Chapter 7 *Lecture Powerpoint
Total Page:16
File Type:pdf, Size:1020Kb
Load more
Recommended publications
-
ICRS Heritage Summit 1
ICRS Heritage Summit 1 20th Anniversary www.cartilage.org of the ICRS ICRS Heritage Summit June 29 – July 01, 2017 Gothia Towers, Gothenburg, Sweden Final Programme & Abstract Book #ICRSSUMMIT www.cartilage.org Picture Copyright: Zürich Tourismus 2 The one-step procedure for the treatment of chondral and osteochondral lesions Aesculap Biologics Facing a New Frontier in Cartilage Repair Visit Anika at Booth #16 Easy and fast to be applied via arthroscopy. Fixation is not required in most cases. The only entirely hyaluronic acid-based scaffold supporting hyaline-like cartilage regeneration Biologic approaches to tissue repair and regeneration represent the future in healthcare worldwide. Available Sizes Aesculap Biologics is leading the way. 2x2 cm Learn more at www.aesculapbiologics.com 5x5 cm NEW SIZE Aesculap Biologics, LLC | 866-229-3002 | www.aesculapusa.com Aesculap Biologics, LLC - a B. Braun company Website: http://hyalofast.anikatherapeutics.com E-mail: [email protected] Telephone: +39 (0)49 295 8324 ICRS Heritage Summit 3 The one-step procedure for the treatment of chondral and osteochondral lesions Visit Anika at Booth #16 Easy and fast to be applied via arthroscopy. Fixation is not required in most cases. The only entirely hyaluronic acid-based scaffold supporting hyaline-like cartilage regeneration Available Sizes 2x2 cm 5x5 cm NEW SIZE Website: http://hyalofast.anikatherapeutics.com E-mail: [email protected] Telephone: +39 (0)49 295 8324 4 Level 1 Study Proves Efficacy of ACP in -
An Update on Dual-Energy X-Ray Absorptiometry Glen M
An Update on Dual-Energy X-Ray Absorptiometry Glen M. Blake, PhD, and Ignac Fogelman, MD Dual-energy x-ray absorptiometry (DXA) scans to measure bone mineral density at the spine and hip have an important role in the evaluation of individuals at risk of osteoporosis, and in helping clinicians advise patients about the appropriate use of antifracture treat- ment. Compared with alternative bone densitometry techniques, hip and spine DXA exam- inations have several advantages that include a consensus that bone mineral density results should be interpreted using the World Health Organization T score definition of osteoporosis, a proven ability to predict fracture risk, proven effectiveness at targeting antifracture therapies, and the ability to monitor response to treatment. This review dis- cusses the evidence for these and other clinical aspects of DXA scanning. Particular attention is directed at the new World Health Organization Fracture Risk Assessment Tool (FRAX) algorithm, which uses clinical risk factors in addition to a hip DXA scan to predict a patient’s 10-year probability of suffering an osteoporotic fracture. We also discuss the recently published clinical guidelines that incorporate the FRAX fracture risk assessment in decisions about patient treatment. Semin Nucl Med 40:62-73 © 2010 Elsevier Inc. All rights reserved. steoporosis is widely recognized as an important public porosis before fractures occur and the development of effec- Ohealth problem because of the significant morbidity, tive treatments. Measurements of bone mineral -
Applications of Chondrocyte-Based Cartilage Engineering: an Overview
Hindawi Publishing Corporation BioMed Research International Volume 2016, Article ID 1879837, 17 pages http://dx.doi.org/10.1155/2016/1879837 Review Article Applications of Chondrocyte-Based Cartilage Engineering: An Overview Abdul-Rehman Phull,1 Seong-Hui Eo,1 Qamar Abbas,1 Madiha Ahmed,2 and Song Ja Kim1 1 Department of Biological Sciences, College of Natural Sciences, Kongju National University, Gongjudaehakro 56, Gongju 32588, Republic of Korea 2Department of Pharmacy, Quaid-i-Azam University, Islamabad 45320, Pakistan Correspondence should be addressed to Song Ja Kim; [email protected] Received 14 May 2016; Revised 24 June 2016; Accepted 26 June 2016 Academic Editor: Magali Cucchiarini Copyright © 2016 Abdul-Rehman Phull et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Chondrocytes are the exclusive cells residing in cartilage and maintain the functionality of cartilage tissue. Series of biocomponents such as different growth factors, cytokines, and transcriptional factors regulate the mesenchymal