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100 Cards in this Set

  • Front
  • Back
Osteology
Study of bone
Skeletal system
Bone, cartilage, ligament
Ligaments
Attach bone to bone
Tendons
Attach muscle to bone
Skeleton functions
Support, protection, movement, electrolyte balance, acid-base balance, blood formation
Bone/osseous tissue
Connective tissue with the matrix hardened by calcium phosphate and other minerals
Mineralization/calcification
The hardening process of bone
Flat bone
Protect soft organs, curved but wide and thin
Long bone
Longer than it is wide, rigid levers for muscles
Short bone
Equally long and wide, glide across each other in multiple directions
Irregular bone
Elaborate shapes that don’t fit into other categories
Compact/dense bone
Outer shell of long bone
Diaphysis/shaft
Cylinder of compact bone providing leverage
Medullary/marrow cavity
Space within diaphysis of long bone, containing bone marrow
Epiphyses
Enlarged ends of long bone
Spongy/cancellous bone
Covered by more durable compact bone
Location of spongy bone
Ends of long bones, middle of most others
Fraction bone type by weight
¾ compact, ¼ spongy
Articular cartilage
Hyaline cartilage layer covering joint surface between bones
Nutrient foramina
Minute holes in bone surface allowing blood vessels to penetrate
Periosteum
External sheath covering bone, except where articular cartilage
Periosteum’s outer fibrous layer of collagen
Sharpey fibers, strong attachment from muscle-->tendon-->bone
Periosteum’s inner osteogenic layer
Bone forming cells, important to growth and repair
Endosteum
Layer of reticular connective tissue lining marrow cavity. Deposits or dissolves osteous tissue.
Epiphyseal plate
Growth plate. Hyaline cartilage between marrow spaces of epiphysis and diaphysis
Purpose of epiphyseal plate
Growth in bone length
Epiphyseal line
In adults. Bony scar marks former site of growth plate.
Diploe
Spongy layer in cranium
Principal types of bone cells
Osteogenic, osteoblasts, osteocytes, osteoclasts
Osteogenic cells
Stem cells in endosteum, periosteum, and central canals. Multiply continuously to produce osteoblasts
Origin of osteogenic cells
Mesenchyme
Osteoblasts
Form bone. Nonmitotic. Synthesize soft organic matter of matrix, which is hardened by mineral deposition
Osteocalcin
Secreted by osteogenic cells. Structural protein of bone.
Osteocytes
Former osteoblasts trapped in matrix they deposited
Lacunae
Tiny cavities where osteocytes reside
Canaliculi
Channels connecting lacunae
Cytoplasmic processes
Reach into canaliculi
Osteoclasts
Bone-dissolving cells on bone surface
Origin of osteoclasts
Same bone marrow stem cells as blood cells
Ruffled border
Side facing bone surface. Deep infolding of plasma membrane for surface area/resorption efficiency
Resorption bays/Howship lacunae
Pits on bone surface where osteoclasts reside
Remodeling
From combined action of osteoclasts and osteoblasts
Organic matter in matrix
Synthesized by osteoblasts. GAGs, proteoglycans, glycoproteins
Inorganic matter in matrix
85% hydroxyapatite, 10% calcium carbonate, other minerals
Composite
Combination of a ceramic and a polymer
Rickets
Soft bones due to deficiency of calcium salts
Osteogenesis imperfecta (brittle bones)
Excessively brittle bones due to lack of protein, collagen
Parts of spongy bone
Spicules, trabeculae, red bone marrow
Location of trabeculae
Along lines of stress
Bone marrow
Soft tissue in marrow cavity of long bone and among trabeculae in spongy bone
Red marrow (myeloid tissue)
Hemopoietic tissue--produces blood cells.
Location of red marrow
Nearly every bone in children. In adults, skull, vertebrae, ribs, sternum, pelvic girdle, proximal heads of humerus and femur
Yellow marrow
In adults. Does not produce blood. Fatty.
