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Training Collections
Library Memberships
On-demand course library with video lectures, expert case reviews, and more
Fellowship Certificate™ Programs
Practice-focused training programs designed to help you gain experience in a specific subspecialty area.
Ultimate Learning Pass
Unlock access to our full Course Library and all self-paced Fellowships.
Continuing Medical Education (State CME)
Complete all of your state CME requirements in one convenient place.
Noon Conference (Free)
Get access to free live lectures, every week, from top radiologists.
Case of the Week (Free)
Get a free weekly case delivered right to your inbox.
Case Crunch: Rapid Case Review (Free)
Register for free live board reviews.
Dr. Resnick's MSK Conference
Learn directly from the MSK Master himself.
Lower Extremities MRI Conference
Musculoskeletal Imaging
PET Imaging
Pediatric Imaging
For Training Programs
Supplement your training program with case-based learning for residents, registrars, fellows, and more.
For Private Practices
Upskill in high growth, advanced imaging areas.
Compliance
NewTrack, fulfill, and report on all your radiologists' credentialing and licensing requirements.
Emergency Call Prep
Prepare trainees to be on call for the emergency department with this specialized training series.
10 topics, 48 min.
13 topics, 40 min.
Types of Force in Bone Injury
5 m.Articular Cartilage Anatomy
4 m.Patterns of Failure in Articular Cartilage
3 m.Chondral Delamination
3 m.Chondral Delamination Part 2
4 m.Chondral Delamination Part 3
3 m.Subchondral Bone: Wolf's Law
3 m.Subchondral Forces
3 m.Subchondral Bone: Chondral & Osteochondral Injury
3 m.Chondral & Osteochondral Fracture
5 m.Subchondral Fracture
3 m.Features and Bone Contusions
5 m.Intramedullary Fat Lysis/Necrosis
4 m.5 topics, 28 min.
10 topics, 41 min.
MRI of Muscle Injury, Anatomy & Function
4 m.DOMS: Delayed Onset Muscle Injury
3 m.Muscle Strain
4 m.Muscle Architecture
5 m.Architectural Injuries in Muscles
4 m.Complex Muscle Anatomy: Rectus Femoris
4 m.Grading Muscle Injury
5 m.Myofascial Injury & Reporting
6 m.Direct Muscle Injury
7 m.Muscle Wrappers
5 m.12 topics, 46 min.
Entrapment Neuropathies & Nerve Anatomy
5 m.Neuropathy: Direct & Secondary Signs
5 m.Nerve Injury Classification
4 m.Lumbar Plexus & Sacral Plexus
4 m.Lateral Femoral Cutaneous Nerve
3 m.Femoral Nerve
3 m.Saphenous Nerve
5 m.Sciatic Nerve
4 m.Common Peroneal Nerve
3 m.Superficial & Deep Peroneal Nerve
7 m.Tibial Nerve
5 m.Medial & Lateral Plantar Nerves, Baxter's Neuropathy, Sural Nerve
6 m.5 topics, 23 min.
2 topics
0:00
So let's begin our discussion
0:02
of articular cartilage going over a little bit of
0:05
its anatomy with a histologic slide on your left
0:09
and my drawing somewhat three dimensional on your right.
0:14
You can see here the noncalcified articular
0:17
cartilage in light blue.
0:20
Here are the various cellular rows.
0:22
We'll be talking more about them a little bit
0:24
later as we proceed.
0:27
Down to the bottom of the noncalcified cartilage,
0:30
we find a histologic landmark known
0:33
as the tide mark shown here,
0:36
which separates the noncalcified cartilage from the
0:40
calcified cartilage.
0:42
Below that, there is a layer of compact bone shown
0:46
by the gray in my drawing, and below that shown here.
0:51
And here we have the subcon bone.
0:55
Now to that particular diagram,
0:57
I'm now adding some additional features
1:00
and these are the collagen bundles.
1:03
At the surface, we can see parallel layers of collagen.
1:09
This is the lamina Splendas.
1:11
It's right at the surface of the articular cartilage.
