Line 1: |
Line 1: |
− | {{toplink
| + | ===Response to injury=== |
− | |backcolour =CDE472 | + | |
− | |linkpage =Musculoskeletal System - Pathology | + | *Limited array of ways in which to respond to injury |
− | |linktext =Musculoskeletal System
| + | **[[:Category:Muscles - Degenerative Pathology|Degeneration]] |
− | |maplink = Musculoskeletal System (Content Map) - Pathology | + | **[[Muscle Necrosis|Necrosis]] |
− | |pagetype =Pathology | + | **Regeneration |
− | |sublink1=Muscles - Pathology | + | **[[Muscle Atrophy|Atrophy]] |
− | |subtext1=MUSCLES
| + | **[[Muscle Hypertrophy|Hypertrophy]] |
− | }}
| + | |
− | <br>
| + | *Large number of factors indicing the changes above, e.g.: |
| + | **Trauma |
| + | **Toxins |
| + | **Infectious agents |
| + | **Nutritional deficiencies |
| + | **Ichaemia |
| + | **[[:Category:Muscles - Developmental Pathology|Hereditary diseases]] |
| + | |
| + | |
| + | |
| + | *Specific diagnosis is often not possible based on morphological or histological features alone |
| + | *Additional tests, clinical information and history are often required |
| + | |
| + | ===Regeneration=== |
| + | [[Image:Muscle regeneration.jpg|right|thumb|100px|<small><center>Muscle regeneration (Image sourced from Bristol Biomed Image Archive with permission)</center></small>]] |
| + | |
| + | *Skeletal muscle myofibres have substantial regenerative ability |
| + | *Success depends on: |
| + | **An intact '''sarcolemmal tube''' - to act as a support and guide |
| + | **Availability of '''satellite cells''' - to act as progenitor cells for new sarcoplasm production |
| + | **Macrophages to clear up cell debris |
| + | **If these conditions are not met (e.g. severe thermal damage) '''fibrosis''' will occur |
| + | *Stages: |
| + | #Nuclei in [[Muscle Necrosis|necrotic segement]] disappear, hyalinased sarcoplasm due to loss of normal myofibrillar structure, may separate from adjacent normal myofibrils and/or [[Muscle Calcification|mineralise]] |
| + | #Monocytes from capillaries -> macrophages in necrotic portion, satellite cells swell -> vesicular with prominent nucleoli -> mitosis (within 1-4 days after initial injury) |
| + | #Satellite cells move to centre |
| + | #Macrophages clear the sacrolemmal tube, plasmalemma disappears, shape maintained by basal lamina |
| + | #Satellite cells -> myoblasts (contain myosin) -> fuse forming myotubes with row of central nuclei; cytoplasmic processes fusing |
| + | #Growing and differentiating fibre, striations appear - formation of sarcomeres |
| + | #Nuclei move to peripheral position (2-3 weeks after initial injury) |
| + | *Regeneration by '''budding''' |
| + | **When conditions are not optimal, disrupted sacrolemma |
| + | **E.g. injection of irritating substance, trauma, [[Muscle Ischaemia|infarction]] |
| + | **Myoblasts proliferate -> sacrolamma bulges from cut part -> club-shaped with numerous central nuclei = muscle giant cells |
| + | *Monophasic lesions - all at same phase above |
| + | |
| + | |
| + | |
| + | [[Category:Muscles - Pathology]] |