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79 Cards in this Set

  • Front
  • Back
What does the skeletal system include?


Bones of the skeleton


Cartilages, ligaments, and connective tissues

What are the five primary functions of the skeletal system?


Support


Storage of minerals (calcium) & lipids (yellow marrow)


Blood cell production (red marrow)


Protection


Leverage (force of motion)

How are bones classified?

By their shape, internal tissue organization, and bone markings (surface features; marks)
What are the six bone shapes?


1. Sutural


2. Irregular


3. Short


4. Flat


5. Long


6. Sesamoid

What are Sutural bones?


Small irregular bones


Found between the flat bones of the skull

What are irregular bones? Give an example


Have complex shapes


Ex; spinal vertebrae, pelvic bones

What are short bones? Give an example


Small and thick


Ex; ankle and wrist bones

What are flat bones? Give an example


Thin with parallel surfaces


Ex; Found in the skull, ribs, and scapulae

What are long bones? Give an example


Long and thin


Found in arms, legs, hands, feet, fingers, and toes


What are sesamoid bones? Give an eample

Small and flat


Develop inside tendons near joints of knees, hands, and feet

What are the types of bone markings?


Depressions or grooves


- Along bone surface


Elevations or projections


- Where tendons and ligaments attach


- At articulations with other bones


Tunnels


- Where blood and nerves enter bone

What is the structure of a long bone?

Diaphysis


Epiphysis


Metaphysis

What is the Diaphysis of a long bone?

-The shaft


-A heavy wall of compact/dense bone


-A central space called medullary (marrow) cavity

What is the Epiphysis of a long bone?

-Wide part at each end


-Articulation with other bones


-Mostly spongy (cancellous) bone


-Covered with compact bone (cortex)

What is the Metaphysis of a long bone?
-Where diaphysis & epiphysis meet
What are the structures of a flat bone


The parietal bone of the skull


Resembles a sandwich of spongy bone


Between two layers of compact bone


Within the cranium, the layer of spongy bone between the compact bone is called diploe

What is bone (Osseous) tissue?


Dense, supportive connective tissue


Contains specialized cells


Produces solid matrix of calcium salt deposits


Around collagen fibers

What are the characteristics of bone tissue?


Dense matrix, containing:


-Deposits of calcium salts


-Osteocytes (bone cells) with lacunae organized around blood vessels


-Canaliculi


-Periosteum

What are the functions of Canaluculi in bone tissue?


Forms pathways for blood vessels


Exchange nutrients and waste

What are the functions of Periosteum in bone tissue?


Covers outer surfaces of bones


Consists of outer fibrous and inner cellular layers

What are the characteristics of the bone matrix in bone tissue?


Contains minerals


-2/3 of the bone matrix is calcium phosphate


*Reacts with calcium hydroxide to form crsytals of hydroxyapatite which incorporates other calcium and salt ions


-1/3 of the bone matrix is protein fibers (collagen)

What are the types of bone cells?


1. Osteocytes


2. Osteoblasts


3. Osteoprogenitor cells


4. Osteoclasts


Makes up only 2% of bone mass

What are osteocytes?


Mature bone cells that maintain the bone matrix


Live lacunae


Between layers (lamellae) of matrix


Connect by cytoplasmic extensions through Canaliculi in lamellae


They do not divide

What are the two major functions of osteocytes?


To maintain protein & mineral content of matrix


To help repair damaged bone

What are osteoblasts?


Immature bone cells that secrete matrix compounds (osteogensis)


Osteoblasts surrounded by bone become osteoclasts

What is osteoid?
A matrix produced by osteoblasts, but not yet calcified to form bone
What are osteoprogenitor cells?

Mesenchymal stem cells that divide to produce osteoblasts


Located in endosteum, the inner cellular layer of periosteum


Assist in fracture repair

What are osteoclasts?


