RHEUMATOLOGY

Biomechanics

May 20, 2021 by in RHEUMATOLOGY Comments Off on Biomechanics

Key Points Kinematics is the study of the geometric and time-dependent aspects of motion without analyzing the forces causing the motion. Kinetics is the study of the forces that cause…

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Muscle: Anatomy, Physiology, and Biochemistry

May 20, 2021 by in RHEUMATOLOGY Comments Off on Muscle: Anatomy, Physiology, and Biochemistry

Key Points The structure and function of skeletal muscle and its neural recruitment pattern can change rapidly in response to activity level (i.e., plasticity). The smallest functional unit of muscle,…

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Biology, Physiology, and Morphology of Bone

May 20, 2021 by in RHEUMATOLOGY Comments Off on Biology, Physiology, and Morphology of Bone

Key Points Intramembranous or endochondral ossification generates bone tissue. Bones consist of a dense cortical shell and sponge-like trabecular network. Bone formation depends on metabolically active osteoblasts synthesizing matrix proteins….

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Cartilage and Chondrocytes

May 20, 2021 by in RHEUMATOLOGY Comments Off on Cartilage and Chondrocytes

Key Points Articular cartilage matrix is heterogeneous and contains a core matrisome of key extra-cellular matrix (ECM) proteins, of which the large aggregating proteoglycan aggrecan and collagen types II, IX,…

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Synovium

May 20, 2021 by in RHEUMATOLOGY Comments Off on Synovium

Key Points The synovium provides nutrients to cartilage and produces lubricants for the joint. The intimal lining of the synovium includes macrophage-like and fibroblast-like synoviocytes. The sublining in normal synovium…

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Biology of the Normal Joint

May 20, 2021 by in RHEUMATOLOGY Comments Off on Biology of the Normal Joint

Key Points Condensation of mesenchymal cells, which differentiate into chondrocytes, results in formation of the cartilage anlagen, which provides the template for the developing skeleton. During development of the synovial…

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Posttraumatic Radiocarpal Arthritis

Mar 15, 2021 by in RHEUMATOLOGY Comments Off on Posttraumatic Radiocarpal Arthritis

Key Points • Before embarking for salvage procedures, conservative treatment and corrective osteotomy should have been considered. • If these measures are inapplicable or fail, partial or extensive wrist denervation…

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Posttraumatic DRUJ Arthritis

Mar 15, 2021 by in RHEUMATOLOGY Comments Off on Posttraumatic DRUJ Arthritis

Key Points • Salvage procedures of distal radioulnar joint (DRUJ) arthritis after distal radius fractures (DRFs) can be divided in resection arthroplasties and implant arthroplasties. • Corrective osteotomy, ulnar shortening,…

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