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73 Cards in this Set

  • Front
  • Back
Solubility Product
A critical value of the product of calcium and phosphate concentration in the tissue fluids leading to the formation of Hydroxyapatite crystals
ectopic ossification
Out-of-place formation of osseous tissue in the lungs, brain, eyes muscles, tendons, arteries, and other organs.
Calculus
A calcified mass in an otherwise soft organ such as the lungs.
Mineral Resorption
The process of dissolving bone and releasing the minerals into the blood, making them available for other uses
Acid Phosphatase
An enzyme secreted by the osteoclast that digests the collagen of the bone matrix.
Mineral Deposition (Mineralization)
A crystallization process in which calcium, phosphate, and other ions are taken from the blood plasma and deposited in bone tissue as hydroxyapatite.
Roles of Calcium in the body
Interneural communication, Enzyme co-factor
Muscle contraction, Cell signalling processes
Blood clotting, and Exocytosis
Roles of Phosphate in the body
DNA, RNA, ATP
Phospholipids
Correction of acid-base imbalances
Hypocalcemia
A calcium deficiency in the blood. Causes excessive excitability of the nervous system leading to muscle tremors, spasms, or tetany (the inability of muscles to relax.
Hypercalcemia
An excess of calcium in the blood rendering nerve and muscle cells less excitable than normal.
Causes of Hypocalcemia
Vitamin D deficiency, Diarrhea, Thyroid tumors,
Underactive parathyroid glands, Pregnancy, lactation.
Hormones Regulating Calcium Homeostasis
Calcitriol (Vitamin D)
Calcitonin
Parathyroid Hormone
Calcitriol
Produced by sequential action of the skin, liver, & kidney
Raises Blood Ca concentration by 1. Increasing Ca absorption by small intestine, 2. increasing Ca resorption from skeleton, 3. Ca resorption by kidney
Calcitonin
Secreted by C cells of thyroid when blood-Ca levels are too HIGH. Lowers concentration by 1. Osteoclast inhibition, 2. Osteoblast stimulation. May prevent bone loss in pregnant and lactating women.
Parathyroid Hormone (PTH)
Raises Ca level by: 1. Stimulate osteoblasts to secrete RANKL to promote osteoclast population, 2. Promote kidney Ca resorption, 3. Promotes calcitriol synthesis in kidneys, 4. inhibits collagen synthesis by osteoblasts
Orthopedics
A branch of medicine dealing with bone disorders.
Stress fracture
a break caused by abnormal trauma to a bone.
Pathological fracture
a break in a bone weakened by some other disease, such as bone cancer or osteoporosis, usually caused by a stress that would not normally fracture a bone.
Bone Fractures
stress, pathological, nondisplaced, displaced, comminuted, greenstick
Healing Stages of a Bone Fracture
1. Formation of Hematoma
2. Granulation Tissue
3. Formation of soft callus & Conversion to hard callus
4. Remodeling
Bone Tissues
Epithelial Tissue
Connective Tissue
Nervous Tissue
Muscle Tissue
Connective tissue composition and roles
Widely spaced cells separated by fibers and ground substance. Connects organs, gives support & protection, Energy storage, heat production, movement and transportation of materials
Connective Tissue Types
Fibrous: Dense & Loose
Supportive: Cartilage & Bone
Fluid: Blood
Dense Regular C.T.
Densely packed parallel collagen fibers, compressed fibroblast nuclei, Tendons and ligaments
Supportive Connective Tissue
Cartilage: Hyaline, Elastic, Fibrocartilage
Bone: Spongy, Compact
Cartilage
Supportive, rubbery matrix. glucosaminoglycans, Chondroblasts. made of Collagen and Elastin fibers. Avascular.
Perichondrium
Found around most hyaline and all elastic cartilage.
2 Layers: Fibrous outer layer - Dense irregular C.T
Chondrogenic inner layer - contains many chondroblasts
Hyaline Cartilage
Most common. Chondrocytes in small clusters enclosed in lacunae. Usually has a perichondrium (except in articular cart.) Pliable, eases joint movement.
