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79 Cards in this Set

  • Front
  • Back

Skeletal system

made up of:


-bone


-cartilage (covers joint surfaces/"pre-bone")


-ligaments (holds bones together at joints)


functions of the skeletal system

support


protection


movement


electrolyte balance- Ca & P ion storage


acid base balance- buffers blood


blood formation - red bone marrow > blood cells

Is bone a tissue or an organ?

both;


tissue: contains cells, fiber, ground substance


organ: contains many types of tissues (osseous, cartilage, nervous, fibrous, adipose)

is a tendon a part of the skeletal system?

no, tendons attach muscles to bone and are therefore not considered a part of the skeletal system

What is bone?

"osseous tissue"



-connective tissue with matrix hardened by calcium phosphate and other minerals


-continually remodels


-interacts with other organ systems


-permeated with nerves and blood vessels

axial skeleton

skull, vertebral column, ribs

appendicular skeleton

appendages, coxal bones, pectoral girdle

Parts of a long bone

-outer shell of compact bone


-marrow cavity


-spongy bone @ ends


-2 epiphyses & diaphysis


-articular cartilage


-nutrient foramina


-endosteum & periosteum


- epiphyseal line/plate

Epiphysis

enlarged ends of long bones



functions;


anchor, joints, tendon/ligament attachment

diaphysis

shaft of long bone, houses the medullary (marrow) cavity



used for leverage

articular cartilage

hyaline cartilage at the epiphyses



covers the joint surface to reduce friction

periosteum

a fibrous layer of collagen that covers the outside of a bone

endosteum

thin layer of reticular tissue that lines the marrow cavity

epiphyseal line/plate

adults (line): body scar that shows former place of growth



children (plate): site of bone growth in length

flat bone

spongy bone sandwiched by compact bone


diploe

spongy layer in cranium that absorbs shock

Types of bone cells

4 types:


-osteogenic


-osteoblasts


-osteocytes


-osteoclasts

Osteogenic Cells

-stem cells found in the endosteum, periosteum, and central canals


-embryonic mesenchymal cells


-multiply continuously to create new osteoblasts

stress and fractures cause rapid multiplication of what type of bone cell?

osteogenic cells

osteoblasts

-bone forming cells


-nonmitotic


-lines up in single layer under endosteum and periosteum


-synthesizes soft organic matter of matrix to harden by mineral deposition

osteocytes

- former osteoblast that became trapped in the matrix they deposited


- reside in lacunae, connected by canaliculi


can deposit or reabsorb bone matrix


- produce biochemical signals when stressed to regulate bone remodeling


- homeostatic mechanism: bone density, calcium phosphate ions

osteoclasts

-bone dissolving cells


-have "ruffled border"


-found in resorption bays on bone surface


-developed from bone marrow stem cells


-large (formed by fusion of stem cells)

Bone Matrix

ground substance + fibers


-is a composite: made of a ceramic & a polymer

Hydroxyapetite

;crystalized calcium phosphate salt



inorganic



ceramic component of the bone matrix


- allows bone to support body weight


Collagen

organic



polymer component of the bone matrix


- gives bone its flexibility

rickets

calcium salt deficiency in children



bones bend, unable to support body weight


not enough calcium int die or vitamin D deficiency

osteogenesis imperfecta

"brittle bone disease"



lack of protein, collagen


decreased bone flexibility

organic components of the bone matrix

-made by osteoblasts


-collagen


-glycosaminoglycans


-proteoglycans


-glycoproteins

inorganic components of the bone matrix

- 85% hydroxyapetite


- 10% calcium carbonate


- other minerals: fluoride, sodium, potassium, magnesium

Characteristics of compact bone

-osteon (central canal + concentric lamellae)


-canaliculi (connects osteons)


-circumferential lamellae


-interstitial lamellae (irregular regions; old osteons)


-vascular (nutrient foramina, perforating & central canals)

Characteristics of spongy bone

-sponge-like but actually calcified & hard


-spicules (slivers of bones)


-trabeculae (thin plates formed along stress lines)


-red bone marrow


-few osteons, no central canals

bone marrow

soft tissue in marrow cavity & inbetween trabeculae



can be:


red


yellow

red bone marrow

hemopoetic tissue (prodcues blood cells)


found in most bones in children



in adults: most changes to fatty yellow. still in skull, vertebrae, ribs, sternum, part of pelvic girdle, proximal heads of humerus and femur

yellow marrow

found in adults



doesnt produce blood



previously red marrow, can change back if needed

How does the human fetus & infant develop bone?

intramembranous ossification


endochondral ossification

intramembranous ossification

bones develop within sheets of dense fibrous connective tissue



4 stages



ex. flat bones of the skull & clavicle

mesenchyme

embryonic connective tissue

Intramembranous Ossification (Stage 1)

-mesenchymal cells condense


-differentiate into osteogenic cells


-begin formation of trabecular network


-dense supply of blood capillaries

Intramembranous Ossification (Stage 2)

-osteogenic cells -> osteoblasts


-lay down osteoid tissue at surface


-formation of periosteum

Intramembranous Ossification (Stage 3)

-spongy bone matures


-osteoclasts resorb and remodel trabeculae to form marrow cavity

Intramembranous Ossification (Stage 4)

compact bone forms on outside via bone deposition

Endochondral Ossification

bone develops from pre-existing cartilage model


-most bones in body



6th week of fetal development - early 20's



6 stages

Endochondral Ossification (Stage 1)

-mesenchyme turns into hyaline cartilage covered with perichondrium



-perichondrium produces chondrocytes which thicken the cartilage

Endochondral Ossification (Stage 2)

