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71 Cards in this Set

  • Front
  • Back
Identify and describe the two mechanisms of cartilage growth.
Interstitial growth - mitosis and then secrete matrix, which pushes the cells apart
Appositional growth - perichondrium differentiates into chondrocytes at surface, which produce matrix; happens 2nd?
What bones make up the axial skeleton?
Skull
Vertebrae
Rib cage
How many bones are included in the axial skeleton?
80 bones
What bones make up the appendicular skeleton?
Upper and lower limbs
Pelvic and shoulder girdle
How many bones are included in the appendicular skeleton?
126 bones
- 64 superior portion
- 62 inferior portion
Identify and describe the four types of cells that form and maintain bone tissue.
Osteogenic cells - from mesenchym, stem/mitosis, inner layer of periosteum + endosteum
Osteoblasts - form matrix/colagen fibers, initiate calcification
Osteocytes - mature bone cells, have gap jctns for communication, maintain matrix
Osteoclasts - unrelated 2 other 3, bone resorption, hemopoesis in marrow, many nuclei from fusion of 50 cells, ruffled border, secretes lysosomes
Name the organic portion of bone matrix.
Oteoid - secreted by osteoblasts
What materials make up the organic and inorganic parts of the bone matrix?
Organic - osteoid - ground substance and collagen fibers; resistance to mech. stresses
Inorganic - hydroxyapatite - mineral salts, hydroxyapatitie crystals, calcium phosphate; resist compression forces
Is the organic or inorganic part of the bone matrix primarily responsible for the tensile strength/stretching forces b/w ends of bone?
Organic - the osteoid; b/c of collagen fibers
Is the organic or inorganic part of the bone matrix primarily responsible for the compression strengh of bone?
Inorganic - mineral salts: hydroxyapatite, calcium phosphate packed in tightly
Which of the parts of the bone matrix makes the bone hard and heavy?
Inorganic portion - the packed crystals, mostly calcium phosphate
What are the primary minerals stored in bones?
Primary: Calcium, phosphorous
Name, describe and give an example of each of the five categories of bone, classified by shape.
Long - elongated; all limbs, excepte patella, carpals and tarsals
Short - rounded, cube-like, spongy bone; sesamoid bones develop in a tendon
Flat - 2 parallel surfaces of compact, enclosing spongy; cranium, mandible, illium etc
Irregular - don't fit the others; wormian/sutural bones, vertebrae, sphenoid, ethmoid
What is the general function of spongy bone? Of compact bone?
Spongy - filled with red/yellow marrow; shock absorber, lightens bone
Compact - strength and hardness
Describe the general structure of a long bone.
Diaphysis - medullary cavity, thin layer of spongy bone around cavity, compact bone thickest in middle
Epiphysis - rounded/bulbshaped, shock absorption
Articular cartilage - hyaline, covers articular surfaces
Metaphysis/epiphyseal lines - in kids who are still growing, hyaline cartilage (epiphyseal plate)
Endosteum - delicate, vascularized, around medullary
Periosteum
Sharpey's fibers
Describe the medullary cavity (where is it located, what structures are found there)?
Hollow cylindar
Thickest in middle of shaft
Red and yellow marrow
Surrounded by spongy bone layer and endosteum
Describe the structure and function(s) of the periosteum.
Double layered membrane, everywhere, but articulating surfaces
Outer layer - dense irregular ct/fibrous layer
Inner layer - osteoblasts and osteoclasts/ bone growth
Vascularized
What is the function of Sharpey's fibers?
Collagen fibers from periosteum into bone matrix
Anchor fibers of ligaments and tendons into bone
Distribute mechanical forces over greater bone surface
What is the function of the nutrient foramen?
Blood vessels penetrate periosteum and pass through foramen into bone; perforating/volkmann's canals pass through, to the central canal (?)
What are the differences between red and yellow marrow?
Red - hemopoeisis, exists in younger kids
Yellow - adipose tissue, replaces most, but not all red marrow later on in life
What type of bone makes up the epiphyses?
Compact bone externally
Spongy bone internally
Shock absorption
What is the function of the epiphyses?
Shock absorption
What is teh function of the articular cartilage
- Thin layer of hyaline covering articular surfaces
- Shock absorption and reducing friction
What type of bone makes up the diaphysis?
Thin layer of spongy bone surrounding medullary cavity
Thick layer of compact bone
Describe the microscopic structure of compact bone, paying attention to the location of the lamellae, lacunae, osteocytes and canaliculi.
Osteons organized around central canal; perforating/volkmann's canals connect blood supply of periosteum, central canal and marrow
Lamellae - opposite concentric layers of matrix; lacunae sandwitched b/w
Canaliculi connect lacunae and connect them to central canal
Describe the location and function of the perforating (or Volkmann's) canals.