Hyaline Cartilage Locations
costal cartilage, nose
epiphyseal plate, trachea
bronchi, fetal skeleton
Elastic Cartilage
Hyaline Cartilage with weblike mesh of elastic fibers amongst lacunae. ALWAYS has perichondrium. Provides flexible elastic support. Found in: External ear, epiglottis, Eustachian canal.
Fibrocartilage
Contains extensive parallel collagen fibers with chondrocytes in lacunae. NEVER has perichondrium. Resists compression and absorbs shock. Found in pubic symphysis & intervertebral discs.
Bone - Osseous Tissue
Cells, Fibers, and Ground substance. Matrix hardened by mineral deposition.
Cells of Osseous Tissue
Osteogenic Cells in endosteum & periosteum
Osteoblasts
Osteocytes
Osteoclasts
Bone Matrix
1/3 Organic weight (collagen and other protein fibers)
proteoglycans, glycosaminoglycans, glycoproteins
Inorganic: hydroxyapatite and 10% calcium carbonate
Bone Strength and Flexibility
Minerals resist compression
Collagen Protein resists tension/twists
Adaptable with different stressors
Osteoclast structure and function
Sits in resorption bays on bone surface.
Ruffled border releases H+ HCl dissolves bone salts.
Acid phosphatase: a proteolytic enzyme that digests collagen.
Endochondral Ossification
Embryonic Mesenchyme forms model of hyaline cart. (mostly collagen) which is remodeled into bone.
Steps in Endochondral Ossification
1. Hyaline Cart. Model; 2. Bony Collar on inner surface of perichondrium; 3. Primary ossification center; 4. Blood vessels invade with osteoblasts/clast; 5. Secondary ossification; 6. Epiphyseal plate ossifies by 20 yrs.
Epiphyseal Plate
Hyaline cartilage; Separates marrows of epiphysis and diaphysis; Metaphysis on diaphyseal side; site of bone lengthening
Bone Remodeling
Osteoclasts resorb and osteoblasts deposit bone to remodel according to stresses and allowing body to access Ca+
Requirements for Bone Growth
Salts: Ca, P, Mg, F, Fe, Mn
Vitamins: A, K, B12, C and D3 (Calcitriol)
Hormones: Parathyroid, sex, calcitriol (Vit. D)
Mineral Resorption
Dissolving bone
Releasing minerals into blood
Carried out by osteoclasts by HCl and acid phosphatase
Calcium in the Bones
99% in bones:
Stable Pool
Exchangeable calcium (<1%)
nonossified Calcium in the Body
1%:
Free Ca2+ (45%)
Bound Ca in plasma proteins, not physiologically active
Mostly tightly regulated in the blood
Calcium Phosphate Homeostasis must balance:
Intake: Digestive system
Loss: Urinary and digestive systems
Exchange: Skeletal system
Calcium Phosphate Homeostasis Regulated by:
Calcitriol (vitamin D)
Calcitonin
Parathyroid hormone
Joints
Articulations of bone classified by mobility or by connective tissues between bones
Joint Classification: Mobility
--Diarthrosis: Freely movable (Elbow, Knee)
--Amphiarthrosis: Slightly moveable (Intervertebral discs)
--Synarthrosis: Little or no movement (teeth, skull)
Joint Classification: Structural
--Fibrous: Collagen (sutures, gomphoses, syndesmoses)
--Cartilaginous: (synchrondroses, symphyses)
--Synostoses: Bones fused by osseous tissue
--Synovial: joint cavity (amphiarthroses & diarthroses)
Fibrous Joints: Sutures
Immovable joints of the skull bound by collagen fibers
Serrate: Coronal, sagittal & lambdoid)
Lap: overlapping bevels at temporal and parietal bones
Plane or butt: palatine processes
Fibrous Joints: Gomphoses
Articulation of a tooth in its bony socket. Held in place by fibrous periodontal ligament.
