Notes in Limb MSK Development

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Published 11/30/2024 Limb development begins in week {{c1::4}}
Published 11/30/2024 Limb development begins with appearance of small projections from the {{c1::ventrolateral}} trunk called the {{c1::upper limb bud and lower …
Published 11/30/2024 Initiation of limb development begins with proliferation of {{c1::mesenchymal::cell type}} cells in the {{c2::parietal (somatic) layer of la…
Published 11/30/2024 Cells forming the limb buds are composed of a {{c1::mesenchymal}} cell core and a layer of {{c1::ectoderm}} cells
Published 11/30/2024 Upper limb development starts {{c1::before::relative timing}} lower limbs
Published 11/30/2024 Upper limbs finish developing {{c1::at the same time as::relative timing}} lower limbs
Published 11/30/2024 Limbs developmental origins- Limb muscles: {{c1::Dermamyotome}}- Bones and dermis: {{c1::Parietal (somatic) layer of lateral plate mesoderm}…
Published 11/30/2024 the ectoderm at the distal end of the limb buds thicken and form {{c1::apical ectodermal ridge}}
Published 11/30/2024 apical ectodermal ridge's effect on adjcadent mesenchyme: {{c1::inductive influence causes adjacent mesenchyme to remain undifferentiated and rap…
Published 11/30/2024 Development of each limb proceeds in a {{c1::proximal}} to {{c1::distal}} direction
Published 11/30/2024 In late week {{c2::5}} - week {{c2::6}}, the distal portion (apex) of the limb bud becomes flattened to form a {{c1::hand plate or foot plate}}
Published 11/30/2024 After formation of the hand plate and foot plate, Mesenchyme within it condenses into {{c1::digital rays}}
Published 11/30/2024 Fingers and toes are formed in the apical ectodermal ridge when {{c1::cells die separating the AER into 5 parts}}
Published 11/30/2024 Fingers are formed in the apical ectodermal ridge (AER) during {{c1::late week 6::timeframe}}.What about toes?: {{c1::week 7::timeframe}}
Published 11/30/2024 Separated but still short fingers appear in week {{c1::8}}What about toes?: {{c1::week 8 (same)::timeframe}}
Published 11/30/2024 Process by which bones of the upper limb form: {{c1::endochondral ossification}} except for the {{c2::clavicle}}
Published 11/30/2024 Process by which clavicle forms: {{c1::intramembranous ossification}}
Published 11/30/2024 Endochondral ossification of the upper limb bones begins by {{c1::end of week 8::timeframe}}
Published 11/30/2024 Endochondral ossification process involves the formation of a {{c1::cartilaginous model}} which is invaded by a blood vessel called the {{c2…
Published 11/30/2024 Primary ossification centers are found in the limb bones (humerus/radius/ulna/femur/tibia/fibula) by week {{c1::12}}
Published 11/30/2024 the shaft of a bone is also called the {{c1::diaphysis}}
Published 11/30/2024 the proximal and distal ends of a bone are also called {{c1::epiphyses}}
Published 11/30/2024 At birth the diaphysis of the bone is {{c1::complete ossified::state}}
Published 11/30/2024 At birth, the epiphyses of the bone are {{c1::still cartilaginous::state}}
Published 11/30/2024 The plate between the primary and secondary ossification center is also called {{c1::epiphyseal}} or {{c1::growth plate}}
Published 11/30/2024 Upon formation of the growth plate, endochondral ossification proceeds on {{c1::both sides of the growth plate}}
Published 11/30/2024 In long bones, growth plates are found {{c1::on each end::location}}. Short bones are found {{c1::at one end::location}}
Published 11/30/2024 Limb muscles arise from dermamyotome and move {{c1::ventrally::direction}}
Published 11/30/2024 Upper limb bud arises adjacent to the {{c1::C4-T2}} somites
Published 11/30/2024 Migration of myogenic precursors (myoblasts) starts during week {{c1::5}}
