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Author(s): University of Michigan Medical School, Department of Cell and Developmental Biology License: Unless otherwise noted, the content of this course material is licensed under a Creative Commons Attribution Noncommercial Share Alike 3.0 License. http://creativecommons.org/licenses/by-nc-sa/3.0/ We have reviewed this material in accordance with U.S. Copyright Law and have tried to maximize your ability to use, share, and adapt it. The citation key on the following slide provides information about how you may share and adapt this material. Copyright holders of content included in this material should contact [email protected] with any questions, corrections, or clarification regarding the use of content. For more information about how to cite these materials visit http://open.umich.edu/education/about/terms-of-use. Any medical information in this material is intended to inform and educate and is not a tool for self-diagnosis or a replacement for medical evaluation, advice, diagnosis or treatment by a healthcare professional. Please speak to your physician if you have questions about your medical condition. Viewer discretion is advised: Some medical content is graphic and may not be suitable for all viewers.

Author(s): University of Michigan Medical School ... · It consists of cells (chondroblasts, chondrocytes) and extracelluar matrix, consisting of fibers and ground substance (hyaluranan,

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Page 1: Author(s): University of Michigan Medical School ... · It consists of cells (chondroblasts, chondrocytes) and extracelluar matrix, consisting of fibers and ground substance (hyaluranan,

Author(s):University of Michigan Medical School, Department of Cell and Developmental Biology License:Unless otherwise noted, the content of this course material is licensed under a Creative Commons Attribution Noncommercial Share Alike 3.0 License. http://creativecommons.org/licenses/by-nc-sa/3.0/

We have reviewed this material in accordance with U.S. Copyright Law and have tried to maximize your ability to use, share, and adapt it. The citation key on the following slide provides information about how you may share and adapt this material. Copyright holders of content included in this material should contact [email protected] with any questions, corrections, or clarification regarding the use of content. For more information about how to cite these materials visit http://open.umich.edu/education/about/terms-of-use. Any medical information in this material is intended to inform and educate and is not a tool for self-diagnosis or a replacement for medical evaluation, advice, diagnosis or treatment by a healthcare professional. Please speak to your physician if you have questions about your medical condition. Viewer discretion is advised: Some medical content is graphic and may not be suitable for all viewers.

Page 2: Author(s): University of Michigan Medical School ... · It consists of cells (chondroblasts, chondrocytes) and extracelluar matrix, consisting of fibers and ground substance (hyaluranan,

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Page 3: Author(s): University of Michigan Medical School ... · It consists of cells (chondroblasts, chondrocytes) and extracelluar matrix, consisting of fibers and ground substance (hyaluranan,

M1MusculoskeletalSequence

MedicalHistology

Cartilage / Mature Bone

Fall 2008

Page 4: Author(s): University of Michigan Medical School ... · It consists of cells (chondroblasts, chondrocytes) and extracelluar matrix, consisting of fibers and ground substance (hyaluranan,

CartilageCartilageisaspecializedformoffirmandresilientconnectivetissuethatcanbearstresseswithoutpermanentdistortion.

Itconsistsofcells(chondroblasts,chondrocytes)andextracelluarmatrix,consistingoffibersandgroundsubstance(hyaluranan,proteoglycans,glycoproteins).

Itisanavasculartissue.Itservesasaprecursorormodelfortheembryonicdevelopmentandsubsequentgrowthofmanylongbones.(Itisreplacedbybonetissueinadultlife,exceptforthesurfacesthatarticulatewithotherbones.)

Page 5: Author(s): University of Michigan Medical School ... · It consists of cells (chondroblasts, chondrocytes) and extracelluar matrix, consisting of fibers and ground substance (hyaluranan,

CartilageTherearethreetypesofcartilage:–  Hyalinecartilage(TypeIIcollagen)Articularsurfaces,Ephiphysealplate,Trachealwall,etc.