Fibrous Joint: Syndesmoses
Joint in which two bone shafts are bound by a ligament only (Interosseous membrane)
Most moveable of fibrous joints
(Radius and Ulna; Tibia and fibula)
Cartilaginous Joint: Synchondroses
Bones joined by hyaline cartilage - mostly synarthrotic
- rib to sternum
-epiphyseal plate in children binds epiphysis & diaphysis
Cartilaginous Joint: Symphyses
Joined by fibrocartilage (intervertebral discs & pubic symphysis); Only slight movement is possible. Synarthrotic and amphiarthrotic.
NO Joint Cavity.
Bony Joints: Synostoses
Originally separate bones fused by osseous tissue
No Joint Cavity.
Synovial Joint
Diarthrotic joint where two bones are separated by a joint cavity filled with synovial fluid.
Synovial Joint Anatomy
Articular capsule;
Synovial fluid;
Articular cartilage;
Meniscus; Tendon; Ligament
Articular Capsule
- Fibrous Capsule &
- Synovial Membrane: Areolar connective tissue; Produces synovial fluid (hyaluronic acid and albumin)
- Provides lubrication, nourishment, shock absorption
Non-Joint Synovial Membranes
Bursae - filled with synovial fluid between bone & skin, tendons & bone, ligaments and bone
Tendon sheath - where tendons cross joints. Cylindrical double synovial sac
Tendon Sheath and Bursae Examples
Radial bursa
Ulnar bursa
Tendon sheaths of phalanges
Movements of Synovial Joints (1)
Flexion, Extension, & Hyperextension (hinges)
Abduction & Adduction
Elevation & Depression (shoulders, jaw)
Protraction and Retraction (Jaw)
Movements of Synovial Joints (2)
Lateral and Medial Excursion (biting chewing)
Circumduction (one end circles with other stationary)
Rotation (spin on long axis of bone)
Supination & Pronation
Movements of Synovial Joints (3)
Opposition & Reposition (thumb to fingers)
Dorsiflexion & Plantar flexion (raise & point toes)
Inversion & Eversion (soles turned medially & laterally)
Synovial Joints: Ball-and-Socket
Smooth hemispherical head fits within a cup-like depression.
- Multiaxial
(shoulder & hip)
Synovial Joints: Hinge
Convex surface fits into concave depression
- Monoaxial
(Elbows, Knees, fingers, toes)
Synovial Joints: Saddle
Two saddles fit together, concave in one direction, convex in the other.
- Biaxial
(trapeziometacarpal joint at the base of the thumb)
Synovial Joints: Pivot
One bone has projection that fits into ring-like ligament of another.
1st bone rotates on longitudinal axis relative to the other
(Atlanoaxial joint, proximal radioulnar joint)
Synovial Joints: Gliding
Flat articular surfaces in which bones slide over each other.
- Limited monoaxial (articular surface of vertebrae, between intercarpals & intertarsals, Sternoclavicular)
Synovial Joints: Condyloid
Oval convex surface on one bone fits into a similarly shaped depression on the next.
- Biaxial. (radiocarpal of wrist, metacarpophalangeals, occipital condyles & atlas
Mechanical Advantage and Muscles as Levers
Length of Effort Arm divided by resistance arm
Low MA = Low power, high speed, high range of motion
High MA = Opposites
Classifications of Levers
First Class: Resistance, Fulcrum Effort (Head tilt up)
2nd Class: Fulcrum, Resistance, Effort (Jaw opening)
3rd Class: Resistance, Effort, Fulcrum (Elbow/biceps)
Osteoarthritis
Joint wear: articular cartilage softens and degenerates
- crepitus crackling
- bone spurs develop on exposed bone tissue
Rheumatoid Arthritis
Autoimmune disease:
Antibodies attack synovial membrane
Enzymes in synovial fluid degrade cartilage & bones ossify; Remission occur; steroid & aspirin help