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Articular Cartilage Anatomy

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So let's begin our discussion

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of articular cartilage going over a little bit of

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its anatomy with a histologic slide on your left

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and my drawing somewhat three dimensional on your right.

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You can see here the noncalcified articular

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cartilage in light blue.

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Here are the various cellular rows.

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We'll be talking more about them a little bit

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later as we proceed.

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Down to the bottom of the noncalcified cartilage,

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we find a histologic landmark known

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as the tide mark shown here,

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which separates the noncalcified cartilage from the

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calcified cartilage.

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Below that, there is a layer of compact bone shown

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by the gray in my drawing, and below that shown here.

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And here we have the subcon bone.

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Now to that particular diagram,

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I'm now adding some additional features

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and these are the collagen bundles.

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At the surface, we can see parallel layers of collagen.

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This is the lamina Splendas.

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It's right at the surface of the articular cartilage.

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And below that, we can see these arcades described years

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ago by benninghoff.

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They extend down in a curve linear fashion

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through the tide mark into the calcified cartilage,

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anchoring the cartilage to the subcon bone, compact bone,

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and the SubCal bone.

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Now I wanna make an important point.

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This is the layer of compact bone right here.

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It's a thin layer.

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Indeed, there are two types of compact bone

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that we see in the skeleton.

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The first of these is properly called cortex.

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Here you can see a yellow arrow pointing to the cortex

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in the proximal radius.

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Cortex, by definition, is compact bone formed

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by the periosteal membrane.

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The process of fancy one intramembranous bone formation.

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The second pattern of compact bone occurs at the

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end of the bone.

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This is compact bone formed by articular cartilage.

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This is not cortex.

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When you see a white line on a conventional radiograph on a

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ct, when you see a low single intensity line on MR at

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the end of a bone, that is not cortex.

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The proper term for that is a subcon bone plate,

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and you're gonna hear that term a lot

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during this particular lecture.

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Now let's look at electron microscopy showing you those

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layers of collagen.

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At the top, the lamins splendid,

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and here we see the arcades of bending off, extending down,

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becoming almost vertical in the lower portion

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of the articular cartilage.

Report

Faculty

Donald Resnick, MD

Professor Emeritus, Department of Radiology

University of California, San Diego

Rodrigo Aguiar, MD, PhD

Professor of Radiology

Federal University of Paraná - Brazil

Mini N. Pathria, MD, FRCP(C)

Division Chief, Musculoskeletal Imaging

University of California San Diego

Evelyne Fliszar, MD

Professor of Clinical Radiology

UC San Diego

Karen Chen, MD

MSK Radiologist

VA Healthcare System, San Diego

Tags

Musculoskeletal (MSK)

MRI

Knee

Hip & Thigh

Foot & Ankle