaw) Protraction and Retraction (Jaw) |
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Movements of Synovial Joints (2)
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Lateral and Medial Excursion (biting chewing)
Circumduction (one end circles with other stationary) Rotation (spin on long axis of bone) Supination & Pronation |
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Movements of Synovial Joints (3)
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Opposition & Reposition (thumb to fingers)
Dorsiflexion & Plantar flexion (raise & point toes) Inversion & Eversion (soles turned medially & laterally) |
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Synovial Joints: Ball-and-Socket
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Smooth hemispherical head fits within a cup-like depression.
- Multiaxial (shoulder & hip) |
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Synovial Joints: Hinge
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Convex surface fits into concave depression
- Monoaxial (Elbows, Knees, fingers, toes) |
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Synovial Joints: Saddle
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Two saddles fit together, concave in one direction, convex in the other.
- Biaxial (trapeziometacarpal joint at the base of the thumb) |
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Synovial Joints: Pivot
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One bone has projection that fits into ring-like ligament of another.
1st bone rotates on longitudinal axis relative to the other (Atlanoaxial joint, proximal radioulnar joint) |
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Synovial Joints: Gliding
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Flat articular surfaces in which bones slide over each other.
- Limited monoaxial (articular surface of vertebrae, between intercarpals & intertarsals, Sternoclavicular) |
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Synovial Joints: Condyloid
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Oval convex surface on one bone fits into a similarly shaped depression on the next.
- Biaxial. (radiocarpal of wrist, metacarpophalangeals, occipital condyles & atlas |
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Mechanical Advantage and Muscles as Levers
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Length of Effort Arm divided by resistance arm
Low MA = Low power, high speed, high range of motion High MA = Opposites |
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Classifications of Levers
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First Class: Resistance, Fulcrum Effort (Head tilt up)
2nd Class: Fulcrum, Resistance, Effort (Jaw opening) 3rd Class: Resistance, Effort, Fulcrum (Elbow/biceps) |
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Osteoarthritis
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Joint wear: articular cartilage softens and degenerates
- crepitus crackling - bone spurs develop on exposed bone tissue |
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Rheumatoid Arthritis
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Autoimmune disease:
Antibodies attack synovial membrane Enzymes in synovial fluid degrade cartilage & bones ossify; Remission occur; steroid & aspirin help |