Lecture Final - 231 - Lectures 14, 15, 16

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Last updated 7:05 PM on 7/22/26
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45 Terms

1
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Control of growth

Two growth spurts

  • Bran, total body height, and reproductive organs do not grow at same rate

<p>Two growth spurts</p><ul><li><p>Bran, total body height, and reproductive organs do not grow at same rate</p></li></ul><p></p>
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Control of growth- factors

Endocrine factors = promotes or inhibits growth

  • Growth hormone

  • thyroid hormone

  • sex steroids

  • cortisol

Environmental factors = need proper nutrition to grow

  • Nutrition

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Genetics vs environment

  • Height mostly due to genetics but better acces to food and nutrition increases height

<ul><li><p>Height mostly due to genetics but better acces to food and nutrition increases height</p></li></ul><p></p>
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Growth hormone

  • ANTERIOR PITUITARY GLAND secretes GROWTH HORMONE to the LIVER to produce INSULIN-LIKE GROWTH FACTOR

  • Insulin-like growth factor does most of growth for cartilage and bone

  • Growth hormone has an anti-insulin effect that shifts the body toward using fat for energy

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Growth Hormone Disorders

Acromegaly

  • Growth hormone released in adulthood thickens cartilage but do not grow taller

Gigantism

  • Excess growth hormone during childhood

Dwarfism

  • Decreased Growth hormone in childhood

*Usually caused by pituitary tumor which hyper secretes

<p>Acromegaly</p><ul><li><p>Growth hormone released in adulthood thickens cartilage but do not grow taller</p></li></ul><p>Gigantism</p><ul><li><p>Excess growth hormone during childhood</p></li></ul><p>Dwarfism</p><ul><li><p>Decreased Growth hormone in childhood</p></li></ul><p>*Usually caused by pituitary tumor which hyper secretes</p><p></p>
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Steriod Hormones and Thyroid Hormone

Glucocorticoids (cortisol)

  • decreased bone productoin

  • cell death of osteocytes

Estradiol and Testosterone

  • Increased bone formation

  • decreases osteoclast activity

    • Important during puberty

    • Ovaries = estrogen faster at closing epiphyseal plates

    • Testosterone slower at closing epiphyseal plates

Thyroid hormone

  • permissive effects for other hormones

  • stimulates release growth factors

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How are bones held together to form joints?

Structural classification (BASED ON TYPES OF CT)

  • Fibrous

  • Cartilaginous

  • Synovial

Functional classification (AMOUNT OF MOVEMENT)

  • Synarthrosis

  • Amphiarthrosis

  • Diarthrosis

*Typically go together

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Structural type: FIBROUS

Suture = HELD TOGETHER BY FIBERS

  • Only in skull

  • Bones overlap, and fibers overlap

Syndesmosis

  • JOINT HELD BY LIGAMENT

Gomphosis

  • HOLD TOOTH

<p>Suture = HELD TOGETHER BY FIBERS</p><ul><li><p>Only in skull</p></li><li><p>Bones overlap, and fibers overlap</p></li></ul><p>Syndesmosis</p><ul><li><p>JOINT HELD BY LIGAMENT</p></li></ul><p>Gomphosis</p><ul><li><p>HOLD TOOTH</p></li></ul><p></p>
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Structural Type: CARTILAGINOUS

Synchondroses

  • United by hyaline cartilage

Symphyses

  • United by fibrocartilage

<p>Synchondroses</p><ul><li><p>United by hyaline cartilage</p></li></ul><p>Symphyses</p><ul><li><p>United by fibrocartilage</p></li></ul><p></p>
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Structural Type: SYNOVIAL

  • Held by ligament, but has synovial membrane around joint

  • Gap between bones

<ul><li><p>Held by ligament, but has synovial membrane around joint</p></li><li><p>Gap between bones</p></li></ul><p></p>
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Other synovial joint structures:

Burse = rolls along with movement (like a ball) which stops friction

<p>Burse = rolls along with movement (like a ball) which stops friction</p>
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Planes of Movement

  • Sagittal

    • Bicep curl, lunges

  • Frontal

    • Jumping hacks

  • Transverse

    • Spinning

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Types of Synovial joints - Plane and Hinge

Plane joint

  • Non-axial

  • Only glide

Hinge joint

  • Uniaxial

  • Action in one plane

  • Flexion, extension

<p>Plane joint</p><ul><li><p>Non-axial</p></li><li><p>Only glide</p></li></ul><p>Hinge joint</p><ul><li><p>Uniaxial</p></li><li><p>Action in one plane</p></li><li><p>Flexion, extension</p></li></ul><p></p>
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Types of Synovial Joints - Pivot and Condyloid

