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17 Cards in this Set

  • Front
  • Back
Type 1 Collagen:
Structure
Gly-XY??

Triple helix structure
OI:
Mutation
Mutation in Type I collagen
These cells make type I collagen.
Osteoblasts
What do osteoclasts release?
Alkaline phosphatase
Wolff's Law
Form follows function
Osteopetrosis:
Pathophys
Tx
Nonfnal or absent osteoclasts

Leads to dense, calcified bone that's not turning over-->brittle bone

Curable w/BM transplant
Giant Cell Tumor:
Pathophys
Overactive osteoclasts-->cavities in bone
Five cancers that spread to bone.
PT Barnum Loves Kids
Prostate
Thyroid
Breast
Lung
Kidney
Osteoporosis vs Osteomalacia
Osteoporosis: Less overall bone mass, but proportion of bone content is the same

Osteomalacia: normal bone mass, but less mineral in bone (normal amounts of collagen, osteoid)

Both are osteopenic :)
How does bone mass change with age? Why?
Bone mass decreases with age because osteoblasts can't keep up with osteoclasts :'(
Bone mass cut off for osteoporosis.
at least -2.5 SD
What determines bone mass?
Genetics
Age, Sex
Diet
Exercise
Tobacco, caffeine
DM, hypothy, hyperpara, low testosterone
Overactive osteoblasts can result in _____.
Bone forming tumors
Creeping substitution is seen in _______.
Avascular necrosis
Avascular necrosis:
Etiology
Idiopathic
EtOH
Steroids
Clotting disorder, SICKLE, Gaucher's dz
Fractures, dislocation
Geriatric hip fracture:
Most common site of fracture
45% Femoral neck
45% intertrochanteric
Why are interotrochanteric fractures more likely to heal?
Cancellous bone, more vascularized than other regions