–  Elasticcartilage(TypeIIcollagen,elasticfibers)Pinnaoftheear,Epiglottis,Eustachiantube,etc.

–  Fibrocartilage(TypeIIandTypeIcollagen)Intervertebraldisks,Pubicsymphysis,insertionsitesoftendonsandligaments

(Vertebrae) Netter 2nd Ed. Plate 147

(Ear) Dbenbenn, wikimedia commons

(Knee) Netter 2nd Ed. Plate 476 (Trachea) Netter 2nd Ed. Plate 190

Page 6: Author(s): University of Michigan Medical School ... · It consists of cells (chondroblasts, chondrocytes) and extracelluar matrix, consisting of fibers and ground substance (hyaluranan,

StemcellsChondroblast

Source Undetermined

Page 7: Author(s): University of Michigan Medical School ... · It consists of cells (chondroblasts, chondrocytes) and extracelluar matrix, consisting of fibers and ground substance (hyaluranan,

InitiationofCartilageFormation(embryonicmesenchymalcells)

Source Undetermined

Page 8: Author(s): University of Michigan Medical School ... · It consists of cells (chondroblasts, chondrocytes) and extracelluar matrix, consisting of fibers and ground substance (hyaluranan,

BeginningofcartilageFormation

Source Undetermined

Page 9: Author(s): University of Michigan Medical School ... · It consists of cells (chondroblasts, chondrocytes) and extracelluar matrix, consisting of fibers and ground substance (hyaluranan,

Differentiationofchondrogeniccells

Isogenousgroup

Perichondrium

Isogenousgroup

Lacuna

Michigan Medical School Histology Slide Collection Kierszenbaum, p. 115

Page 10: Author(s): University of Michigan Medical School ... · It consists of cells (chondroblasts, chondrocytes) and extracelluar matrix, consisting of fibers and ground substance (hyaluranan,

FormedHyalineCartilage

Michigan Medical School Histology Slide Collection

Page 11: Author(s): University of Michigan Medical School ... · It consists of cells (chondroblasts, chondrocytes) and extracelluar matrix, consisting of fibers and ground substance (hyaluranan,

Formed Hyaline Cartilage

Perichondrium

Chondroblasts

Chondrocytes

(Appositional growth)

Interstitial growth

Michigan Medical School Histology Slide Collection

Page 12: Author(s): University of Michigan Medical School ... · It consists of cells (chondroblasts, chondrocytes) and extracelluar matrix, consisting of fibers and ground substance (hyaluranan,

Cartilagegrowth

AppositionalGrowth:Depositionofnewcartilageonthesurfaceofexistingcartilage.

InterstitialGrowth: Formationofnewcartilagewithinanexistingcartilage.

Page 13: Author(s): University of Michigan Medical School ... · It consists of cells (chondroblasts, chondrocytes) and extracelluar matrix, consisting of fibers and ground substance (hyaluranan,

Chondrocytes

Source Undetermined Michigan Medical School Histology Slide Collection

Page 14: Author(s): University of Michigan Medical School ... · It consists of cells (chondroblasts, chondrocytes) and extracelluar matrix, consisting of fibers and ground substance (hyaluranan,

Hyalinecartilage

Mostcommontypesofcartilage.Nasalseptum,larynx,trachealrings,sternalendsofribs,mostarticularsurfacesandformsthetemplatefordevelopinglongbones.

Page 15: Author(s): University of Michigan Medical School ... · It consists of cells (chondroblasts, chondrocytes) and extracelluar matrix, consisting of fibers and ground substance (hyaluranan,

Perichondrium

Chondroblasts

Chondrocytes

Chondroblasts

Michigan Medical School Histology Slide Collection

Tracheal Hyaline Cartilage

Netter 2nd Ed. Plate 190

Page 16: Author(s): University of Michigan Medical School ... · It consists of cells (chondroblasts, chondrocytes) and extracelluar matrix, consisting of fibers and ground substance (hyaluranan,