Ossification/osteogenesis
Formation of bone
Methods of bone development in infant
Intramembranous ossification, endochondral ossification
Metaphysis
Zone of transition facing the marrow cavity
Interstitial growth
Bones increase in length via cartilage growth within epiphyseal plate
Appositional growth
Bones increase in width throughout life. New bone deposited at surface.
Bone remodeling
Throughout life. 10% per year.
Wolff’s law of bone
Architecture of bone determined by mechanical stresses placed on it
Achondroplastic dwarfism
Long bones stop growing in childhood; failure of cartilage growth in metaphysis. Normal torso, short limbs.
Pituitary dwarfism
Lack of growth hormone. Normal proportions, short stature.
Is mature bone metabolically active?
Yes
Mineral deposition/mineralization
Calcium phosphate and other ions taken from blood and deposited in bone tissue
Process of mineral deposition
Osteoblasts produce collagen fibers that spiral the length of the osteon, fibers become encrusted with minerals that harden matrix
Inhibitors
Prevent most tissue from being calcified, neutralized by osteoblasts
Abnormal calcification/ectopic ossification
Calcification of tissue other than bone (arteriosclerosis, etc)
Calculus
Calcified mass in otherwise soft organ such as lung
Mineral resorption
Dissolving bone, releasing minerals into blood. Done by osteoclasts at ruffled border.
Hydrogen pumps
Secrete hydrogen into space between osteoclast and bone surface, dissolving bone
How braces work
Osteoclasts dissolve bone ahead of tooth, osteoblasts form new bone behind
Calcium homeostasis levels
1,100g in adults
Normal calcium concentration in blood plasma
9.2 to 10.4 mg/dL
Causes of hypocalcemia
Vitamin D deficiency, diarrhea, thyroid tumors, underactive parathyroid, pregnancy, lactation
Hormones regulating calcium homeostasis
Calcitrol, calcitonin, parathyroid hormone
Calcitrol
Form of vitamin D, raises blood calcium concentration
How calcitrol is formed
Epidermal keratinocytes convert 7-dehydrocholesterol to previtamin D3, liver adds hydroxyl group converting to calcidiol, kidneys add hydroxyl group converting to calcitrol
Diseases from inadequate vitamin D
Rickets, osteomalacia
Location of calcitonin secretion
C cells in thyroid
Use of calcitonin
Lowers blood calcium levels by inhibiting osteoclasts and stimulating osteoblasts
Calcitonin in adults vs children
Weak in adults, important in children
Parathyroid hormone (PTH)
Secreted by parathyroid, raises blood calcium levels
Mechanisms for PTH
Bind receptors on osteoblasts, stimulating them to secrete RANKL. Promote calcium reabsorption. Promote final step of calcitrol synthesis in kidneys. Inhibit collagen synthesis.
Normal plasma concentration of phosphate
3.5 to 4 mg/dL
Two forms of phosphate
HPO4(-2) and H2PO4(-)
Percent phosphate in bones
85-90%
Problems with anabolic steroids
Close epiphyseal plate, abnormally short stature
Orthopedics
Prevention and treatment of injury and disorder of bone, joint, muscle
Stress fracture
Caused by abnormal trauma to bone (falls, athletics, combat)
Pathological fracture
Break in bone weakened by disease (bone cancer, osteoporosis, etc)
Ways to classify fractures
Direction of fracture line, break in skin, number of pieces
Closed reduction
Bone fragments put in position without surgery
Open reduction
Surgical exposure of bone and use of plates, screws, or pins to realign
Cast
Stabilize and immobilize healing bone
Traction
Treat femur fractures in children. Override thigh muscles but risk long-term confinement to bed
Electrical stimulation
Suppresses effects of parathyroid hormone
Osteoporosis
Severe loss of bone density. Most common
Kyphosis (widow’s hump)
Deformity of spine due to vertebral bone loss
Treatments for osteoporosis
Estrogen replacement therapy, drugs, PTH, prevention
Greatest risk group for osteoporosis
Postmenopausal white women