- Connect blood of periosteum, central canal and bone marrow
- through compact bone at right angles to central canal
Lined with endosteum
Describe the location and function of the central (or haversian) canals.
Osteons organized around central canal
Carries blood vessels, lymph, nerve, etc
Describe the general structure of short, flat and irregular bones.
- Thin plates of compact bone covered wiith periosteum
- Inside: Spongy bone covered with endosteum (called diploe in flat bones)
Good shock absorbers
Marrow is important for rbc's since most disappears on long bones
How do the trabeculae of spongy bone respond to changes in the patterns of stress to which the bone is exposed?
They orient in the direction of the greatest stress
In what part of bone does blood cell production occur?
In the red marrow of the spongy layer
Which bones are sites of rbc production in children? In adults?
Children - most bones, including long bones
Adult - long bone red marrow is now yellow; rbc production occurs primarily in short, flat and irregular bones; sternum, ribs, os coxa etc.
Compare and contrast the mocroscopic structure of compact and spongy bone.
Spongy - no osteons; covered with endosteum; trabeculae; lamellae in irregular arrangments, only a few layers thick
Compact - regular concentric lamellae organization, thick
What tissues make up the embryonic skeleton before the 6th week of development?
Fibrous CT and hyaline cartilage
Template = 2 membranes + hyaline cartilage
Then bone tissue begins to form
Describe the process of intramembranous ossification.
- Skull bones
- ossification centers made as mesenchymal cells cluster/differ.; in fibrous CT membrane
Osteoid secreted - alkaline phosphotase attracts Ca phosphate salts to deposit
Woven bone and periosteum form; random ca salt deposits
Periostium dev. and woven bone replaced w/lamellar bone, red marrow trapped
Describe the process of endochondral ossification.
- Bones below the skull
- cartilage model/bone template; mesenchymal cells diff into chondroblasts, which make Hyaline cart.
Cartilage model grows - interstitial and apositional; chondrodytes burst = alkaline pH = calcification
Primary ossification center forms; bone collar forms around diaphysis; cartilate discintegrating
Periosteal bud invades cartilage model
Secondary ossification center at epiphysis which forms no marrow
Articular cartilage and epiphyseal plates formed
Compare and contrast intramembranous and endochondral ossification.
Intramembranous - skull bones, ossification occurs in fibrous CT membrane, mesenchymal cells diff. into osteoblasts
Endochondral - Bones below skull, cartilage model, mesenchymal cells diff into chondroblasts 1st, then others in perichondrium diff into osteoblasts, has ossification centers(primary and secondary)
What cells secrete osteoid?
Osteoblasts in fibrous membrane during intramembranous ossification
- causes calcification to begin as Ca phosphate salts start depositing
Where are the primary centers of ossification typically located?
Diaphysis - mesenchymal cells in perichondrium diff. into osteoblasts
Where are the secondary centers of ossification typically located?
At one or both epiphysis
Identify and describe the location of the hyaline cartilage structures that remain when secondary ossificatoin is complete?
-.Articular bone cartilage
- Epiphyseal plate, b/w epiphysis and diaphysis, which allows for growth to continue occuring in the bone
How do long bones grow in length?
- Epiphyseal plate
- Side closest to epiphysis = chondrocyte mitosis, pushed away, rupture and die, initiating calcification b/c of increased pH, new bone tissue is formed closest to diaphysis
What is the function of the epiphysial plate?
To allow bone growth, lengthwise
Chondrocyte death is what initiates calcification so that ossification can occur as well
Provides fluid matrix so that growth can occur
Describe the zones into which chondrocutes are organized within hte epiphyseal plate.
Quiescent - closest to epiphysis, cartilage anchors growth plate, resting
Proliferation - chondrocytes enlarged, mitosis
Hypertrophy - chondrocytes rupture and die, increasing pH
Calcification - spicules of calcified cartilage, occuring b/c of pH
Osteogenesis - new bone tissue forming
In which zone of the epiphyseal plate does ossification occur?
Osteogenic zone
Which zone of the epiphyseal plate exhibits a high rate of chondrocyte cell division?
Proliferation zone/ zone of proliferating cartilage
What is the significance of epiphyseal plate closure?
- No further bone lengthening possible
- Marked by epiphyseal line
- mitosis of chondrocytes overtaken by ossification
- Closes faster on females and on distal epiphysis
Name and describe the process by which long bones grow in thickness/diameter.