Pivot

  • Uniaxial

  • Pronation, supination

Condyloid joint

  • Biaxial

  • Flexion, extension, adduction, abduction

<p>Pivot</p><ul><li><p>Uniaxial</p></li><li><p>Pronation, supination</p></li></ul><p>Condyloid joint</p><ul><li><p>Biaxial</p></li><li><p>Flexion, extension, adduction, abduction</p></li></ul><p></p>
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Types of synovial joints - Saddle and Ball-and-socket

Saddle joint

  • Saggital, frontal

  • Biaxial

Ball-and-socket

  • Multiaxial

<p>Saddle joint</p><ul><li><p>Saggital, frontal</p></li><li><p>Biaxial</p></li></ul><p>Ball-and-socket</p><ul><li><p>Multiaxial</p></li></ul><p></p>
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Ligaments

  • Can stop movement in a different plane

  • Limits movement

  • Ligaments not vascular (hard to heal)

<ul><li><p>Can stop movement in a different plane</p></li><li><p>Limits movement</p></li><li><p>Ligaments not vascular (hard to heal)</p></li></ul><p></p>
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Damage to Ligaments: Sprains

Hard to put ligament together

<p>Hard to put ligament together</p>
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Dislocations (luxation)

Ball-and-socket susceptible

<p>Ball-and-socket susceptible</p>
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Inflammatory and Degenerative Conditions

Inflammation = Immune response

  • Bursitis

    • Irritation to bursa

  • Tendonitis

    • Irritation to tendons

  • Artritis

    • Hyaline cartilage degrading at ends of bones

<p>Inflammation = Immune response</p><ul><li><p>Bursitis</p><ul><li><p>Irritation to bursa</p></li></ul></li><li><p>Tendonitis</p><ul><li><p>Irritation to tendons</p></li></ul></li><li><p>Artritis</p><ul><li><p>Hyaline cartilage degrading at ends of bones</p></li></ul></li></ul><p></p>
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Inflammatory and Degenerative Conditions

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Glucosamine, Chondroitin Sulfate, and Combination

Primary response dropped 20%

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Effects of glucosamine and chondroitin sulfate on cartilage

Rate of dying chrondrocytes slowed

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Joint Replacement

knowt flashcard image
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How is action created in a joint?

Muscles attach to bones and cross joints

  • Points of attachment

    • Origin = POA that doesn’t move

    • Insertion = POA that does move

<p>Muscles attach to bones and cross joints</p><ul><li><p>Points of attachment</p><ul><li><p>Origin = POA that doesn’t move</p></li><li><p>Insertion = POA that does move</p></li></ul></li></ul><p></p>
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Lever systems

  • Longer effort arm = if the effort arm is longer than the load arm, the effort is smaller

  • Longer load arm = if the load is further from the fulcrum than the effort, you must apply greater force

<ul><li><p>Longer effort arm = if the effort arm is longer than the load arm, the effort is smaller</p></li><li><p>Longer load arm = if the load is further from the fulcrum than the effort, you must apply greater force</p></li></ul><p></p>
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Lever Systems - Mechanical advantage

  • If the distange to the fulcrum is longer for the effort than compared to the load

<ul><li><p>If the distange to the fulcrum is longer for the effort than compared to the load</p></li></ul><p></p>
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Lever system - Mechanical Disadvantage

If the distance to the fulcrum is shorter for the “effort” compared to the “load”, the lever is at a mechanical disadvantage

<p>If the distance to the fulcrum is shorter for the “effort” compared to the “load”, the lever is at a mechanical disadvantage</p>
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Lever systems in the body

  • Most joints work at a mechanical disadvantage

  • The insertion of the muscle is very close to the fulcrum compared to the weight of the load

<ul><li><p>Most joints work at a mechanical disadvantage</p></li><li><p>The insertion of the muscle is very close to the fulcrum compared to the weight of the load</p></li></ul><p></p>
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Lever systems - Classes

1 + 2 = mechanical advantage

3 = mechanical disadvantage

<p>1 + 2 = mechanical advantage</p><p>3 = mechanical disadvantage</p>
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Organization of muscle tissue

Epimysium → Perimysium → Fascicle → Endomysium → Muscle Fiber

  • Muscle fiber = muscle cell

<p>Epimysium → Perimysium → Fascicle → Endomysium → Muscle Fiber</p><ul><li><p>Muscle fiber = muscle cell</p></li></ul><p></p>
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Miscroscopic Anatomy

  • Muscle cell = bundles of myofibrils

Muscle fiber → Sarcolemma → myofibril

  • Myofibril = intracellular proteins

<ul><li><p>Muscle cell = bundles of myofibrils</p></li></ul><p>Muscle fiber → Sarcolemma → myofibril</p><ul><li><p>Myofibril = intracellular proteins</p></li></ul><p></p>
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Microscopic Anatomy - Inside a muscle fiber (cell)

