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99 Cards in this Set

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What is bone tissue composed of?

Bone cells and extra cellular matrix (osteogenic, osteocytes, osteoblasts, osteoclasts)

Osteogenic cells

Stem cells that give rise to other bone cells

Osteocytes

Former osteoblasts that become trapped in matrix they deposited

Lacunae

Tiny cavities where osteocytes live

Canaliculi

Narrow channels that connect the lacunae

Osteoblasts

Build bone tissue; synthesize soft organic matter of bone matrix; hardens by mineral deposit

B for build

Osteoclasts

Bone matrix dissolving cells found on bone surface; release minerals (calcium) into the bloodstream

C for chew

What is the extracellular bone matrix composed of?

Organic & inorganic matter that surrounds the bone cells

Dry weight of bone?

1/3 organic & 2/3 inorganic

Organic matter

Synthesized by the osteoblasts; includes collagen fibers and other protein based complexes; stimulates the incorporation of calcium into bone matrix

Inorganic matter

85% hydroxyapatite (calcium-phosphate salt); 10% calcium carbonate; 5% random ions

What is the difference between spongy and compact bone?

The extra cellular matrix is arranged differently; their names speak for themselves

Compact bone

Arranged in structures called osteons

Osteons

Contain: central (haversian) canal & concentric rings of calcified matrix called lamellae

Central (haversian) canal

Blood vessels and nerves run through; connected together by perforating (volkmann) cells

Spongy bone

Arranged in structures called trabeculae; matrix is not concentric circles but a lattice-like network of spikes

Red bone marrow

Fills the space in spongy bone; produces the blood cells (hematopoiesis)

Yellow bone marrow

Fills the medullary cavity; lipid storage

What are the main functions of the skeletal system?

Support, protection, movement, mineral storage, hematopoiesis, triglyceride storage

What is the skeletal system composed of?

Bones, cartilage, joints, ligaments

Ossification or osteogenesis definition?

Formation of bone via 2 methods: intramembranous ossification & endochondral ossification

Intramembranous ossification

Produces the flat bones of the skull & part of the clavicle; compact & spongy bone develop directly from sheets of fibrous connective tissue; no cartilage is needed for this process

Endochondral ossification

Involves a cartilage bone template that is converted to bone tissue; most bones develop this way; starts around 6th week of fetal development; an epiphyseal plate is formed

Epiphyseal plate

Found in epiphyseal end of long bones; remains “open” during bone growth; allows for longitudinal growth of bone; similar to endochondral ossification

How does bone grow vertically?

As older cartilage cells are pushed further from the reserve zone, the cartilage is eventually converted to bone tissue, which then allows bone to grow longitudinally

At what point in life do the epiphyseal plates “close”, converting cartilage to bone tissue?

Late adolescence

Wolff’s law of bone

Bone will remodel the density of the matrix according to the external stresses placed upon it; occurs primarily within spongy bone; less force/stress= decrease in matrix density; & more force/stress= increase in matrix density

Which 2 hormones have a direct influence on the density of bone?

Parathyroid hormone (PTH) & Calcitonin - both hormones maintain blood calcium levels

PTH

Secreted by parathyroid gland; increases blood calcium levels; stimulates increase of activity of osteoclasts and decrease activity of osteoblasts; activates increase in production of vitamin D, absorption of calcium within intestinal tract, & decreases loss of calcium through kidneys

Calcitonin

Secreted by thyroid hormone; decreases blood calcium levels; stimulates increased activity of osteoblasts and decreases activity of osteoclasts; also deactivates absorption of calcium in intestinal tract & increases secretion of calcium in kidneys

Bone mineral density (BMD)

Vital to maintain structural support for the body; as a person ages, BMD decreases and can lead to risk of pathological bone fractures

Osteopenia

BMD is lower than normal peak of bone mineral density, but not low enough to be classified as osteoporosis

Osteoporosis

Progressive condition where the BMD is very low and there is an increased risk for bone fractures

What are the different classifications of fractures?

Simple


Compound


Greenstick


Communited


Spiral

What are the 4 stages of bone repair when a fracture occurs?

1. Hematoma formation


2. Fibrocartilage callus formation


3. Bony callus formation


4. Bone remodeling

What are the 5 classifications of bones?