ArticularCartilage(Specializedformofhyalinecartilage)

Femoral head

Articular cartilages

Netter (Both Images)

Page 17: Author(s): University of Michigan Medical School ... · It consists of cells (chondroblasts, chondrocytes) and extracelluar matrix, consisting of fibers and ground substance (hyaluranan,

Articular(hyaline)CartilageinJoints

EdYourdon,flickr OpenClipart

Page 18: Author(s): University of Michigan Medical School ... · It consists of cells (chondroblasts, chondrocytes) and extracelluar matrix, consisting of fibers and ground substance (hyaluranan,

CartilageMatrix

•  TypeIIcollagen•  Hyaluranan(hyaluronicacid)upto8X106d•  Proteoglycans(3.5X106daltons)– Aggrecan•  ProetinCore•  Glycosaminoglycans(GAGs)–  Chondroitinsulfate–  Keratinsulfate

Source Undetermined

Page 19: Author(s): University of Michigan Medical School ... · It consists of cells (chondroblasts, chondrocytes) and extracelluar matrix, consisting of fibers and ground substance (hyaluranan,

HyalineCartilageMatrix

Chondrocyte

Source Undetermined Bloom & Fawcett, 12th ed. p. 189

Page 20: Author(s): University of Michigan Medical School ... · It consists of cells (chondroblasts, chondrocytes) and extracelluar matrix, consisting of fibers and ground substance (hyaluranan,

ProteoglycanAggregatesConsist of: 1. An axial hyaluronan(HU)

molecule. 2. Core proteins attached to the

HU molecule by a linker protein.

3. Glycosaminoglycans attached to a core protein. Kierszenbaum, p. 108

EM view of spread preparation

Kierszenbaum,p.108SourceUndetermined

Page 21: Author(s): University of Michigan Medical School ... · It consists of cells (chondroblasts, chondrocytes) and extracelluar matrix, consisting of fibers and ground substance (hyaluranan,

Glycosaminoglycans

Kierszenbaum,p.108

Albert et al., 2nd ed. p. 804

Page 22: Author(s): University of Michigan Medical School ... · It consists of cells (chondroblasts, chondrocytes) and extracelluar matrix, consisting of fibers and ground substance (hyaluranan,

Extendedrandomcoilconformationofasinglemoleculeofhyaluronan

COO-

SO4--

Albert et al., 2nd ed. p. 807 Albertetal.,2nded.p.804

Page 23: Author(s): University of Michigan Medical School ... · It consists of cells (chondroblasts, chondrocytes) and extracelluar matrix, consisting of fibers and ground substance (hyaluranan,

CartilageMatrixandIt’sfunction Theglycosaminoglycans(GAGs)tendtoadopthighlyextended,socalledrandomcoilconformations,whichoccupyahugevolumerelativetotheirmassandtheyformgel.

Theirhighdensityofnegativechargesattractcations,suchasNa++thatareosmoticallyactivecausinglargeamountsofwatertobesuckedintothematrix.

Thiscreatesaswellingpressureorturgor,thatenablesthematrixtowithstandcompressiveforces(incontrasttocollagenfiberswhichresiststretchingforces).

Cartilagematrixresistcompressionbythismechanism.[Alberts:p804]

Page 24: Author(s): University of Michigan Medical School ... · It consists of cells (chondroblasts, chondrocytes) and extracelluar matrix, consisting of fibers and ground substance (hyaluranan,

Basophilia in hyaline cartilage matrix

The basophilia in the matrix is due to the high density of negative charges in the GAG subunits, which attract the positive dye, hematoxylin.

Michigan Medical School Histology Slide Collection

Page 25: Author(s): University of Michigan Medical School ... · It consists of cells (chondroblasts, chondrocytes) and extracelluar matrix, consisting of fibers and ground substance (hyaluranan,

DiarthrosisandArticularCartilage

Bathedinsynovialfluid.NoperichondriumCollagenfibers-arrangedasgothicarchesChondrocytes-invertialrows.

