AP1 M 4.3 Bone developments and cells Flashcards
Bone
Bone is a living tissue that continually renews itself. A longitudinal section of a typical long bone (Figure 4.35) shows that it is not solid but has a medullary cavity filled with bone marrow
Yellow bone marrow
Yellow bone marrow is a fat storage tissue found mainly in long bones.
Red bone marrow
Red bone marrow is found primarily in short and flat bones, primarily to produce red blood cells. Newborns have all red bone marrow, and over time it is converted to yellow bone marrow in long bones.
diaphysis
Bone length section
center length of the bone (Figure 4.35)
The diaphysis ( pl. : diaphyses) is the main or midsection (shaft) of a long bone. It is made up of cortical bone and usually contains bone marrow and adipose tissue (fat).
medullary or marrow cavity
The medullary or marrow cavity extends throughout the diaphysis, or center length of the bone (Figure 4.35)
compact bone
Surrounding the cavity is a layer of spongy bone that is thickest at the ends of the bone. The solid outer layer of the bone is called compact bone.
spongy bone
Surrounding the cavity is a layer of spongy bone that is thickest at the ends of the bone.
epiphysis
On the ends of each long bone are called proximal and distal epiphysis.
articular cartilage
Within the joints, there is a layer of articular cartilage to help cushion joints and enable them to move freely. Articular cartilage is cartilage found specifically at joint articulations.
Cartilage
Cartilage is another type of connective tissue, but the matrix is flexible.
Compact bone
Compact bone (Figure 4.36) contains many **osteons **(formerly called Haversian systems) in which osteocytes (bone cells) in tiny chambers called lacunae are arranged in concentric circles around center canals.
osteons
(formerly called Haversian systems)
osteons (formerly called Haversian systems) in which osteocytes (bone cells) in tiny chambers called lacunae are arranged in concentric circles around center canals
osteocytes
many osteons (formerly called Haversian systems) in which osteocytes (bone cells) in tiny chambers called lacunae are arranged in concentric circles around center canals.
lacunae
many osteons (formerly called Haversian systems) in which osteocytes (bone cells) in tiny chambers called lacunae are arranged in concentric circles around center canals.
center canals
The center canals contain blood vessels and nerves. The blood vessels bring the nutrients that allow the bone to renew itself. The lacunae are separated by a matrix that contains protein fibers of collagen and mineral deposits, primarily of calcium and phosphorus salts. Compact bone is usually found on the surface of the bone and surrounds an interior of spongy bone (Figure 4.36).
Spongy bone
Spongy bone (Figure 4.36) contains numerous bony bars and plates separated by irregular spaces. Although lighter than compact bone, spongy bone is still designed for strength. Just as braces are used for support in buildings, the solid portions of spongy bone follow lines of stress.
Bone Cells
In the adult, bone is continually being broken down and built up again.
osteoclasts
Bone absorbing cells, called osteoclasts, break down bone, remove worn cells, and deposit calcium in the blood (Figure 4.37).
osteoblasts
The destruction caused by the work of osteoclasts is repaired by osteoblasts. As they form new bone, osteoblasts take calcium from the blood. Eventually, some of these cells get caught in the matrix they secrete and are converted to osteocytes, the cells found within the lacunae of osteons. Thus, through a process of remodeling, old bone tissue is replaced by new bone tissue. Because of continual remodeling, the thickness of bones can change. Physical use and hormone balance can also affect the thickness of bones. Adults and children alike require regular calcium in the diet to promote the work of osteoblasts.
osteocytes
osteocytes, the cells found within the lacunae of osteons.
Maintain bone tissue structure
Bone Formation
Most of the bones of the human skeleton are cartilaginous during prenatal development. Since the cartilaginous structures are shaped like the future bones, they provide models of these bones.
ossification
The cartilaginous models are converted to bones (called ossification) when calcium salts are deposited in the matrix, first by precursor cartilaginous cells and later by bone-forming cells, called osteoblasts.
Endochondral ossification
Endochondral ossification is the ossification of long bones from hyaline cartilage. Endochondral ossification begins at the primary ossification center in the middle of the bone. Once the cartilage cells begin to die, blood vessels start to penetrate the bone to deliver osteoblasts, forming the medullary cavity. Later, secondary centers form at the ends of the bones. A cartilaginous disk remains between the primary ossification center and each secondary center, which can increase in length. This area is commonly referred to as the growth plate.
growth plate
The rate of growth is controlled by hormones, such as growth hormones and sex hormones. During puberty, the disks become completely ossified and the bone stops growing. The individual attains full adult height when this occurs.
Bone Pathophysiology
Bone is a living tissue and able to repair itself when damaged. There are several types of common bone fractures that can be categorized based on how the bone breaks (Figure 4.38)
Closed
bone break
Closed (or simple) fractures occur when the bone breaks but remains within the skin
open
bone break
An open (or compound) fracture occurs when the bone breaks, but part of the bone shaft breaks out of the skin.
greenstick
bone break
A greenstick fracture occurs when the bone bends and breaks, but not all the way across. This type of fracture occurs commonly in children because the bone tissue is still developing and soft.
comminuted
bone break
A comminuted fracture happens when a bone is broken into more than two segments. Comminuted fractures typically are repaired surgically.
impacted fracture
bone break
An impacted fracture occurs when one end of the broken bone shaft is pushed inside the other part of the bone
Synovial joints
Synovial joints are subject to arthritis.
rheumatoid arthritis
In rheumatoid arthritis, the synovial membrane becomes inflamed and thickens. Degenerative changes take place that make the joint almost immovable and painful to use.
osteoarthritis
osteoarthritis, the articular cartilage at the ends of the bones disintegrates (Figure 4.39). The two bones of the joint become rough and irregular so that it becomes painful to move the joint. This type of arthritis is apt to affect the joints that have received the greatest use over the years.
Osteoporosis
Osteoporosis is a bone tissue disease (Figure 4.40). When bone tissue degenerates faster than is replaced, the bones become weak. Brittle bones cause increased pain and are more likely to fracture.