Long


Sesamoid


Flat


Short


Irregular

Long bone anatomy

Back (Definition)

Spinal regions

Back (Definition)

Closed reduction

Manual manipulation of a broken bone to set it into its natural position without surgery

Diaphysis

Tubular shaft that runs between the proximal and distal ends of a long bone

Diploe

Layer of spongy bone that is sandwiched between two layers of compact bone found in flat bones

Endosteum

Delicate membranous lining of a bones medullary cavity

Epiphysis

Wide section at each end of long bone; filled with spongy bone and red marrow

External callus

Collar of hyaline cartilage and bone that forms around the outside of a fracture

Internal callus

Finbrocartilaginous matrix, in the endosteal region between the 2 ends of a broken bone

Modeling

Process during bone growth by which bone is resorbed on one surface of a bone and deposited on another

Open reduction

Surgical exposure of a bone to reset a fracture

Osteoid

Uncalcified bone matrix secreted by osteoblasts

Perichondrium

Membrane that covers cartilage

Periosteum

Fibrous membrane covering the outer surface of bone and continuous with ligaments

Projection

Bone markings where part of the surface sticks out above the rest of the surface where tendons and ligaments attach

Proliferative zone

Region of the epiphyseal plate that makes new chondrocytes to replace those that die at the diaphyseal end of plate and contributes to longitudinal growth of epiphyseal plate

Remodeling

Process by which osteoclasts resorb old or damaged bone at the same time as and on the same surface where osteoblasts form new bone to replace that which is resorbed

Reserve zone

Region of epiphyseal plate that anchors the plate to Osseous tissue of the epiphysis

Secondary ossification center

Region of bone development in the epiphyses

Zone of calcified matrix

Region of epiphyseal plate closest to diaphyseal plate; functions to connect the epiphyseal plate to the diaphysis

Zone of maturation and hypertrophy

Region of epiphyseal plate where chondrocytes from proliferative zone grow and mature and contribute to longitudinal growth of growth plate

Vitamin K

Supports bone mineralization and may have synergistic role with vitamin D

Normal blood calcium level?

10mg/dL is critical for normal body functions

Hormones that affect the skeletal system?

Growth hormone


Thyroxine


Sex hormones


Calcitriol


Parathyroid hormone


Calcitonin

Growth hormone

Increases length of long bones, enhances mineralization, and improves bone density

Thyroxine

Stimulates bone growth and promotes synthesis of bone matrix

Sex hormones

Promote osteoblastic activity and production of bone matrix; responsible for adolescent growth spurt; promote conversion of epiphyseal plate to epiphyseal line

Calcitriol

Stimulates absorption of calcium and phosphate from digestive tract

Parathyroid hormone

Stimulates osteoclast proliferation and resorption of bone by osteoclasts; promotes reabsorption of calcium by kidney tubules; indirectly increases calcium absorption by small intestine

Calcitonin

Inhibits osteoclast activity and stimulates calcium uptake by bones

Calcium

Needed to make calcium phosphate and calcium carbonate which form hydroxyapatite crystals that give bones their hardness

Calcium

Needed to make calcium phosphate and calcium carbonate which form hydroxyapatite crystals that give bones their hardness

Vitamin D

Needed for calcium absorption

Magenesium

Structural component of bone

Fluoride

Structural component of bone

Omega 3 fatty acids

Reduces inflammation that may interfere with osteoblast function

Transverse fracture

Occurs straight across the long axis of the bone

Oblique fracture

Occurs at an angle that is not 90 degrees

Oblique fracture

Occurs at an angle that is not 90 degrees

Spiral fracture

Bone segments are pulled a part as a result of twisting motion

Comminuted fracture

Several breaks may result in many small pieces between two large segments

Comminuted fracture

Several breaks may result in many small pieces between two large segments

Impacted fracture

One fragment is driven into the other usually as a result of compression

Greenstick fracture

Partial fracture where only one side of the bone is broken

Compound or open fracture

At least one end of the broken bone tears through the skin

Compound or open fracture

At least one end of the broken bone tears through the skin

Closed or simple fracture

Fracture in which skin remains intact

Pagets disease

Leg bones are porous and curved

Long bones function?

Leverage

Long bones function?

Leverage

Short bones function?

Provide stability, support, allows some motion

Long bones function?

Leverage

Short bones function?

Provide stability, support, allows some motion

Flat bone function?

Points of attachment for muscles; protectors of internal organs

Long bones function?

Leverage

Short bones function?

Provide stability, support, allows some motion

Flat bone function?

Points of attachment for muscles; protectors of internal organs

Irregular bone function?

Protect internal organs

Long bones function?

Leverage

Short bones function?

Provide stability, support, allows some motion

Flat bone function?

Points of attachment for muscles; protectors of internal organs

Irregular bone function?

Protect internal organs

Sesamoid bones function?

Protect tendons from compressive forces