(synovialfluid)

Wheater p. 202

Junqueira, p.157

Page 26: Author(s): University of Michigan Medical School ... · It consists of cells (chondroblasts, chondrocytes) and extracelluar matrix, consisting of fibers and ground substance (hyaluranan,

Articularcartilage Perichondriumisabsent

Michigan Medical School Histology Slide Collection Michigan Medical School Histology Slide Collection

Page 27: Author(s): University of Michigan Medical School ... · It consists of cells (chondroblasts, chondrocytes) and extracelluar matrix, consisting of fibers and ground substance (hyaluranan,

CartilageDamage

Source Undetermined

Page 28: Author(s): University of Michigan Medical School ... · It consists of cells (chondroblasts, chondrocytes) and extracelluar matrix, consisting of fibers and ground substance (hyaluranan,

CartilageChangeswithAgingNotmuchchangeswithcollagen.Theproteoglycansproducedinolderindividualsaresmallerwithshorterchondroitinsulfatechainsthaninyoungerindividuals.

Chondrocytesseemlessefficientinrenewingthematrixthusreducingproteoglycancontents.

Thesechangesmightreducewatercontentsinthematrixandmakethecartilagelessabletoresistcompressiveforces.

Thesechanges,inturn,wouldmakematrixmorevulnerabletoinjuriesinweight-bearing,andtheinflammatoryresponsetoinjurywouldcausepainfulsymptomsofarthritis.

Page 29: Author(s): University of Michigan Medical School ... · It consists of cells (chondroblasts, chondrocytes) and extracelluar matrix, consisting of fibers and ground substance (hyaluranan,

Differencesinbasophilicstainingincartilagematrix

Thedifferenceinbasophilicstainingreflectstherelativematrixcontentofglycosaminoglycans(aggrecans).ThedecreaseinsizeofproteoglycansorthelengthofchondroitinsulfatechainswillreducetherelativematrixcontentofglycosaminoglycansThis,inturn,willreducetheintensityofbasophilicstaininginthecartilagematrix.

Michigan Medical School Histology Slide Collection Source Undetermined

Page 30: Author(s): University of Michigan Medical School ... · It consists of cells (chondroblasts, chondrocytes) and extracelluar matrix, consisting of fibers and ground substance (hyaluranan,

Elasticcartilage:containselasticfibers.Pinnaoftheexternalear,auditorycanal,epiglottis,Eustachiantube.

Fibrocartilage:intermediatebetweencartilageanddenseregularconnectivetissue.intervertebraldiscs,pubicsymphysis,etc.

Page 31: Author(s): University of Michigan Medical School ... · It consists of cells (chondroblasts, chondrocytes) and extracelluar matrix, consisting of fibers and ground substance (hyaluranan,

ElasticCartilage

H&Estain Weigert’sstain AldehydeFuchsin

Michigan Medical School Histology Slide Collection

Page 32: Author(s): University of Michigan Medical School ... · It consists of cells (chondroblasts, chondrocytes) and extracelluar matrix, consisting of fibers and ground substance (hyaluranan,

FibrocartilageTypeIandIIcollagen.Noidentifiableperichondrium

Vertebra

Vertebra

Michigan Medical School Histology Slide Collection

Netter

Page 33: Author(s): University of Michigan Medical School ... · It consists of cells (chondroblasts, chondrocytes) and extracelluar matrix, consisting of fibers and ground substance (hyaluranan,

ElasticCartilageandFibrocartilage

Collagen II

Elastic fibers

Collagen I

Collagen II

Rhodin p.181 Source Undetermined

Page 34: Author(s): University of Michigan Medical School ... · It consists of cells (chondroblasts, chondrocytes) and extracelluar matrix, consisting of fibers and ground substance (hyaluranan,

Bone

Cells: Osteoblasts,Osteocytes,OsteoclastsFibers: Type1CollagenBoneMatrix:GroundSubstance GAGs:Hyaluronan,Chondroitin&KeratanSulfate Proteoglycans:shortcoreproteinsand relativelyfewerGAGsidechainsthanin cartilage.