Published 11/30/2024 As the long bones form during week 5, {{c1::myoblasts}} aggregate and form two large condensations in the {{c2::dorsal and ventral aspects}}…
Published 11/30/2024 The dorsal mass gives rise to {{c1::extensors and supinators}} of the upper limb
Published 11/30/2024 The ventral mass gives rise to {{c1::flexors and pronators}} of the upper limb
Published 11/30/2024 The innervation of each muscle correlates to the {{c1::hypomere (and thus the somite)}} from which the muscle cells developed
Published 11/30/2024 Up until the {{c2::7th}} week, limbs are positioned so the flexor compartment is placed {{c1::ventrally}} and the extensor compartments are place…
Published 11/30/2024 During week {{c2::7 & 8}}, the upper limbs rotate {{c1::laterally 90 degrees}}
Published 11/30/2024 By week {{c2::8}}, the hands can {{c1::meet and cross in front of the torso}}
Published 11/30/2024 Typical causes of upper limb defects: {{c1::Genetic factors and teratogens}}
Published 11/30/2024 Developmental abnormalities notably associated with limb abnormalities: {{c1::amniotic band syndrome and oligohydramnios}}
Published 11/30/2024 Amelia: {{c1::absence of one or more limbs due to suppression of limb bud development}}
Published 11/30/2024 Amelia occurs during {{c1::early part of the 4th week::timeframe}}
Published 11/30/2024 Meromelia: {{c1::partial absence of at least one limb}}
Published 11/30/2024 Meromelia occurs during {{c1::the 5th week::timeframe}}
Published 11/30/2024 Phocomelia: {{c1::presence of hands/feet attached to torso or very short limbs}}
Published 11/30/2024 Phocomelia caused by failure of limb buds to elongate due to {{c1::minimal mesenchyme availability}}
Published 11/30/2024 Cleft hand is also called {{c1::split hand}}
Published 11/30/2024 Cleft hand: {{c1::the hand appears as a bifurcate (forked) hand due to missing one or more central digits}}
Published 11/30/2024 Cause of split hand/foot: {{c1::failure of one or more digital rays to form}}
Published 11/30/2024 Polydactyly: {{c1::presence of extra digit (typically on one hand/foot only)}}
Published 11/30/2024 Cause of polydactyly: {{c1::additional complete or partial digital rays}}
Published 11/30/2024 Most polydactyly appears {{c1::most medial or most lateral::location}} on the hand
Published 11/30/2024 Syndactyly: {{c1::webbed or joined digits}}
Published 11/30/2024 Cause of syndactyly: {{c1::lack of cell death between digital rays}}
Published 11/30/2024 Most common upper limb difference: {{c1::syndactyly}}
Published 11/30/2024 Syndactyly most commonly affects the {{c1::3rd and fourth}} digits of the upper limb
Published 11/30/2024 Syndactyly types- {{c1::Simple (only soft tissue)}}- {{c1::Complex (bone, cartilage, and soft tissue)}}- {{c1::Complicated (abnormally …
Published 11/30/2024 Poland syndrome: {{c1::absence of at least a portion of the pectoralis major muscle. Sometimes other nearby muscles as well}}
Published 11/30/2024 In poland syndrome, nipple and areola are typically {{c1::absent or displaced}}
Published 11/30/2024 Poland syndrome may also be accommpanied with differences in development of {{c1::digits, shortened radius and ulna, or shortened ribs}}
Published 11/30/2024 Musculoskeletal system develops primarily from:- {{c1::Paraxial mesoderm}}- {{c1::Lateral plate mesodern}}- {{c1::Neural crest}}
Published 11/30/2024 Lower limb bud appears by day {{c1::26}}
Published 11/30/2024 Process by which bones of the lower limb form: {{c1::endochondral ossification}}
Published 11/30/2024 Bones reach their full length during {{c1::late adolescence (~ age 18)::life phase/year}}
Published 11/30/2024 Body growth is complete during {{c1::early adulthood (~ age 20)::life phase/year}}