stem cells (MSCs) differentiation to chondrocytes. The number of chondrocytes and dedifferentiation are the key limitations in subsequent clinical application of the chondrocytes. Different culture methods are being developed to overcome such issues. Using tissue engineering and cell based approaches, chondrocytes offer prominent therapeutic option specifically in orthopedics for cartilage repair and to treat ailments such as tracheal defects, facial reconstruction, and urinary incontinence. Matrix-assisted autologous chondrocyte transplantation/implantation is an improved version of traditional autologous chondrocyte transplantation (ACT) method. An increasing number of studies show the clinical significance of this technique for the chondral lesions treatment. -
Helping Physicians Succeed with ICD-10-CM January 24, 2014
Helping Physicians Succeed with ICD-10-CM January 24, 2014 Paul Belton, Vice President Corporate Compliance Agenda • Executive Summary • Clinical Roots of ICD-10 • Why physicians should care • How ICD-10 will benefit physicians • Taking control of ICD-10 • Personal Learning Experiences and Goals • ICD-10 Resources 2 Last Call for ICD-9-CM October 1, 2013 could be a day sentimental HIM Veterans raise a glass to a longtime friend – or perhaps foe. For October 1 signifies the end of an era; it is the effective date of the final ICD-9-CM update before ICD-10-CM/PCS codes kick in on October 1, 2014. TOP MOVIES THE AVERAGE INCLUDED: COST OF A SUPERMAN THE NEW HOUSE MOVIE, THE DEER WAS $58,000 HUNTER, THE MUPPET MOVIE, ROCKY II “For those of us who have THE AVERAGE INCOME WAS MARGARET THATCHER WS been maintaining ICD-9-CM $17,500 ELECTED PRIM MINISTER IN since the code set’s THE UK implementation in 1979, this THE BOARD GAM TRIVIIAL THE SONY PURSUIT WAS LAUNCHED WALKMAN final ICD-9-CM code update is DEBUTED, VISICALC BECAME In 1979: RETAILING a historic occasion.” ICD-9-CM THE FIRST FOR $200 has one more year’s worth of SPREADSHEET PROGRAM POPULAR SONGS last calls, with coders using INCLUDED: “MY AVERAGE SHARONA” BY THE MONTHLY this latest and last code set KNACK; “HOT STUFF” AND A GALLON RENT WAS “BAD GIRLS BY GLORIA OF GAS $280 update until next October. A GAYNOR; PINK FLOYD WAS 86 RELEASED “THE WALL” CENTS reflective toast to ICD-9-CM. -
Autologous Matrix-Induced Chondrogenesis and Generational Development of Autologous Chondrocyte Implantation
Autologous Matrix-Induced Chondrogenesis and Generational Development of Autologous Chondrocyte Implantation Hajo Thermann, MD, PhD,* Christoph Becher, MD,† Francesca Vannini, MD, PhD,‡ and Sandro Giannini, MD‡ The treatment of osteochondral defects of the talus is still controversial. Matrix-guided treatment options for covering of the defect with a scaffold have gained increasing popularity. Cellular-based autologous chondrocyte implantation (ACI) has undergone a generational development overcoming the surgical drawbacks related to the use of the periosteal flap over time. As ACI is associated with high costs and limited in availability, autologous matrix-induced chondrogenesis, a single-step procedure combining microfracturing of the subchondral bone to release bone marrow mesenchymal stem cells in combination with the coverage of an acellular matrix, has gained increasing popularity. The purposes of this report are to present the arthroscopic approach of the matrix-guided autologous matrix-induced chondrogenesis technique and generational development of ACI in the treatment of chondral and osteochon- dral defects of the talus. Oper Tech Orthop 24:210-215 C 2014 Elsevier Inc. All rights reserved. KEYWORDS cartilage, defect, ankle, talus, AMIC, ACI Introduction Cartilage repair may be obtained by cartilage replacement: (OATS, mosaicplasty) or with techniques aimed to generate a hondral and osteochondral lesions are defects of the newly formed cartilage such as microfracture or autologous Ccartilaginous surface and underlying subchondral bone of chondrocyte implantation (ACI).9-17 the talar dome. These defects are often caused by a single or Arthroscopic debridement and bone marrow stimulation multiple traumatic events, mostly inversion or eversion ankle using the microfracture technique has proven to be an 1,2 sprains in young, active patients. -
Osteocyte Dysfunction Promotes Osteoarthritis Through MMP13-Dependent Suppression of Subchondral Bone Homeostasis