Hydroxyapatitecrystals[Ca10(PO4)6(OH)2]: Calciumphosphate

Page 35: Author(s): University of Michigan Medical School ... · It consists of cells (chondroblasts, chondrocytes) and extracelluar matrix, consisting of fibers and ground substance (hyaluranan,

Cartilage BoneWatercontent:~70%CollagenII:~40%oforganiccontent.

Growsinterstitiallyandbyapposition.

Avascular

Watercontent:25%CollagenI:90%oforganiccontent.

OtherGroundSubstanceOsteonectin:anchorcollagentobonemineral.Osteocalcin:Calciumbindingproteininvolvedinbonecalcification.Osteopontin:Bindingofosteoblastsandosteoclaststobone.

Growsonlybyapposition.Highlyvascular

Page 36: Author(s): University of Michigan Medical School ... · It consists of cells (chondroblasts, chondrocytes) and extracelluar matrix, consisting of fibers and ground substance (hyaluranan,

Bone

Providessupportforthesofttissuesofthebody.Providessitesforattachmentofthemusclesandtendonsessentialforlocomotion.Protectsthevitalorgansofthecraniumandvariousbodycavities.Enclosesblood-formingelementsinthebonemarrow.Playsanimportantroleasamobilizablestoreofcalciumandphosphate.

Page 37: Author(s): University of Michigan Medical School ... · It consists of cells (chondroblasts, chondrocytes) and extracelluar matrix, consisting of fibers and ground substance (hyaluranan,

Types of Bone (Flat, long, short and irregular bones)

Debivortt, wikimedia commons

Berichard, wikimedia commons

Palica, wikimedia commons

Page 38: Author(s): University of Michigan Medical School ... · It consists of cells (chondroblasts, chondrocytes) and extracelluar matrix, consisting of fibers and ground substance (hyaluranan,

Compact(dense)andSpongy(cancellous)Bone

Compact bone

Weiss, 6th ed., p. 218 Ross et al., 4th ed., p. 182

Page 39: Author(s): University of Michigan Medical School ... · It consists of cells (chondroblasts, chondrocytes) and extracelluar matrix, consisting of fibers and ground substance (hyaluranan,

LongBone

Ross et al., 4th ed., p. 182 & 185 (Both images)

Page 40: Author(s): University of Michigan Medical School ... · It consists of cells (chondroblasts, chondrocytes) and extracelluar matrix, consisting of fibers and ground substance (hyaluranan,

WallofaLongBone

Junqueera & Carneiro, 10th ed. p. 144

Page 41: Author(s): University of Michigan Medical School ... · It consists of cells (chondroblasts, chondrocytes) and extracelluar matrix, consisting of fibers and ground substance (hyaluranan,

Haversiansystem(osteon),Haversiancanal(HC)andVolkmann’scanal(VC)

Transversesection Longitudinalsection

Osteon

VC

HC

VC

HC

Michigan Medical School Histology Slide Collection Michigan Medical School Histology Slide Collection

Page 42: Author(s): University of Michigan Medical School ... · It consists of cells (chondroblasts, chondrocytes) and extracelluar matrix, consisting of fibers and ground substance (hyaluranan,

Haversiansystem(osteon)/Harversiancanal

HC

HC

Michigan Medical School Histology Slide Collection Michigan Medical School Histology Slide Collection

Page 43: Author(s): University of Michigan Medical School ... · It consists of cells (chondroblasts, chondrocytes) and extracelluar matrix, consisting of fibers and ground substance (hyaluranan,

HaversianCanalandCanaliculi

Source Undetermined

Page 44: Author(s): University of Michigan Medical School ... · It consists of cells (chondroblasts, chondrocytes) and extracelluar matrix, consisting of fibers and ground substance (hyaluranan,