-bony collar forms



- perichondrium produces osteoblasts > now considered the periosteum



-chondrocytes enlarge to form primary ossification center

Endochondral Ossification (Stage 3)

-blood vessels penetrate bony collar & invade primary ossification center


-osteoblasts line the cavity & deposit osteoid tissue


-osteoclasts dissolve calcified cartilage from the inside out


- secondary ossification center forms

Endochondral Ossification (Stage 4)

-secondary marrow cavity forms by enlargement & then death of chondrocytes in epiphysis


- enlarged primary marrow cavity


-metaphysis forms



*appearance of bone at birth

Endochondral Ossification (Stage 5)

-epiphyseal plate(wall of cartilage) forms at distal end



-epiphyses fill with spongy bone

Endochondral Ossification (Stage 6)

-gap between epiphysis & diaphysis close


~ plate > line



-1 cavity, no more growth in length



*typical adult bone

Growth in long bones of hands & fingers

there is only a single epiphyseal plate in these bones. only grows in length outward

Which lamellae are the newest, the ones closest to the central canal or the ones farther away?

the lamellae closest to the central canal are the newest. Bone deposition goes from inside to out

bone elongation

via interstitial growth



cartilage growth from within @ epiphyseal plate

bone thickening

via appositional growth




the widening of bones because of deposition of new tissue at surface

what is the metaphysis?

a transitional zone on each side of the epiphyseal plate facing the marrow cavity where cartilage is replaced by bone



5 zones: zone of reserve cartilage, proliferation, hypertrophy, calcification, bone deposition

zone of reserve cartilage

closest to the epiphyseal plate



hyaline cartilage

zone of proliferation

chondrocytes multiply and form columns of flat lacunae

zone of hypertrophy

chrondrocytes enlarge

zone of calcification

mineral deposited in matrix between lacunae



temporary support for cartilage

zone of bone deposition

chrondrocytes die


columns fill with osetoblasts & blood vessels


osteoclasts dissolve calcified cartilage


osteoblasts create spongy bone and osteons

which two zones are responsible for the growth in height of children?

2. zone of proliferation


3. zone of hypertrophy

dwarfism

achondroplastic: long bones stop growing in childhood (normal torso, short limbs)



pituitary: lack of growth hormone (normal proportions, short stature)

bone remodeling

combined action of mineral deposition by osteoblasts and mineral resorption by osteoclasts



10% of skeleton per year



repairs microfractures, releases minerals into blood, reshapes bone for function

wolffs law

bones adapt and shape is determined by stresses

mineral deposition

creating bone



osteoblasts lay down collagen > hydroxyapetite crystals form (crystallization) > seed crystals recruit (positive feedback) > calcification

mineral resorption

process of using osteoclasts to dissolve bone, leaking minerals into the blood



acid phosphatase digests collagen > HCL dissolves bone minerals

how do bones regulate blood calcium and phosphate levels?

minerals can be deposited or withdrawn when needed

Ways in which our body utilizes phosphate

ATP


DNA


phospholipid bilayer


pH buffers

ways in which our body utilizes calcium

muscle contraction


blood clotting


neuron communication


exocytosis

How much calcium does our body have?

1100g , 99% is in skeleton


--stable hydroxyapatite reserve



we exchange 18% with blood each year

calcium homeostasis

keeps desirable levels of calcium in blood



regulated by hormones calcitonin, calcitriol, and parathyroid hormone


Concentration of calcium in blood plasma

9.2-10.4 mg/dL


slight changes cause serious consequences



depends on diet, urinary/fecal losses, exchanges with osseous tissue

calcitriol

homeostatic control of calcium


-raises blood calcium concentration


(bone resorption, promotes kidney reabsorption, promotes absorption by small intestine)


-form of vitamin D


-found in fortified milk


calcitonin

homeostatic control of calcium


-lowers blood calcium concentration


(osteoclast inhibition, osteoblast stimulation)


-secreted by c cells of thyroid when calcium is too high


-important in children, weak effect in adults

calcium ion imbalances

hypercalcemia: excess calcium, nerve/muscle cells less excitable, rare



hypocalcemia: calcium deficiency, more excitable, caused by vit D deficiency, pregnancy/lactation, diarrhea, tumors


*negative feedback loops

parathyroid hormone

homeostatic control of calcium


-raises blood calcium


(increases osteoclast activity, decreases osteoblast activity, promotes reabsorption by kidneys & calcitriol synthesis)


-lowers blood phosphate levels by promoting excretion in urine

Types of bone fractures

stress fracture: abnormal trauma, sports related



pathological fracture: fracture in bone that is already weakened by another disease (stress wouldnt normally break bone)


ex. osteoporosis, bone cancer

classification of bone fractures

nondisplaced: still aligned


displaced: out of line


comminuted: broken in 3+ pieces


greenstick: incompletely broken on one side, bent on opposite side (twig)

Steps of healing a fracture

1. hematoma formation


- invasion of cells and capillaries


2. soft callus formation


- deposition of collagen & fibrocartilage


3. hard callus formation


- osteoblasts deposit bony collar(unites broken pieces)


4. bone remodeling


- fragments removed by osteoclasts


- osteoblasts deposit spongy bone > compact

Fracture treatments

closed reduction (no surgery)


open reduction (surgery)


cast (immobilizes healing bone)


STIM (accelerates repair, supresses PTH)


traction (overrides force of muscles to align fracture)


Bone anatomy - articulations

condyle


facet


head