Bone Research www.nature.com/boneres ARTICLE OPEN Osteocyte dysfunction promotes osteoarthritis through MMP13-dependent suppression of subchondral bone homeostasis Courtney M. Mazur1,2, Jonathon J. Woo 1, Cristal S. Yee1, Aaron J. Fields 1, Claire Acevedo1,3, Karsyn N. Bailey1,2, Serra Kaya1, Tristan W. Fowler1, Jeffrey C. Lotz1,2, Alexis Dang1,4, Alfred C. Kuo1,4, Thomas P. Vail1 and Tamara Alliston1,2 Osteoarthritis (OA), long considered a primary disorder of articular cartilage, is commonly associated with subchondral bone sclerosis. However, the cellular mechanisms responsible for changes to subchondral bone in OA, and the extent to which these changes are drivers of or a secondary reaction to cartilage degeneration, remain unclear. In knee joints from human patients with end-stage OA, we found evidence of profound defects in osteocyte function. Suppression of osteocyte perilacunar/canalicular remodeling (PLR) was most severe in the medial compartment of OA subchondral bone, with lower protease expression, diminished canalicular networks, and disorganized and hypermineralized extracellular matrix. As a step toward evaluating the causality of PLR suppression in OA, we ablated the PLR enzyme MMP13 in osteocytes while leaving chondrocytic MMP13 intact, using Cre recombinase driven by the 9.6-kb DMP1 promoter. Not only did osteocytic MMP13 deficiency suppress PLR in cortical and subchondral bone, but it also compromised cartilage. Even in the absence of injury, osteocytic MMP13 deficiency was sufficient to reduce cartilage proteoglycan content, change chondrocyte production of collagen II, aggrecan, and MMP13, and increase the 1234567890();,: incidence of cartilage lesions, consistent with early OA. Thus, in humans and mice, defects in PLR coincide with cartilage defects. -
Module 2 : Anatomy – the Skeleton
Module 2 : Anatomy – The Skeleton In this module you will learn: The functions of the skeletal system The types of bones in the human body The effects of exercise on your bones What happens to the bones as we get older When studying to become a fitness instructor or personal trainer, you will learn all about the anatomy of the human body. Studying the skeleton is one of the foundations of your trade, you will need to know how the body is structured, the names of each bone, types of bones, importance of bone and joint health, detail of the spine and different terms of movement. Without stating the obvious, each of your clients has their own skeleton and you must be fully aware of how this works. This is for many reasons; you are a teacher and must be fully aware of how to prevent injuries, avoid unnecessary stress on the bones and, if qualified, help the client prevent or heal bone and joint related conditions or medical problems. 2.1 Understanding the Skeletal System The skeleton is comprised of 206 different bones that provide 5 main functions: Support mechanism for muscle and tissue Protection for organs Movement with bones, muscles, and joints Storing minerals and blood cells Growth Skeletal System 2.2 Bones are Formed by Ossification Some bones (such as the flat bones of your skull) in the body are formed in a similar stage to connective tissue. The process is known as direct or intramembranous ossification. Other bones are made up of cartilaginous matter, this is developed from future bone in the embryo which then dissolves and is replaced with other bone cells. -
National Health and Nutrition Examination Survey Flyer (12/02)
Osteoporosis Introduction Figure 1. Prevalence of low femur bone density: Osteoporosis is a skeletal disorder in which bones United States 1988–94 weaken and risk of fracture is increased. While any fracture is a serious occurrence, hip fractures are of greatest public health concern because the consequences are often devastating. For example, those who experience hip fractures have an increased risk of death during the first 12 months after the fracture. Among those who survive, many experience loss of mobility and may have to enter long-term care facilities. Finally, hip fractures cost more to repair than any other type of osteoporotic fracture. Defining osteoporosis Bone strength is determined by the amount of bone mass or bone mineral density (BMD) and its quality and microarchitecture. The latter two qualities are