• Type II collagen orientation is parallel to joint • Has flattened chondrocytes, condensed collagen fibers, and sparse proteoglycans• Has the highest concentration of collagen and lowest concentration of proteoglycans • only zone where articular cartilage progenitor cells have been found
• Type II collagen is perpendicular to joint and crosses tidemark; has the highest concentration of proteoglycans • Round chondrocytes arranged in columns
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Which of the following features of metal-on-metal total hip arthroplasty does not allow for improved fluid film lubrication between the components?
Larger femoral head
Slight clearance of fit between the acetabular cup and the femoral head
Minimal surface roughness of the femoral head
Complete congruence of fit between the acetabular cup and the femoral head
Minimal surface roughness of the acetabular cup
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Which of the following statements regarding articular cartilage is TRUE?
Cartilage is an isotropic material
Most of the water in articular cartilage exists in the deep layer next to the calcified cartilage
Cartilage only heals if the injury does not pass through the tidemark
Calcified cartilage is the only place that type IV collagen is found
Cartilage exhibits stress shielding of the solid matrix components
What part of the articular cartilage has the highest concentration of proteoglycans and the lowest concentration of water?
Which of the following best describes the appearance of chondrocytes and orientation of collagen fibrils in the superficial zone of articular cartilage?
Round chondrocytes oriented parallel with the tidemark and collagen fibrils oriented perpendicular to the tidemark
Round chondrocytes oriented parallel with the tidemark and collagen fibrils oriented parallel to the tidemark
Flattened chondrocytes oriented parallel with the tidemark and collagen fibrils oriented perpendicular to the tidemark
Flattened chondrocytes oriented perpendicular with the tidemark and collagen fibrils oriented perpendicular to the tidemark
Flattened chondrocytes oriented parallel with the tidemark and collagen fibrils oriented parallel to the tidemark
Which of the following contributes most to the ability of hyaline cartilage to attract water?
A 28-year-old marathon runner has a knee MRI done to evaluate medial sided knee pain. No meniscus tear is identified, but the articular cartilage of the femoral condyles is noted to be twice as thick as normal values. What is the most likely cause of this finding?
Synovial cytokine sensitization due to excess running
Extra-articular hydrostatic pressure changes
Chondrocyte modulation via mechanotransduction
Figure A displays a schematic of the zones of articular hyaline cartilage. Which of the following zones has been shown to contain articular cartilage progenitor cells?
Which of the following biochemical changes are common to both aging cartilage and osteoarthritic (OA) cartilage?
Increased water content
Decreased collagen content and decreased modulus of elasticity
Decreased proteoglycan content
Increased chondroitin sulfate concentration
Decreased keratin sulfate concentration
This video reviews MRI techniques for articular cartilage. Washington Orthopaedi...