Published 11/30/2024 When body growth is complete, the {{c1::growth plates}} of the long bones completely ossify
Published 11/30/2024 The dorsal mass gives rise to {{c1::extensors}} of the lower limb
Published 11/30/2024 The ventral mass gives rise to {{c1::flexors}} of the lower limb
Published 11/30/2024 Dorsal mass gives rise to the extensors which includes {{c1::gluteal}} muscles of the gluteal region, {{c1::anterior}} compartment of the thigh, …
Published 11/30/2024 Ventral mass gives rise to the flexors which includes: {{c1::no}} muscles of the gluteal region, {{c1::medial and posterior}} compartment of the thigh…
Published 11/30/2024 During week {{c2::7}}, the lower limbs rotate {{c1::medially 90 degrees}}
Published 11/30/2024 By week {{c2::8}}- the extensors of the lower limb are positioned {{c1::anteriorly::direction}}- the flexors are positioned {{c1::posteriorly::directi…
Published 11/30/2024 The feet are appropriately pronated by {{c1::some time into the postanatal period}}
Published 11/30/2024 At days {{c1::25 - 26}}, amelia is more likely to effect the lower limb only
Published 11/30/2024 Split foot: {{c1::the foot appears as a bifurcate (forked) foot due to missing one or more central digits}}
Published 11/30/2024 Most polydactyly appears {{c1::most lateral::location}} on the foot
Published 11/30/2024 Hip development begins by week {{c1::7}}
Published 11/30/2024 Femoral head and acetabulum are formed by a {{c2::cleft through the same mass of mesenchyme}} during weeks {{c1::7-8}}
Published 11/30/2024 The acetabulum cavity is shaped in part by {{c1::the femoral head}}
Published 11/30/2024 If femoral head's position is incorrect or its movement is restricted during the pregnancy, it may result in {{c1::a shallow socket (developmental dys…
Published 11/30/2024 By week {{c1::11}}, The hip joint complex is formed
Published 11/30/2024 By week 11, the femoral head is {{c1::cartilaginous::cartilaginous/ossified}}
Published 11/30/2024 By week 11, the acetabulum is {{c1::cartilaginous::cartilaginous/ossified}}
Published 11/30/2024 {{c1::Abducted::action}} positiong during development is important for the development of the {{c2::acetabulum::structure}} by {{c1::maximizing t…
Published 11/30/2024 The acetabulum ossifies by {{c1::late adolescence (~18 years old)::infancy/childhood/adulthood}}
Published 11/30/2024 Developmental dysplasia of the hip refers to a difference in {{c1::size::feature}}, {{c1::shape::feature}}, {{c1::orientation::feature}…
Published 11/30/2024 Hip dysplasia results in {{c1::hip instability}}
Published 11/30/2024 Hip instability results in {{c1::hip subluxation or dislocation}}
Published 11/30/2024 Developmental Dysplasia of the Hip (DDH) is more common on the {{c1::left::left/right}} side because of {{c2::intra-uterine position}}
Published 11/30/2024 Physical examination of patient with Developmental Dysplasia of the Hip (DDH) could reveal:- {{c1::hip instability}}- {{c1::unequal leg leng…
Published 11/30/2024 Prenatal and perinatal risk factors for DDH- {{c1::Breech presentation (forces lower limbs into adducted position)}}- {{c1::Birth (birthing hormones -…
Published 11/30/2024 Postanatal development dysplasia of the hip (DDH) risk factors:- {{c1::Repetitive/sustained adducted positioning}}- {{c1::Repetitive/sustain…
Published 11/30/2024 Club foot is also called {{c1::Congenital Talipes Equinovarus (CTEV)}}
Published 11/30/2024 Congenital talipes equinovarus (CTEV) clinical presentation:- {{c1::Medially rotated foot}}- {{c1::shorter Leg}}- {{c1::shorter&nb…
Published 11/30/2024 Congenital Talipes Equinovarus (CTEV) most likely causes:- {{c1::Failure of lower limb to rotate fully}}- {{c1::Genetics}}
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