not easy to measure, but methods to accurately assess BMD, such as dual-energy x-ray absorptiometry (DXA), are available. In prevalence of low total femur BMD among older U.S. adults 1994, an expert panel convened by the World Health were calculated using the WHO definitions. For this Organization (WHO) developed diagnostic criteria for analysis, BMD values of white women 50 years of age and osteoporosis and reduced bone density in white women. older were compared with those of 20–29-year-old non- These definitions are based on a comparison of the Hispanic white women. There is no consensus at this time individual’s BMD value with those of a young adult concerning the definition of low bone density in groups reference group. Two levels of reduced BMD were defined: other than white women; however, it is clear that osteopenia, which is a mild reduction in BMD, and osteoporosis is not solely a disease of white women. -
Osteocyte Differentiation and the Formation of an Interconnected Cellular Network in Vitro
EuropeanMJ Mc Garrigle Cells and et alMaterials. Vol. 31 2016 (pages 323-340) DOI: 10.22203/eCM.v031a21Formation of an interconnected osteocyte ISSN 1473-2262 network OSTEOCYTE DIFFERENTIATION AND THE FORMATION OF AN INTERCONNECTED CELLULAR NETWORK IN VITRO M.J. Mc Garrigle1, C.A. Mullen1, M.G. Haugh1, M.C. Voisin1 and L.M. McNamara1* 1 Centre for Biomechanics Research (BMEC), Biomedical Engineering, College of Engineering and Informatics, National University of Ireland, Galway Abstract Introduction Extracellular matrix (ECM) stiffness and cell density can In bone, osteocyte cells form a complex three-dimensional regulate osteoblast differentiation in two dimensional (3D) communication network that plays a vital role in environments. However, it is not yet known how maintaining bone health by monitoring physical cues osteoblast-osteocyte differentiation is regulated within a arising during load-bearing activity and directing the 3D ECM environment, akin to that existing in vivo. In this activity of osteoblasts and osteoclasts to initiate bone study we test the hypothesis that osteocyte differentiation is formation and resorption (Burger and Klein-Nulend, 1999). regulated by a 3D cell environment, ECM stiffness and cell Osteocytes are formed when cuboidal-like osteoblasts density. We encapsulated MC3T3-E1 pre-osteoblastic cells become embedded within soft secreted osteoid and start to at varied cell densities (0.25, 1 and 2 × 106 cells/mL) within change morphologically to a dendritic shape characteristic microbial transglutaminase (mtgase) gelatin hydrogels of an osteocyte. This transition is accompanied by a loss of low (0.58 kPa) and high (1.47 kPa) matrix stiffnesses. of cell volume (reduced organelle content) (Knothe Tate Cellular morphology was characterised from phalloidin- et al., 2004; Palumbo et al., 2004) and an increase in the FITC and 4’,6-diamidino-2-phenylindole (DAPI) dilactate formation and elongation of thin cytoplasmic projections staining. -
REVIEW ARTICLE Interactions Between GH, IGF-I, Glucocorticoids
0031-3998/02/5202-0137 PEDIATRIC RESEARCH Vol. 52, No. 2, 2002 Copyright © 2002 International Pediatric Research Foundation, Inc. Printed in U.S.A. REVIEW ARTICLE Interactions between GH, IGF-I, Glucocorticoids, and Thyroid Hormones during Skeletal Growth HELEN ROBSON, THOMAS SIEBLER, STEPHEN M. SHALET, AND GRAHAM R. WILLIAMS Department of Clinical Research [H.R.], Department of Endocrinology [S.M.S.], Christie Hospital National Health Service Trust, Manchester, U.K.; University Children’s Hospital, University of Leipzig, Leipzig, Germany [T.S.]; IC Molecular Endocrinology Group, Division of Medicine and MRC Clinical Sciences Centre, Faculty of Medicine, Imperial College School of Science Technology and Medicine, Hammersmith Hospital, London, U.K. [G.R.W.] ABSTRACT Linear growth occurs during development and the childhood Abbreviations years until epiphyseal fusion occurs. This process results from 5'-DI, 5'-iodothyronine deiodinase endochondral ossification in the growth plates of long bones and FGF, fibroblast growth factor is regulated by systemic hormones and paracrine or autocrine FGFR, fibroblast growth factor receptor factors. The major regulators of developmental and childhood GC, glucocorticoid growth are GH, IGF-I, glucocorticoids, and thyroid hormone. GHR, GH