Osteocytes,LacunaeandCanaliculi

Source Undetermined

Page 45: Author(s): University of Michigan Medical School ... · It consists of cells (chondroblasts, chondrocytes) and extracelluar matrix, consisting of fibers and ground substance (hyaluranan,

OsteocyteBloom&Fawcett,12thed.P.208

Bloom and Fawcett 12th Ed. P. 208

Page 46: Author(s): University of Michigan Medical School ... · It consists of cells (chondroblasts, chondrocytes) and extracelluar matrix, consisting of fibers and ground substance (hyaluranan,

OsteocyteanditsProcess

(Gapjunctions)

Bloom & Fawcett, 12th ed. p. 206-7 (Both images)

Page 47: Author(s): University of Michigan Medical School ... · It consists of cells (chondroblasts, chondrocytes) and extracelluar matrix, consisting of fibers and ground substance (hyaluranan,

CompactandCancellousBone

Michigan Medical School Histology Slide Collection

Page 48: Author(s): University of Michigan Medical School ... · It consists of cells (chondroblasts, chondrocytes) and extracelluar matrix, consisting of fibers and ground substance (hyaluranan,

Sponge(cancellous)bone

Cancellous bone

BoneMarrow

Michigan Medical School Histology Slide Collection

Page 49: Author(s): University of Michigan Medical School ... · It consists of cells (chondroblasts, chondrocytes) and extracelluar matrix, consisting of fibers and ground substance (hyaluranan,

BonecellsOsteoblastsActiveInactiveOsteocytesOsteoclasts

Howship’slacuna(resorptionbay)

Michigan Medical School Histology Slide Collection

Page 50: Author(s): University of Michigan Medical School ... · It consists of cells (chondroblasts, chondrocytes) and extracelluar matrix, consisting of fibers and ground substance (hyaluranan,

PeriosteumandEndosteum

Endosteum

Source Undetermined (Both images)

Page 51: Author(s): University of Michigan Medical School ... · It consists of cells (chondroblasts, chondrocytes) and extracelluar matrix, consisting of fibers and ground substance (hyaluranan,

LearningObjectives

Cartilage•  Beabletorecognizethethreemajorcartilagestypesinlightmicroscopicsectionsandknowwhereinthebodyeachtypeoccurs.

•  Beabletoidentifycellsandstructuresinasectionofcartilage(e.g.chondroblast,chondrocyte,lacuna,isogenousgroup,twotypeofmatrix,perichondrium,etc).

•  Knowthecontentsofcartilagematrixandunderstandthemolecularbasisforresilienceofcartilage.

•  Beabletodescribetheprocessofchondrogenesisandknowhowcartilagegrows.

•  Understandwhatchangesoccurwithaginginthematrix.

Page 52: Author(s): University of Michigan Medical School ... · It consists of cells (chondroblasts, chondrocytes) and extracelluar matrix, consisting of fibers and ground substance (hyaluranan,

LearningObjectives

•  AdultBone•  Beabletorecognizecompactandcancellousboneinconventionalandgroundsectionsandknowthestructuraldifferencesinthetwotypes.

•  Beabletoidentifythecomponentpartsofadultboneandknowtheirfunctions(e.g.periosteum,endosteum,osteon,canaliculus,lacuna,osteocyte,HaversianandVolkmanncanal).

•  BeabletorecognizethecellsinadultboneatthelightandEMlevelandknowtheirfunctions(e.g.activeandinactiveosteoblasts,osteocytes,osteoclasts).

•  Knowthemajordifferencesinmatrixcontentsofcartilageandbone.

