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Articular Cartilage

- Discussion:
    - hyaline cartilage caps ends of bones that form synovial joints; 
    - in other hyaline cartilage structures, surrounding perichondrium contains both capillaries for nutrition and the
      cells that become involved in appositional growth
    - thickness of articular cartilage varies from joint to joint, and in humans it is thickest over ends of femur &
      tibia, ranging from 2-4 mm; 
    - cartilage contains predominantly type II collagens w/ lesser amounts of type IX and type XI; 
    - function:
           - it provides both a cushion & slick surface for movement; (see lubrication)
           - consistency of the extracellular matrix allows the tissue to bear mechanical stresses without
              permanent distortion;
           - shock-absorbing because it is resilient;
           - smooth surface allows sliding against it
    - synovial fluid
           - nourishment is supplied synovial fluid that bathes cartilage;
           - withdrawal of synovial fluid often leads to rapid deterioration of cartilage; 
           - ref: Synovial fluid depletion: successful arthrodesis without operative cartilage removal 
    - perichondrium:
          - articular cartilage has no more than a peripheral rim of perichondrium on its free surface, and calcified
            cartilage abutting bone limits diffusion from blood vessels supplying subchondral bone; 
          - free surfaces of most hyaline cartilage (but not articular cartilage) are covered by a layer of fibrous
            connective tissue, perichondrium;
          - deep portion of perichondrium is composed of chondroblasts;
          - external portion is less cellular and more densely fibrous; 
    - extracellular matrix
          - filler material of cartilage is composed of proteoglycan aggregates w/ chondroitin sulfate & keratan
            sulfate as chief glycosaminoglycans
           - approx 10% of wet weight of cartilage is collagen;
           - approx 75% of matrix is water;
           - remainder is a nonfibrous filler material;
           - these entities together form stiff sol; 
           - containes fibers, ground substance
           - collagen, hyaluronic acid, proteoglycans, glycoproteins, elastic (in elastic cartilage)
           - macromolecules, water, fibers bind together and producing function properties and flexibility;
           - no blood, nerve supply
           - low metabolic rate;
    - collagen alignment and function:
           - type II collagen is the primary type of collagen in articular cartilage; 
           - leaf-like arcades of collagen fibers within which the chondrocytes are oriented perpendicular to the
             articular surface in the deep zone
           - arch through the middle zone
           - become horizontal and parallel to the articular surface in the superficial tangential zone;
           - functions of collagen fibers w/ in cartilage: 
                  - provides tensile strength to tissue and resist movement of interstitial water & proteoglycans from
                    the cartilage, esp. while it sustains compressional loading;
                  - to anchor ground substance of articular cartilage to subchondral bone; 
                  - references:
                         - Quantitative structural organization of normal adult human articular cartilage.
                         - Three-dimensional collagen architecture in bovine articular cartilage.
                         - The ultrastructure of mouse articular cartilage: collagen orientation and implications for
                           tissue functionality. A polarised light and  electron microscope study.


- Histology:
     - chondrocytes, occupy lacunae generously distributed through the matrix; 
     - young chondrocytes & chondroblasts have rounded nuclei (or double nuclei); 
     - cytoplasm contains elongated mitochondria, well-developed Golgi apparatus, varying amounts of glycogen, &
        lipid droplets; 
             - each peripheral lacuna typically houses a single chondrocyte; 
             - deeper lacunae may contain two or more chondrocytes; 
             - surrounding each cell is a territorial matrix w/ a higher concentration of proteoglycans
     - references:
             - Histology of Cartilage and Bone

- 4 Zones of artiuclar cartilage:
     - superficial layer (tangential zone);
           - makes up 10% of cartilage;
           - consists of 2 sub-zones:
                  - fibrilar sheet / lamina splendens is the more superficial layer;
                        - clear film consisting of a sheet of small fibrils with little polysaccharide and no cells;
                  - cellular layer w/ flattened chondrocytes;
                        - flat chondrocytes and collagen fibers are arranged tangentially to the articular surface;
           - thinnest layer, with the highest content of collagen and the lowest concentration of proteoglycans;
                  - collagen (type IX) is arranged at right angles to adjacent bundles and parallel to the
                     articular surface;                          
           - subsequently has greatest ability to resist shear stresses and serves as a gluiding surface for joint;
           - may also function to limit passage of large molecules between synovial fluid and cartilage;
           - superficial zone is the first to show changes of osteoarthritis;
    - transitional layer
           - this zone is involves transition between the shearing forces of surface layer to compression forces in
              the cartilage layers;
           - composed almost entirely of proteoglycans
           - spherical chondrocytes
           - less strongly bound;
    - deep radial layer
           - largest part of the articular cartilage
           - it distributes loads and resists compression;
           - collagen fibers and chondrocytes are perpendicular to the subchondral plate;
    - calcified cartilage layer
           - contains the tidemark layer;
                   - tidemark is basophilic line which stradles the boundry between calcified and uncalcified cartilage;
           - separates hyaline cartilage from subchondral bone;
           - type X collagen is present mainly in the calcified cartilage layer and in hypertrophic zone of the growth plate; 
           - much of hyaline cartilage in non articular areas of the body ultimately calcifies w/ maturation;
                   - when calcification occurs, chondrocytes die & matrix disintegrates;
                   - articular cartilage is unique in that its more superficial zones do not calcify, except in pathologic states
                     such as pseudogout 

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