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53 Cards in this Set

  • Front
  • Back
What are tendons and ligaments?
Tendons - bone to muscle
Ligaments - bone to bone
How does bone contribute to homeostasis?
provides support and protection

produces blood cells

stores minerals and triglycerides
What are the types of tissue in bone?
bone tissue
nervous tissue
blood tissue
cartilage
epithelial tissue (lining blood vessels)
adipose tissue (medullary cavity)
What are the functions of Bone & Skeletal System?
Support
Protection
Assistance in Movement
Mineral Homeostasis - Calcium and Phosphorous
Blood Cell Production (Hemopoeisis)
Triglyceride Storage (energy reserve)
Characteristic of Bone Marrow in Newborns
All bone marrow is red and involved in hemopoiesis, with increasing age most of it changes to yellow
What is Hemopoiesis?
produces red blood cells, white blood cells, and platelets
What are the 3 main parts of the long bone?
Diaphysis - "shaft" of long bone
Epiphyses - joint surfaces covered with thin layer of articular cartilage
metaphyses - contains epiphyseal plate which is thin layer of hyaline cartilage that allows bone to grow in length
What is the epiphyseal line?
epiphyseal plate after age 21
What is the Articular Cartilage?
thin layer of hyaline where bones articulate
What is the periosteum?
outer fibrous layer - dense irregular connective tissue

inner osteogenic layer - consists of cells

allow growth in thickness

highly vascularized
What are Sharpey's (perforating) fibers?
thick collagen fibers that connect periosteum to extracellular bone matrix
What are the 2 layers of the periosteal membrane?
Superficial layer - dense irregular tissue that resists tension placed on bone during bending

Deep Layer - osteogenic containing osteoblasts and osteoclasts
What is the medullary cavity?
space within diaphysis that contains fatty yellow bone marrow in adults
What is the Endosteum?
thin membrane that lines internal bone surface

covers trabeculae of spongy bone

lines central canal of osteons

osteogenic, containing both osteoblasts and osteoclasts
What runs through the diaphysis?
Nutrient artery and vein
What is the Nutrient Artery?
inward supplies bone marrow and spongy bone

outward supplies compact bone
What are Epiphyseal veins?
carry blood away from long bones
What's different about other bones compared to long bones?
contain bone marrow but no marrow cavity

no diaphysis
What is hydroxyapatite?
calcium phosphate and calcium hydroxide (provide bone's hardness)

calcium phosphate is most abundant mineral

resist compression
What are osteogenic cells?
stem cells derived from mesenchyme

only bone cells that undergo division, devlop into osteoblasts
What are osteoblasts?
bone building cells

initiate calicification

become osteocytes
What are osteocytes?
mature bone cells

exchange nutrients and waste with blood, no cell division
What are osteoclasts?
fusion of 50 monocytes

secretes HCL, which dissolves mineral part of the matrix

lysosomal enzymes digest organic part and collagen and dead osteocytes are taken up by phagocytosis

involved in resorption and blood calcium level
2 types of bone tissue
Compact - has passageways for blood vessels, lymphatic vessels, and nerves, resist the stresses produced by weight and movement

spongy - called trabeculae, lack osteons, homopoiesis occurs here, within each trabecula are lacunae that contain osteocytes
What are osteons?
also known as Haversian systems

structural units of arranged compact bone

long, cylindrical structures, parallel to long axis of the bone

miniature weight-bearing pillars
What are lamellae?
layer of bony matrix in which collagen fibers and mineral crystals align
What are interstitial lamellae?
incomplete lamellae that lie between osteons
What are the four situations bone formation occurs?
1. Formation of bone in embryo and fetus

2. Growth of bones during infancy, childhood, and adolescence

3. Remodeling of bone - replacement of old bone by new bone tissue throughout life

4. Repair of fractures throughout life
What is Intramembranous ossification?
bone forms directly within mesenchyme

ex. flat bones of skull and mandible

"soft spots" that help fetal skull pas through birth canal later become ossified forming the skull
What are the two types of bone formation?
Intramembranous and Endochondral
What is Endochondral Ossification?
Bones form within hyalin cartilage, replacement of cartilage by bone

ex. most bone of the body
What are the four zones of growing long bone?
resting - small, scattered chondrocytes

proliferating - arrange like coins, chondrocytes divide to replace those that die at diaphyseal side of epiphyseal plate'

hypertrophic - large, maturing chondrocytes

calcified - osteoclasts dissolve the calcified cartilage, osteoblasts replace calcified cartilage by endochondrial ossification
How do bones grow in thickness?
appolsitional growth - growth of bone by addition of bone tissue to its surfaces

osteblasts increase thickness, osteoclasts remove bone

osteoclasts occur slower leading to increase in thickness of bone
How often are cancellous and compact bone replaced?
cancellous: 3-4 years
compact: 10 years
In adults, where are bones deposited and removed?
Periosteal and endosteal surfaces: together contribute to bone remodeling
How are fractures treated?
by reduction, realignment of broken bone ends

closed - ends are coaxed back together
open - surgically joined by pins and wires
What are needed to strengthen and harden new bone?
calcium and phosphorous
What are the steps involved in bone fracture repair?
1. Formation of fracture hematoma - blot clot around fracture

