Cartilage
Larissa V. Furtado, MD
Key Facts
Embryology
Cartilage arises from condensation of multipotent mesenchymal cells from mesoderm during week 5
Perichondrium arises from the superficial mesenchyme
Chondrogenesis
2 patterns of cartilage growth
Appositional growth
Occurs at edge of cartilage (between cartilage and perichondrium)
Driven by chondrogenic cells of perichondrium
Helps shape cartilage structure
Interstitial growth
Occurs in center of cartilage
Driven by chondrocytes that synthesize matrix
Increases total cartilage volume
Both growth processes occur simultaneously
Macroscopic Anatomy
3 types of cartilage based on extracellular matrix fibrillar composition
Hyaline cartilage
Composed of type II collagen
Most common type of cartilage in human body
Constitutes primary embryonic skeleton
Serves as model for endochondral ossification
Following endochondral ossification, hyaline cartilage is found in articular surfaces of long bones and in large airways
Elastic cartilage
Composed of type II collagen and elastic fibers
Found in auricle of ear, external auditory canal, auditory tubes, and epiglottis
Fibrocartilage
Composed of type I collagen
Found in intervertebral discs and pubic symphysis
Cartilage is nonvascular and lacks lymphatic vessels and nerves
Nutrients to cartilage diffuse from perichondrial capillaries and synovial fluid
Microscopic Anatomy
Extracellular matrix
Composed of proteoglycans, glycosaminoglycans, hyaluronic acid, and fibrillar components
Homogeneous, smooth, glassy appearance
Ranges from blue to pink in color, depending on stain preparations
Chondrogenic cells
Spindled to stellate; primarily found in inner layer of perichondrium
Able to differentiate into chondroblasts
Chondroblasts
Spindled to polygonal; elliptic nuclei; amphophilic cytoplasm
Chondrocytes
Small, dark round nuclei, eosinophilic cytoplasm; located in lacunae
Main cellular component of cartilage
Produce matrix and fibers
Arranged as single cells, in clusters, or in linear arrays (isogenous groups)
Isogenous groups represent daughter cells that arose from previous mitotic divisions of same chondroblast during interstitial cartilage growth
Perichondrium
Outer layer of fibrocollagenous connective tissue
Inner layer of chondrogenic cells and chondroblasts
Contains blood vessels
Surrounds elastic and hyaline cartilage (except articular surface), but not fibrocartilage
Pitfalls/Artifacts
Endochondral ossification can be mistaken for a cartilaginous tumor
Age Variation
Growth plates are composed of hyaline cartilage and allow lengthening of long bones
Following growth phase, growth plates are obliterated by ossificationStay updated, free articles. Join our Telegram channel
Full access? Get Clinical Tree
![](https://clinicalpub.com/wp-content/uploads/2023/09/banner1.png)