Secrete acids and protein-digesting enzymes


Giant, multinucleate cells


Dissolve bone matrix and release stored minerals (osteolysis)


Derived from stem cells that produce macrophages

What is homeostasis in bone tissue?


Bone building (by osteoblasts) and bone recycling (by osteoclasts) must balance


-More breakdown than building, bones become weak


-Exercise, particularly weight-bearing exercise, causes osteoblasts to build bone

What is the structure of compact bone?

Osteon is the basic unit


-Osteocytes are arranged in concentric lamellae


-Around a central canal containing blood vessels


-Perforating canals

What are the functions of perforating canals in compact bone?


Perpendicular to the central canal


Carry blood vessels into bone marrow

What are the functions of circumferential lamellae in compact bone?


Lamellae wrapped around the long bone


Bind osteons together

What are the structures of spongy bone?


Does not have osteons


The matrix forms an open network of trabeculae


Trabeculae have no blood vessels


The space between trabeculae is filled with red bone marrow and yellow bone marrow

Functions of red bone marrow in spongy bone


Has blood vessels


Forms red blood cells


Supplies nutrients to osteocytes


Functions of yellow bone marrow in spongy bone


In some bones, spongy bone holds yellow bone marrow


Is yellow because it stores fat

What are weight-bearing bone?


The femur transfers weight from hip joint to knew joint


-Causing tension on the lateral side of the shaft and compression on the medial side

Characteristics of compact bone covered with membrane


Periosteum on the outside


-Covers all bones except parts enclosed in joint capsules


-Made up of an outer, fibrous layer and an inner cellular layer


-Perforating fibers: collagen fibers of the periosteum

Characteristics of perforating fibers in compact bone


Connect with collagen fibers in bone and with fibers of joint capsules; attach tendons and ligaments

What are the functions of periosteum?


Isolates bone from surrounding tissues


Provides a route for circulatory and nervous supply


Participates in bone growth and repair

What are the characteristics of endosteum in compact bone?

On the inside


An incomplete cellular layer


-Lines the medullary (marrow) cavity


-Covers trabeculae of spongy bone


-Lines central canals


-Contains osteoblasts, osteoprogenitor cells, and osteoclasts


-Is active in bone growth and repair

Human bones grow until about what age?

25
What is osteogenesis?
Bone formation

What is ossification?

The process of replacing other tissues with bone
What is calcification?


The process of depositing calcium salts


Occurs during bone ossification and in other tissues

What are the two main forms of ossification?


Endochondral ossification


Intramembranous ossification

What is Endochondral ossification?

Ossifies bones that originate as hyaline cartilage


Most bones originate as hyaline cartilage


There are 7 main steps in endochondral ossification

What is Appositional growth?
Compact bone thickens and strengthens long bone with layers of circumferential lamallae
What are epiphyseal lines?


When long bone stops growing, after puberty


-Epiphyseal cartilage disappears


-Is visible on x-rays as an epiphyseal line

What is a mature long bone?


As long bones mature osteoclasts enlarge medullary (marrow) cavity


Osteons form around blood vessels in compact bone

What is intramembranous ossification?


Also called dermal ossification


-Occurs in the dermis


Produces dermal bones such as mandible and clavicle


There are 5 main steps in intramembranous ossification

Characteristics of blood supply of mature bones


1. Nutrient artery & vein


2. Metaphyseal vessels


3. Periosteal vessels

What are the characteristics of nutrient artery and veins in mature bones?


A single pair of large blood vessels


Enter the diaphysis through the nutrient foramen


Femur has more than one pair

What are the characteristics of Metaphyseal vessels in mature bones?

Supply the epiphyseal cartilage


Where bone growth occurs

What are the characteristics of Periosteal vessels in mature bones?

Send blood to superficial osteons


Secondary ossification centers

The periosteum also contains?