receptor Sex steroids are responsible for the pubertal growth spurt and GR, glucocorticoid receptor epiphyseal fusion. This review will consider interactions between HSPG, heparan sulfate proteoglycan GH, IGF-I, glucocorticoids, and thyroid hormone during linear 11HSD, 11-hydroxysteroid dehydrogenase growth. It is well known from physiologic and clinical studies IGF-IR, IGF-I receptor that these hormones interact at the level of the hypothalamus and IGFBP, IGF binding protein pituitary. Interacting effects on peripheral tissues such as liver are Ihh, Indian hedgehog also well understood, but we concentrate here on the epiphyseal JAK-2, Janus-activated kinase-2 growth plate as an important and newly appreciated target organ PTHrP, PTH-related peptide for convergent hormone action. -
GLOSSARY of MEDICAL and ANATOMICAL TERMS
GLOSSARY of MEDICAL and ANATOMICAL TERMS Abbreviations: • A. Arabic • abb. = abbreviation • c. circa = about • F. French • adj. adjective • G. Greek • Ge. German • cf. compare • L. Latin • dim. = diminutive • OF. Old French • ( ) plural form in brackets A-band abb. of anisotropic band G. anisos = unequal + tropos = turning; meaning having not equal properties in every direction; transverse bands in living skeletal muscle which rotate the plane of polarised light, cf. I-band. Abbé, Ernst. 1840-1905. German physicist; mathematical analysis of optics as a basis for constructing better microscopes; devised oil immersion lens; Abbé condenser. absorption L. absorbere = to suck up. acervulus L. = sand, gritty; brain sand (cf. psammoma body). acetylcholine an ester of choline found in many tissue, synapses & neuromuscular junctions, where it is a neural transmitter. acetylcholinesterase enzyme at motor end-plate responsible for rapid destruction of acetylcholine, a neurotransmitter. acidophilic adj. L. acidus = sour + G. philein = to love; affinity for an acidic dye, such as eosin staining cytoplasmic proteins. acinus (-i) L. = a juicy berry, a grape; applied to small, rounded terminal secretory units of compound exocrine glands that have a small lumen (adj. acinar). acrosome G. akron = extremity + soma = body; head of spermatozoon. actin polymer protein filament found in the intracellular cytoskeleton, particularly in the thin (I-) bands of striated muscle. adenohypophysis G. ade = an acorn + hypophyses = an undergrowth; anterior lobe of hypophysis (cf. pituitary). adenoid G. " + -oeides = in form of; in the form of a gland, glandular; the pharyngeal tonsil. adipocyte L. adeps = fat (of an animal) + G. kytos = a container; cells responsible for storage and metabolism of lipids, found in white fat and brown fat. -
Bone Markings / Features on Bones
08/05/2016 Bone Markings : Skeletal System Search Custom Search Like Tweet Home Health News Human Body Biology Chemistry Glossary Textbooks Bone Disorders Ads by Google ► Bone Tissue ► Bone Marrow ► Human Skull Bone ► Bone on Bone Knee Sun 8 May 2016 Bone Markings / Features on Bones Human Body Study Section Bone markings and the features of bones (including the correct words used to describe them) are often required by firstlevel courses in human anatomy and associated health science subjects. It is important to be familiar with the terminology used to Human Body Index refer to bone markings in order to communicate effectively with professionals involved in healthcare, research, forensics, and Health Glossary related disciplines. More about Bones and the Skeletal System: The following terms used to describe bone markings or features on bones are in alphabetical order with short definitions: Human Skeleton Axial and Appendicular Word / Term Meaning / Description Type of Example(s) Skeleton (Bone Marking or bone The Structure and Feature) marking Functions of Bones Types of Bones 1. Angle A corner Feature of Inferior angle (lower) and superior angle (upper) are Bone Markings & Features shape of bone the rounded angles or "corners" of the scapula. on Bones Disorders of the Skeletal 2. Body The main portion of a bone The diaphysis of long bones such as the humerus. System Curvature of the Spine 3. Condyle Rounded bump or large rounded Process The medial condyle of the femur (bone), upperleg. prominence. Such rounded surfaces forms joints Types of Joints usually fit into a fossa on another bone to Specific bones: form a joint.