2. Fibrocartilaginous callus formation - fibroblasts produce collagen fibers to bridge broken ends

3. Bone Callus formation - osteoblasts produce spongy bone trabeculae to join portions of original bone fragments

4. Bone remodeling - compact bone replaces spongy
WHat is bone's role in calcium homeostasis?
maintains calcium resorption into blood and deposition into bone because is needed for:

nerve and muscle cells
blood clotting
enzymes
What does Parathyroid Hormone (PTH) do?
elevates blood calcium level

increases activity of osteoclasts

acts on kidney to decrease calcium in urine

stimulates calcitrol (vit D) which promotes absorption of calcium from foods in GI tract
What is calcitonin?
secreted by thyroid gland

inhibits activity of osteoclasts

promotes bone formation and decreases blood calcium level
What are the role of Mg, Fe, and Mn?
Mg - forms bone
Fe - strengthens bone
Mn - activates enzymes to make bones
What are the steps involved in bone fracture repair?
1. Formation of fracture hematoma - blot clot around fracture

2. Fibrocartilaginous callus formation - fibroblasts produce collagen fibers to bridge broken ends

3. Bone Callus formation - osteoblasts produce spongy bone trabeculae to join portions of original bone fragments

4. Bone remodeling - compact bone replaces spongy
WHat is bone's role in calcium homeostasis?
maintains calcium resorption into blood and deposition into bone because is needed for:

nerve and muscle cells
blood clotting
enzymes
What does Parathyroid Hormone (PTH) do?
elevates blood calcium level

increases activity of osteoclasts

acts on kidney to decrease calcium in urine

stimulates calcitrol (vit D) which promotes absorption of calcium from foods in GI tract
What is calcitonin?
secreted by thyroid gland

inhibits activity of osteoclasts

promotes bone formation and decreases blood calcium level
What are the role of Mg, Fe, and Mn?
Mg - forms bone
Fe - strengthens bone
Mn - activates enzymes to make bones
What is the role of collagen in bones?
Collagen fibers provide flexibility
What are the parts of an osteon?
central canal - run longitudinally through bone that contains blood vessels which supply nutrients to bone cells and nerve fibers

concentric lamellae - around central canals

lamella - layer of bone matrix in which collagen fibers and mineral crystals align and run in single direction, also inhibit crack propagation

lacunae - small spaces between lamellae which contain osteocytes

canaliculi - extracellular fluid that connect lacunae, provide routes for nutrients and oxygen to reach osteocytes

Perforating or Vokmann's canals - connect blood and nerve supply of periosteum to that of the central canal and marrow cavity
What are the renewal rate for compact and spongy bone?
Compact - 4 % per year
Spongy - 20 % per year
What are osteoporosis, rickets, and osteomalacia, Paget's disease, osteosarcoma, and osteomyelitis?
osteoporosis - excessive loss of calcium that weakens bones

osteomalacia & rickets - bones become too flexible, rickets in children

Paget's disease - brittle bones that fracture easily

Osteosarcoma - form of bone cancer

Osteomyelitis - infection of bone causing Staphylococcus aureus
What are the factors that affect bone growth and remodeling?
Minerals - Ca, P, Mg, F, Mn

Vitamins -
A: stimulates activity of osteoblasts
C: synthesis of collagen
D: increases absorption of calcium from food in GI tract to build bone
K and B12: also needed for synthesis of bone proteins

Hormones:
IGF (Insulin like growth factors)
hGH
Thyroid Hormones
Estrogen and Testosterone
PTH, cacitrol, and calcitonin
What are the types of fractures?
Open (compound) - broken ends of the bone protrude through the skin

Closed (simple) - does not break the skin

Comminuted - bone is splintered, crushed, or broken into pieces (common in elderly)

Greenstick - partial fracture where one side is broken and other side bent (common in children)

Impacted - one end is forcefully driven into another

Pott's - fracture of fibula, with injury of tibial articulation

Colles' - fracture of the radius in which distal fragment is displaced

Stress - series of microscopic fissures in bone