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Cartilaginous joints are connected entirely by cartilage (fibrocartilage or hyaline). [1] Cartilaginous joints allow more movement between bones than a fibrous joint but less than the highly mobile synovial joint. Cartilaginous joints also forms the growth regions of immature long bones and the intervertebral discs of the spinal column.
Hyaline cartilage is the glass-like and translucent cartilage found on many joint surfaces. It is also most commonly found in the ribs , nose, larynx , and trachea . [ 1 ] Hyaline cartilage is pearl-gray in color, with a firm consistency and has a considerable amount of collagen.
Cartilage is classified into three types — elastic cartilage, hyaline cartilage, and fibrocartilage — which differ in their relative amounts of collagen and proteoglycan. As cartilage does not contain blood vessels or nerves, it is insensitive.
If hyaline cartilage is torn all the way down to the bone, the blood supply from inside the bone is sometimes enough to start some healing inside the lesion. In cases like this, the body will form a scar in the area using a special type of cartilage called fibrocartilage. [2]
Previous repair procedures, however, always generated fibrocartilage or, at best, a combination of hyaline and fibrocartilage repair tissue. Autologous chondrocyte implantation (ACI) procedures are cell-based repairs that aim to achieve a repair consisting of healthy articular cartilage.
The vomeronasal cartilage is a thin piece of hyaline cartilage that attaches to the vomer and extends to the septal nasal cartilage. [10] This structure is associated with the vomeronasal organ, which is part of the accessory olfactory system. This associated organ plays an important role in the sense of smell by being lined with similar ...
Once damaged, cartilage has limited repair capabilities. Because chondrocytes are bound in lacunae, they cannot migrate to damaged areas. Also, because hyaline cartilage does not have a blood supply, the deposition of new matrix is slow. Damaged hyaline cartilage is usually replaced by fibrocartilage scar tissue.
Studies have shown that microfracture techniques do not fill in the chondral defect fully, forming fibrocartilage rather than hyaline cartilage. Fibrocartilage is not as mechanically sound as hyaline cartilage; it is much denser and unable to withstand the demands of everyday activities as well as the original cartilage and is thus at higher ...