1:15
And below that, we can see these arcades described years
1:19
ago by benninghoff.
1:21
They extend down in a curve linear fashion
1:25
through the tide mark into the calcified cartilage,
1:29
anchoring the cartilage to the subcon bone, compact bone,
1:34
and the SubCal bone.
1:37
Now I wanna make an important point.
1:39
This is the layer of compact bone right here.
1:43
It's a thin layer.
1:45
Indeed, there are two types of compact bone
1:49
that we see in the skeleton.
1:51
The first of these is properly called cortex.
1:56
Here you can see a yellow arrow pointing to the cortex
2:01
in the proximal radius.
2:04
Cortex, by definition, is compact bone formed
2:08
by the periosteal membrane.
2:10
The process of fancy one intramembranous bone formation.
2:16
The second pattern of compact bone occurs at the
2:19
end of the bone.
2:21
This is compact bone formed by articular cartilage.
2:25
This is not cortex.
2:27
When you see a white line on a conventional radiograph on a
2:31
ct, when you see a low single intensity line on MR at
2:36
the end of a bone, that is not cortex.
2:39
The proper term for that is a subcon bone plate,
2:43
and you're gonna hear that term a lot
2:45
during this particular lecture.
2:48
Now let's look at electron microscopy showing you those
2:51
layers of collagen.
2:53
At the top, the lamins splendid,
2:56
and here we see the arcades of bending off, extending down,
3:01
becoming almost vertical in the lower portion
3:04
of the articular cartilage.
Interactive Transcript
0:00
So let's begin our discussion
0:02
of articular cartilage going over a little bit of
0:05
its anatomy with a histologic slide on your left
0:09
and my drawing somewhat three dimensional on your right.
0:14
You can see here the noncalcified articular
0:17
cartilage in light blue.
0:20
Here are the various cellular rows.
0:22
We'll be talking more about them a little bit
0:24
later as we proceed.
0:27
Down to the bottom of the noncalcified cartilage,
0:30
we find a histologic landmark known
0:33
as the tide mark shown here,
0:36
which separates the noncalcified cartilage from the
0:40
calcified cartilage.
0:42
Below that, there is a layer of compact bone shown
0:46
by the gray in my drawing, and below that shown here.
0:51
And here we have the subcon bone.
0:55
Now to that particular diagram,
0:57
I'm now adding some additional features
1:00
and these are the collagen bundles.
1:03
At the surface, we can see parallel layers of collagen.
1:09
This is the lamina Splendas.
1:11
It's right at the surface of the articular cartilage.
1:15
And below that, we can see these arcades described years
1:19
ago by benninghoff.
1:21
They extend down in a curve linear fashion
1:25
through the tide mark into the calcified cartilage,
1:29
anchoring the cartilage to the subcon bone, compact bone,
1:34
and the SubCal bone.
1:37
Now I wanna make an important point.
1:39
This is the layer of compact bone right here.
1:43
It's a thin layer.
1:45
Indeed, there are two types of compact bone
1:49
that we see in the skeleton.
1:51
The first of these is properly called cortex.
1:56
Here you can see a yellow arrow pointing to the cortex
2:01
in the proximal radius.
2:04
Cortex, by definition, is compact bone formed
2:08
by the periosteal membrane.
2:10
The process of fancy one intramembranous bone formation.
2:16
The second pattern of compact bone occurs at the
2:19
end of the bone.
2:21
This is compact bone formed by articular cartilage.
2:25
This is not cortex.
2:27
When you see a white line on a conventional radiograph on a
2:31
ct, when you see a low single intensity line on MR at
2:36
the end of a bone, that is not cortex.
2:39
The proper term for that is a subcon bone plate,
2:43
and you're gonna hear that term a lot
2:45
during this particular lecture.
2:48
Now let's look at electron microscopy showing you those
2:51
layers of collagen.
2:53
At the top, the lamins splendid,
2:56
and here we see the arcades of bending off, extending down,
3:01
becoming almost vertical in the lower portion
3:04
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
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