Networks of lymphatic vessels & sensory nerves
Characteristics of the adult skeleton


Maintains itself


Replaces mineral reserves


Recycles and renews bone matrix


Involves osteocytes, osteoblasts, and osteclasts

Characteristics of adult skeleton remodeling itself


Bone continually remodels, recycles, and replaces


Turnover rate varies:


-If deposition is greater than removal, bones get stronger


-If removal is faster than replacement, bones get weaker

What are the effects of exercise on bone?


Mineral recycling allows bones to adapt to stress


Heavily stressed bones become thicker and stronger

At what rate to bones degenerate?


They degenerate quickly, up to 1/3 of bone mass can be lost in a few weeks of inactivity
Normal bone growth and maintenance depends on what?


Nutritional and hormonal factors


-A dietary source of calcium and phosphate salts plus small amounts of magnesium, fluoride, iron, and magnese

What hormones affects normal bone growth?

Growth hormone & thyroxine stimulates bone growth


Estrogen and androgens stimulates osteoblasts


Calcitonin & parathyroid hormone regulate calcium & phosphate levels


Calcitriol


-Made in the kidneys


-Helps absorb calcium and phosphorus from digestive tract


-Synthesis requires vitamin D3 (cholecalciferol)



What vitamins are required for normal bone growth?


Vitamin C


-Collagen synthesis and stimulation of osteoblasts differentiation


Vitamin A


-Stimulates osteoblast activity


Vitamins K & B12


-Helps synthesize bone proteins

How is the skeleton like a calcium reserve?


Bones store calcium and other minerals


Calcium is the most abundant mineral in the body

Calcium ions are vital to what?

Membranes, neurons, muscle cells, especially heart cells
What is calcium homeostasis?


Calcium ions in body fluid


-Must be closely regulated


Homeostasis is maintained


-By calcitonin and parathyroid hormone (PTH)


-Which controls storage, absorption, and excretion

Calcitonin and Parathyroid Hormone affects what?


Bones


-Where calcium is stored


Digestive Tract


-Where calcium is absorbed


Kidneys


-Where calcium is excreted

Characteristics of Parathyroid Hormone (PTH)?

Produced by parathyroid glands in neck


Increases calcium ion levels by


-Stimulating osteoclasts


-Increasing intestinal absorption of calcium


-Decreasing calcium excretion at kidneys

Characteristics of Calcitonin?


Secreted by C cells (parafollicular cells) in thyroid


Decreases calcium ion levels by


-Inhibiting osteoclast activity


-Increasing calcium excretion at kidneys

What are fractures?


Cracks or breaks in bones


Caused by physical stress

How are fractures repaired?


1. Bleeding


2. Cells of the endosteum & periosteum


3. Osteoblasts


4. Osteoblasts and osteocytes remodel the fracture for up to a year

What does bleeding do for a fracture?


Produces a clot (fracture hematoma)


Establishes a fibrous network


Bone cells in the area die

What do cells of the endosteum & periosteum do for a fracture?


Divide & migrate into fracture zone


Calluses stabilize the break


-External callus of cartilage & bone surrounds break


-Internal callus develops in medullary cavity

What do osteoblasts do for a fracture?

Replace central cartilage of external callus with spongy bone
What does osteoblasts and osteocytes remodeling the fracture for up to a year do for the fracture?

Reduces bone calluses
What are the major types of fractures?


Transverse


Displaced


Compression


Spiral


Epiphyseal


Comminuted


Greenstick


Colles


Pott's

What are age-related changes that happen to bones?

Bones become thinner & weaker with age


-Osteopenia begins between ages 30 & 40


-Women lose 8% of bone mass/decade, men lose 3%


The epiphyses, vertebrae, and jaws are most affected resulting in fragile limbs, reduction in height and tooth loss

What is osteoporosis?

Severe bone loss


Affects normal function


Over age 45, occurs in


29% of women


18% of men

How do hormones affect bone loss?


Estrogens and androgens help maintain bone mass


Bone loss in women accelerates after menopause

How does cancer affect bone loss?


Cancerous tissues release osteoclast-activating factor


-Stimulates osteoclasts and produces severe osteoporosis