横向关节的完整骨化 - 胚胎学和临床视角
K Nomani1, D Borthakur1, C Sahni2
1All India Institute of Medical Sciences, New Delhi.
La Clinica terapeutica
|June 28, 2023
概括
横向关节骨化 (TAL) 是一种罕见的疾病,可以限制部运动,并导致神经血管压缩. 本案例报告强调了这种不寻常的发现及其临床意义.
科学领域:
- 整形外科 整形外科 整形外科
- 人体解剖学 解剖学 解剖学
背景情况:
- 横向关节带 (TAL) 对关节的稳定性至关重要.
- TAL骨化是一种罕见的异常,具有重大临床影响.
研究的目的:
- 报告一个罕见的完全TAL骨化病例,偶然在尸体样本中发现.
- 审查骨化TAL的胚胎和临床方面.
- 强调在关节病态和手术干预中识别这种异常的重要性.
主要方法:
- 在例行本科教学期间对右关节骨的解剖学观察.
- 对TAL骨化,其胚胎学和临床相关性的现有文献的审查.
主要成果:
- 在右关节骨中确定了横向状带的完全骨化.
- 骨化TAL将骨切口转化为骨孔.
- 文献审查证实了这一发现的稀有性及其可能导致关节功能障碍.
结论:
- 关节的异常骨化,无论是由于发育缺陷还是异型骨化,都可能导致关节的不稳定性和神经血管压缩症状.
- 对骨化TAL的认识对于准确诊断和有效管理关节疾病至关重要.
- 了解TAL解剖学,包括骨化等变异,对于成功的全关节置换手术至关重要.
相关概念视频
Bone Formation by Intramembranous Ossification
6.4K
Intramembranous ossification is one of the two processes involved in the development of bones within an embryo. The flat bones of the face, most of the cranial bones, and the clavicles are formed via this process. During intramembranous ossification, the bones develop directly from sheets of undifferentiated mesenchymal connective tissue.
The process begins when mesenchymal cells in the embryonic skeleton gather together and differentiate into osteogenic cells, which then develop into ...
The process begins when mesenchymal cells in the embryonic skeleton gather together and differentiate into osteogenic cells, which then develop into ...
6.4K
Development of the Limb Synovial Joints
1.4K
Joints form during embryonic development in conjunction with the formation and growth of the associated bones. The embryonic tissue that gives rise to all bones, cartilage, and connective tissues of the body is called mesenchyme.
The mesenchymal stem cells differentiate into chondrocytes that form the hyaline cartilage, and later the cartilaginous model of the bone. This model further transforms into a bone. This process is known as endochondral ossification.
During development, the limbs...
The mesenchymal stem cells differentiate into chondrocytes that form the hyaline cartilage, and later the cartilaginous model of the bone. This model further transforms into a bone. This process is known as endochondral ossification.
During development, the limbs...
1.4K
Bones of the Lower Limb: Femur and Patella
2.6K
The femur is the body's longest and strongest bone spanning the thigh region. Its head articulates with the acetabulum of the hip bone to form the hip joint. A minor indentation on the medial side of the femoral head, called the fovea capitis, serves as the site of attachment for the ligament of the head of the femur. This weak ligament spans the femur and acetabulum and supports the hip joint. The narrowed region below the head is the neck of the femur. The inclination angle between the...
2.6K
Bone Formation by Endochondral Ossification
4.8K
Bone formation, or ossification, begins around the sixth to seventh week of embryonic development. Most bones develop from a cartilaginous template through the process of endochondral ossification. Cartilage formation begins when clusters of mesenchymal cells differentiate into chondrocytes. These chondrocytes proliferate rapidly and secrete an extracellular matrix that becomes encased in a membrane called the perichondrium. The resulting cartilage model provides a template that resembles the...
4.8K
Changes in the Appendicular Skeleton with Age
2.1K
The upper and lower limb initially develops as a small bulge called a limb bud, which appears on the lateral side of the early embryo. The upper limb bud appears near the end of the fourth week of development, with the lower limb bud appearing shortly after.
Initially, the limb buds consist of a core of mesenchyme covered by a layer of ectoderm. The ectoderm at the end of the limb bud thickens to form a narrow crest called the apical ectodermal ridge. This ridge stimulates the underlying...
Initially, the limb buds consist of a core of mesenchyme covered by a layer of ectoderm. The ectoderm at the end of the limb bud thickens to form a narrow crest called the apical ectodermal ridge. This ridge stimulates the underlying...
2.1K
Growth of Cartilage and Bone Tissue
3.4K
Chondrocytes form a temporary cartilaginous model by dividing and secreting a thick gel-like extracellular matrix. Once the chondrocytes undergo programmed cell death, osteoblasts enter the site of the cartilaginous model. The process of replacing the temporary cartilaginous model with bone in an ordered manner is called endochondral ossification. In endochondral ossification, not all of the cartilage is replaced by bone tissue. Some cartilage that performs a protective and supportive function...
3.4K