- Appositional growth
- osteoblasts beneath periosteum form bone ridges around beriosteal blood vessel
- Ridges surround vessel, form central canal of new osteon
- Periosteum now endosteum, osteoblasts form new lamellae and grow inward
- Simultaneous growth of medullary cavity
What is/ are the function(s) of bone remodeling?
- Bone renewal and healing
- Calcium homeostasis
- Realign matrix along mech. stress lines
What complementary processes are involved in bone remodeling?
Bone deposit
Bone resorption
Describe the structure of osteoclasts. What is the function of these cells?
- ruffled border adheres to bone tissue
- derived from hemopoesis in marrow
- fusion of up to 50 monocyte like cells, so many nuclei
- make and release lysosome; creates seal so enzymes only go on that part of the surface
- breaks down bone
How do osteoclasts break down bone matrix?
Make lysosomes
Attatch to bone with ruffled border and release lysosomes on that part of the bone
Found in little depressoins on the inner surfaces of bone - endosteum
Identify and describe the physiologic steps involved in the repair of bone fractures.
Hematoma/blood clot formation - 6-8 hrs after, blood from bone periostium, tissue
Fibrocartilaginous callus froms - firbroblasts secrete matrix, blood vessel growth stimulated. fibers across break, new chondroblasts make cart.
Bony callus forms - osteoblasts make osteoid, fibrocartilaginous callus now bony callus, hard/spongy bone consisitancy
Bone remodeling - new osteons, remove excess material etc
What factors can affect bone growth, repair and remodeling?
Mechanical stress - more osteoblast activity
Nutrition - calcium, phosphorus (Ca phosphates), vit A (stimulates osteoblasts) K , B12 (matrix proteins), C (collagen formation), D ( Ca absorption)
What happens to bones during prolonged periods of inactivity?
Osteoblast activity goes down
Osteoclast activity outweighs it
Decrease in bone mass
Why do athletes have stronger bones than sedentary people?
Mech. stress stimulates osteoblasts
More bone production
How does vitamin D influence bone structure?
Essential for adequate Ca2+ absorption
Mineralization of bones
Made by keratinocytes when exposed to UV; also from diet
Active form - calcitriol - a hormone converted from inactive form in kidneys
How does vitamin C influence bone structure?
Needed for collagen formation
Identify the primary hormones that regulate bone growth and development. What is the general function of each of the hormones identified?
Growth hormone (hGH) - made in anterior pituitary, causes production of IGF
Insulin-like growth factors (IGFs) - promotes bone growth for kids
Thyroid hormones - stimulate osteoblast; promote metabolic rate
Sex hormones - estrogens and androgens/testosterone; growth spurt, pelvic width, height diff, when osteocyte activity will over take chondrocyte @ epiphesial plates
What is the impact on the skeleton of rising levels of sex hormones at puberty?
Estrogens vs. androgens/testosterone - width of pelvis, height, growth spurt, when osteocyte activity overtakes chondrocyte activity at epiphesial plates
What is the most important hormone regulating blood calcium levels and calcium storage in adults?
Parathyroid hormone (PTH)
What is the function of the parathyroid hormone?
Increases when blood Ca2+ is too low
- osteoclasts resorb bone
- decreases rate of Ca excretion in kidneys
- conversion of vit. D to active form (for Ca2+ absorption in small intestine)
What are the target sites for the action of the parathyroid hormone?
- Osteoclasts in bone
- Kidneys (to affect Ca secretion and vit. D activation)
What effect does parathyroid hormone have at its target sites?
- Osteoclasts resorb bone
- Kidneys excrete less Ca (resorbs more back into blood)
- Kidneys activate vit. D, from cholecalciferol (which was made by keratinocytes) to calcitriol, which helps the absorption of Ca in small intestines
What is the function of calcitonin?
- Secreted by thyroid
- Blood Ca2+ levels decrease
- Important in children, who need it in their bones, and in pregnant/lactating women
What are the target sites for the action of calcitonin?
- Osteoclasts
- Bone matrix
- Kidneys
What effect does calcitonin have at its target sites?
- Inhibits osteoclasts
- Enhances mineralization of bone matrix
- Increases rate of Ca2+ excretion by kidneys
How does aging affect the skeleton?
- Decreased rate of protein synthesis; less fiber and collagen content, so less tensile strength
- Demineralization - loss of Ca and other minerals from matrix
Metaphysis
- The wider portion of a long bone adjacent to the epiphysial plate
- The part of the bone that grows during childhood
Osteomalacia
Softening of bone in adults due to lack of vit. D
Diploe
The internal layer of a spongy bone in flat bones
Where is the metaphysis? What is the functional significance of this part of the bone?
- Wider portion of long bone adjacent to epiphysial plate
- Where the bone grows; epiphysial plates located here