Skeletal Muscle Injury: Overview and Organization
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Questions and Answers

What is one way to prevent muscle injuries?

  • Ignoring muscle fatigue
  • Inadequate hydration
  • Static stretching
  • Warming up (correct)
  • What characterizes a Grade I strain?

  • Pain with functional deficit
  • Immediate need for surgery
  • Increased local muscle tone (correct)
  • Complete muscle tear
  • Which type of injury involves excessive elongation of the muscle without fiber tears?

  • Distension (correct)
  • DOMS
  • Cramps
  • Grade III strain
  • What is a common symptom of Delayed Onset Muscle Soreness (DOMS)?

    <p>Strength loss (B)</p> Signup and view all the answers

    Which examination method is typically used for muscle injury assessment?

    <p>Palpation (B)</p> Signup and view all the answers

    What occurs during muscle cramps?

    <p>Increased creatine kinase levels (B)</p> Signup and view all the answers

    Which supplement is suggested to aid in muscle recovery?

    <p>Calcium (C)</p> Signup and view all the answers

    What is a sign of a minor partial muscle tear?

    <p>Sharp pain at the time of injury (B)</p> Signup and view all the answers

    What is the primary characteristic of Type I muscle fibers?

    <p>Resistance to fatigue and utilization of oxygen (D)</p> Signup and view all the answers

    Which connective tissue layer encases the entire skeletal muscle?

    <p>Epimysium (A)</p> Signup and view all the answers

    Where do injuries commonly occur in relation to the myotendinous junction?

    <p>Near the junction rather than inside it (D)</p> Signup and view all the answers

    What structure separates individual muscle fibers?

    <p>Endomysium (D)</p> Signup and view all the answers

    What enhances the contact surface and load distribution at the myotendinous junction?

    <p>Junctional invaginations (C)</p> Signup and view all the answers

    How are muscle fibers characterized histologically?

    <p>By striated appearance due to alternating bands (A)</p> Signup and view all the answers

    Which type of muscle fibers are primarily fast-twitch fibers?

    <p>Type IIb (C)</p> Signup and view all the answers

    What occurs before a concentric contraction to enhance muscle efficiency?

    <p>Eccentric contraction (C)</p> Signup and view all the answers

    What role do satellite cells play in muscle injury?

    <p>They participate in muscle repair (B)</p> Signup and view all the answers

    Which phase of muscle injury repair involves the activation of macrophages?

    <p>Repair (A)</p> Signup and view all the answers

    What is the role of Platelet Growth Factor (PGF) in muscle injury repair?

    <p>To form a blood clot (C)</p> Signup and view all the answers

    How long does it typically take for the wound to achieve 80% strength after a muscle injury?

    <p>1-2 months (D)</p> Signup and view all the answers

    Which growth factor is responsible for activating angiogenesis during muscle repair?

    <p>Vascular Growth Factor (VGF) (A)</p> Signup and view all the answers

    What happens to muscle storage capacity when muscles are fatigued?

    <p>It diminishes (B)</p> Signup and view all the answers

    What is the first phase of muscle injury repair characterized by?

    <p>Breaking of fascia and muscle causing bleeding (B)</p> Signup and view all the answers

    Which process follows the arrival of fibroblasts in muscle injury repair?

    <p>Inflammation (B)</p> Signup and view all the answers

    Study Notes

    Skeletal Muscle Injury General Information

    • Skeletal muscle, also called striated muscle, is made of muscle fibers varying in length (up to 50cm) and diameter (10-100 micrometers).
    • Muscle fibers contain nuclei along their periphery.
    • Muscle fibers are composed of myofibrils with alternating actin and myosin.
    • Type I (slow-twitch, red fibers) use oxygen, are resistant to fatigue, and are dominant in postural muscles.
    • Type II (fast-twitch, white fibers) rely on anaerobic metabolism, are prevalent in muscles used for quick movement, and are further divided into Ila and IIb based on oxidative capacity.

    Muscle Organization

    • Skeletal muscle is organized into three layers of connective tissue:
      • Epimysium: Encases the entire muscle.
      • Perimysium: Surrounds groups of muscle fibers (fascicles).
      • Endomysium: Encircles individual muscle fibers.
    • Endomysium contains blood vessels, lymphatics, and nerve endings.
    • Satellite cells (vestigial embryonic cells with differentiation potential) reside in the basement membrane, crucial for muscle repair.
    • Myotendinous junction is where muscle transitions to tendon, transferring forces to bone, and is prone to injury.
    • The junction has invaginations that enhance contact surface and load distribution.

    Muscle Injury Repair Process

    • Muscle injury repair is a continuous process, not sequential.
    • Different phases overlap:
      • Injury Day: Fibre tear, inflammation, hematoma.
      • 1st-2nd Week: Maximum degeneration process (chemical factors, interleukins, cytokines, growth factors).
      • 2nd Week: Maximum muscle repair process (Satellite cell activation, growth factor activity).

    • Muscles and tendons heal differently from bones.
    • Muscle repair involves destruction, repair, and remodelling phases.
      • Tissue breakdown, clot formation via platelets and growth factors.
      • Fibroblasts clean debris, cytokines call for immune response cells.
      • New blood vessels are created by growth factors to support muscle regeneration.
      • Satellite cells differentiate into myoblasts (muscle-building cells), myocytes, new muscle fibers, and innervation/fascia perfection.
      • Tissue can reach 80% strength within 1-2 months. -Full strength restoration possible a year later.

    Muscle Pathology & Classification

    • Muscle injuries can be caused by fatigue, dehydration, lack of key nutrients.
    • Prevention methods include hydration, oral hygiene, and proper warm-up and stretching.
    • Muscle injuries can be classified by mechanism and severity (Minor muscle problems, distensions, strains, cramps, Structural abnormalities).
    • Symptoms vary based on type and severity.
    • Proper classification is important for determining treatment and prognosis.
    • Different muscle injuries have varying timelines for resolution.

    Specific Muscle Tear Descriptions

    • Minor Partial Muscle Tear (3A): Tear < muscle fascicle, sharp pain, palpable defect, stretch-induced pain.
    • Moderate Partial Muscle Tear (3B): Tear > fascicle, stabbing pain, noticeable tearing, palpable defect, stretch-induced pain.
    • Total Muscle Tear (4): Tear involves complete muscle diameter, dull pain, palpable gap, loss of function.
    • Contusion (Direct Injury): Blunt external force, diffuse hematoma, pain, loss of motion, swelling.

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    Description

    Explore the fundamental aspects of skeletal muscle injury, including detailed information about muscle fibers and their types. Learn about the organization of skeletal muscles into connective tissue layers and the role of satellite cells. This quiz covers essential knowledge for understanding muscle structure and function.

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