1. Bone Growth, Organisation and Repair Flashcards

1
Q

Recall the mechanical properties of bone

A
  1. Cable-like flexibility and resistance to tension

2. Pillar-like flexibility and resistance to compression

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2
Q

What is the endosteum and what is its function?

A

Incomplete cell layer lining the marrow cavity: very active during bone growth and repair

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3
Q

Recall the blood supplies to bone

A

Periosteal arteries
Nutrient arteries
Metaphysial and epiphysial arteries

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4
Q

Recall 2 features of note of the metaphysial and epiphysial vessels

A
  1. Supply the ENDs of long bones

2. Only present in GROWING skeleton

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5
Q

What are the 2 different types of ossification

A

Intramembranous

Endochondreal

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6
Q

Summarise the differences between intramembranous and endochondreal ossification

A
IM = directly from mesenchyme
EC = mesenchyme differentiates to cartilage before forming bone
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7
Q

Which bones undergo intramembrinous ossification?

A

Skull, mandible and clavicle

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8
Q

Define interstitial growth of bone

A

Expansion of cartilage matrix

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9
Q

Define appositional growth of bone

A

New growth of cartilage at the outer surface of bone

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10
Q

Where does primary ossification take place and how does it grow?

A

Diaphysis
Grows in both directions
Appositional growth

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11
Q

What is the epiphysial plate?

A

The cartilaginous area between the diaphysis and epiphysis that persists until growth is complete

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12
Q

Which small bone undergoes secondary ossification?

A

Calcaneus

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13
Q

Recall the 4 steps in growth of bone diameter

A
  1. Appositional growth
  2. Osteoblasts + osteoclasts create ridges and grooves on surface
  3. Vasculature built in these grooves
  4. Osteoblasts build new osteons around vessels
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14
Q

What is the function of osteocytes?

A

Maintain matrix

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15
Q

Give an overview of bone repair following a fracture

A
Heamatoma
Progenitors --> osteoblasts
Soft callus
Endochondral ossification
woven bone
cancellous bone
cortical bone
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16
Q

What sort of fracture are most femoral neck fractures?

A

Intracapsular

17
Q

Which vessels are usually disrupted by femoral neck fractures?

A

Cervical vessels

18
Q

Which hormone has opposing action to PTH?

A

Calcitonin