  • Between myofibrils = Sarcoplasmic reticulum, T-Tubules, mitochondria

  • A band = dark space (where there are myosin)

  • I band = light space (where there are only actin)

Sarcoplasmic reticulum = STORAGE FOR CALCIUM

<ul><li><p><u>Between myofibrils</u> = Sarcoplasmic reticulum, T-Tubules, mitochondria</p></li><li><p>A band = dark space (where there are myosin)</p></li><li><p>I band = light space (where there are only actin)</p></li></ul><p>Sarcoplasmic reticulum = STORAGE FOR CALCIUM</p><p></p>
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Microscopic Anatomy

Myofibrils are bundles of myofilaments

  • SARCOMERE = BETWEEN Z DISCS

<p><u>Myofibrils</u> are bundles of <u>myofilaments</u></p><ul><li><p>SARCOMERE = BETWEEN Z DISCS</p></li></ul><p></p>
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Microscopic Anatomy - Myofilaments: THICK

Thick filaments = Bundles of Myosin

<p>Thick filaments = Bundles of Myosin</p>
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Microscopic Anatomy - Myofilaments: THIN

Thin filaments = Bundles of actin

  • Tropomyosin blocks myosin head from attaching to actin

<p>Thin filaments = Bundles of actin</p><ul><li><p>Tropomyosin blocks myosin head from attaching to actin</p></li></ul><p></p>
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Sliding Filament Theory

  • A band stays the same

  • H band disappears (Between ends of actin)

  • I band gets smaller (between Myosin)

<ul><li><p>A band stays the same</p></li><li><p>H band disappears (Between ends of actin)</p></li><li><p>I band gets smaller (between Myosin)</p></li></ul><p></p>
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How does a muscle fiber generate force?

Interaction of myosin and actin generates force

  • Sarcomeres shorten

  • Filaments slide past each other (SLIDING FILAMENT THEORY)

<p>Interaction of myosin and actin generates force</p><ul><li><p>Sarcomeres shorten</p></li><li><p>Filaments slide past each other (SLIDING FILAMENT THEORY)</p></li></ul><p></p>
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How does the muscle fiber generate force? - Cross bridge cycling

  1. Bind

    1. Calcium causes troponin to move tropomyosin so that myosin can attach

  2. Powerstroke

    1. ADP and P released, as head of myosin pushes/pulls

  3. Release

    1. Attachment of ATP causes myosin head to release

    2. No release = rigor mortis = no ATP

  4. Reset

    1. Calcium go back to sarcoplasmic reticulum - ATP turns into ADP and P

<ol><li><p>Bind</p><ol><li><p>Calcium causes troponin to move tropomyosin so that myosin can attach</p></li></ol></li><li><p>Powerstroke</p><ol><li><p>ADP and P released, as head of myosin pushes/pulls</p></li></ol></li><li><p>Release</p><ol><li><p>Attachment of ATP causes myosin head to release</p></li><li><p>No release = rigor mortis = no ATP</p></li></ol></li><li><p>Reset</p><ol><li><p>Calcium go back to sarcoplasmic reticulum - ATP turns into ADP and P</p></li></ol></li></ol><p></p>
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How does production stop?

  1. calcium pumps move calcium to SR

  2. Calcium no longer binds to troponin

  3. Myosin cannot bind to actin - cross bridge cycling stops

<ol><li><p>calcium pumps move calcium to SR</p></li><li><p>Calcium no longer binds to troponin</p></li><li><p>Myosin cannot bind to actin - cross bridge cycling stops</p></li></ol><p></p>
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What stimulates force production in a muscle?

Stimulation of muscle fiber

  • Action potential arrives at axon terminal

  • ACh released, binds to receptos on sarcolemma

  • Ion permeability of sarcolemma change

  • Local change in membrane voltage (depolarization) occurs

  • Local depolarization (end plate potential) ignited AP in sarcolemma

Excitation-contraction coupling

  • AP travels across the entire sarcolemma

  • AP travels along t Tubules

  • SR releases Ca2+, Ca2+ binds to troponin; myosin-binding sites on actin exposed, contraction begins

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Stimulation of muscle (excitation)

ACh effects are terminated by its enzymatic breakdown in the synaptic sleft by acetylcholinesterase

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….

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Smooth muscle

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Innervation of Smooth Muscle

  • Autonomic nerve fibers have varicosities that act like axon terminals

    • This is so one neuron can stimulate multiple cells at one time

  • GAP JUNCTIONS ensure stimulation of smooth muscle cells all at once

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Arrangement of Myofilaments

Smooth muscle cells “twist and scrunch”

  • don’t shorten in one direction