Page 53: Author(s): University of Michigan Medical School ... · It consists of cells (chondroblasts, chondrocytes) and extracelluar matrix, consisting of fibers and ground substance (hyaluranan,

AdditionalSourceInformationformoreinformationsee:http://open.umich.edu/wiki/CitationPolicy

Slide 5: (Trachea), Netter 2nd Ed. Plate 190 ; (Ear), Dbenbenn, Wikimedia Commons, http://commons.wikimedia.org/wiki/File:Ear.jpg, CC: BY-SA 3.0, http://creativecommons.org/licenses/by-sa/3.0; (Vertebrae), Netter 2nd Ed. Plate 147 ; (Knee) Netter 2nd Ed. Plate 476 Slide 6: Source Undetermined Slide 7: Source Undetermined Slide 8: Source Undetermined Slide 9: Michigan Medical School Histology Slide Collection; Original source, Kierszenbaum, p. 115 Slide 10: Michigan Medical School Histology Slide Collection Slide 11: Michigan Medical School Histology Slide Collection Slide 13: Source Undetermined; Michigan Medical School Histology Slide Collection Slide 15: Michigan Medical School Histology Slide Collection; Netter 2nd Ed. Plate 190 Slide 16:Netter (Both images) Slide 17: Ed Yourdon, Flickr, http://www.flickr.com/photos/yourdon/3889238259/sizes/m/in/photostream/, CC:BY-SA, http://creativecommons.org/licenses/by-sa/2.0/ ; Open Clipart, http://www.openclipart.org/detail/18412 Slide 18: Source Undetermined Slide 19: Source Undetermined; Original source, Bloom & Fawcett, 12th ed. p. 189 Slide 20: Kierszenbaum, p. 108; Source Undetermined Slide 21: Kierszenbaum, p. 108; Albert et al., 2nd ed. p. 804 Slide 22: Albert et al., 2nd ed. p. 807; Albert et al., 2nd ed. p. 804 Slide 24: Michigan Medical School Histology Slide Collection Slide 25: Wheater p. 202; Junqueira, p.157 Slide 26: Michigan Medical School Histology Slide Collection Slide 27: Source Undetermined Slide 29: Michigan Medical School Histology Slide Collection; Source Undetermined Slide 31: Michigan Medical School Histology Slide Collection Slide 32; Michigan Medical School Histology Slide Collection; Netter Slide 33: Rhodin p.181; Source Undetermined Slide 37: Palica, Wikimedia Commons, http://commons.wikimedia.org/wiki/File:Scapula_ant.jpg, CC: BY-SA 3.0, http://creativecommons.org/licenses/by-sa/3.0; Berichard, Wikimedia Commons, http://commons.wikimedia.org/wiki/File:F%C3%A9mur_insertions_musculaires_face_ant%C3%A9rieure.png, CC: BY-SA 3.0, http://creativecommons.org/licenses/by-sa/3.0; Debivortt, Wikimedia Commons http://commons.wikimedia.org/wiki/File:ACDF_oblique_blank.png, CC: BY-SA 3.0, http://creativecommons.org/licenses/by-sa/3.0

Page 54: Author(s): University of Michigan Medical School ... · It consists of cells (chondroblasts, chondrocytes) and extracelluar matrix, consisting of fibers and ground substance (hyaluranan,

Slide 38: Weiss, 6th ed., p. 218; Ross et al., 4th ed., p. 182 Slide 39: Ross et al., 4th ed., p. 182 & 185; Original source, Ross et al., 4th ed., p. 182 & 185 Slide 40: Junqueera & Carneiro, 10th ed. p. 144 Slide 41: Michigan Medical School Histology Slide Collection Slide 42: Michigan Medical School Histology Slide Collection Slide 43: Source Undetermined Slide 44: Source Undetermined Slide 45: Bloom and Fawcett 12th Ed. P. 208 Slide 46: Bloom & Fawcett, 12th ed. p. 206-7 Slide 47: Michigan Medical School Histology Slide Collection Slide 48: Michigan Medical School Histology Slide Collection Slide 49: Michigan Medical School Histology Slide Collection Slide 50: Sources Undetermined

AdditionalSourceInformationformoreinformationsee:http://open.umich.edu/wiki/CitationPolicy