Bone Flashcards

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1
Q

Bone

A

a type of connective tissue, with an ossified (by deposition of calcium) extracellular matrix (ECM), that supports the body, protects internal organs, forms blood cells in bone marrow, and acts as the body’s Ca2+ and PO43– ion reservoir.

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2
Q

Three major types of bone cells

A

Osteoblasts, Osteocytes, Osteoclasts

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3
Q

Osteoblasts function

A

Secrete the matrix which then hardens by calcification, trapping the
differentiating cells now called osteocytes in individual lacunae.

Secrete osteoid rich in Type 1 collagen

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4
Q

Osteocytes function

A

Maintain the calcified matrix and receive nutrients from vessels in the central canals of the osteons via tiny channels called canaliculi that connect the lacunae.

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5
Q

Osteoclasts function

A

digestion and reabsorption of bone matrix in large resorption cavities (Howship lacunae) on the matrix surface.

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6
Q

Two types of connective tissue covering bone that contain osteogenic cells

A

Periosteum and Endosteum

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7
Q

Periosteum

A

A type of connective tissue covering bone that contains osteogenic cells.

A dense connective tissue. Bone is vascularized by vessels from the periosteum.

In the outer layer, bundles of collagen called perforating (or Sharpey)
fibers bind the periosteum to the bone.

The periosteum’s inner layer is more cellular and includes osteoblasts, and mesenchymal stem cells referred to as osteoprogenitor cells.

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8
Q

Endosteum

A

A type of connective tissue covering bone that contains osteogenic cells.

Covers all trabeculae around the marrow cavities.

Contains osteoprogenitor cells and osteoblasts.

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9
Q

Osteoblasts misc.

A

Osteoblasts originate from mesenchymal osteoprogenitor cells and
produce the organic components of bone matrix, including type I collagen fibers.

Osteoblasts are located exclusively at the surfaces of bone matrix as a
single layer of cuboidal cells. They produce a layer of collagen-rich, uncalcified material called osteoid between the osteoblast layer and the bone surface.

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10
Q

Important components of osteoid

A

Produced from osteoblasts

Type I collagen, the protein
osteocalcin, and chondroitin sulfate, a GAG that forms part of proteoglycans. Chondroitin sulfate provides most of the resistance to compression in cartilage.

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11
Q

Osteoclasts misc.

A

Large multinucleated cells which are derived by the fusion of several blood-derived monocytes.

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12
Q

Inorganic matter

A

One of the two components of bone matrix.

About 50% of the dry weight of bone matrix is inorganic.

Calcium hydroxyapatite is the most abundant
inorganic compound.

The surface of hydroxyapatite crystals is hydrated, facilitating the exchange of ions within body fluids.

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13
Q

Organic matter

A

One of the two components of bone matrix.

90% of calcified matrix is Type I collagen, but also includes small proteoglycans and multiadhesive glycoproteins.

Calcium-binding proteins, notably osteocalcin, promote calcification of the matrix.

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14
Q

Types of bone

A

Woven bone, Lamellar bone, Compact (Cortical) bone, and Cancellous (Trabecular) bone

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15
Q

Woven bone

A

Newly calcified

Locations: Developing and growing bones; hard callus of bone fractures

Synonyms: Immature bone; primary bone; bundle bone

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16
Q

Lamellar bone

A

Remodeled from woven bone

Locations: All normal regions of adult bone

Synonyms: Mature bone; secondary bone, ossified

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17
Q

Compact (cortical) bone

A

~80% of all lamellar bone

Locations: Thick, outer region (beneath periosteum) of bones

Synonyms: Cortical bone

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18
Q

Cancellous (trabecular) bone

A

~20% of all lamellar bone

Locations: Inner region of bones, adjacent to marrow cavities

Synonyms: Spongy bone; trabecular bone; medullary bone

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19
Q

Two types of organization for compact bone and cancellous bone based on the stage of development

A

Woven bone: newly formed, first bone tissue to appear in embryonic development and in fracture repair, weaker than lamellar bone because of lower mineral content.

Lamellar bone: Most bone in adults, whether compact or cancellous, is organized
as lamellar bone, characterized by multiple layers or lamellae of calcified matrix; like the orientation of wood fibers in plywood; this type of bone is fully ossified

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20
Q

Osteons

A

constitute most of the compact bone. An
osteon (or Haversian system) refers to the
complex of concentric lamellae

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21
Q

What is the epiphyses (the bulbous ends) in long bones composed of?

A

Composed of cancellous bone covered by a thin layer of compact (cortical) bone

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22
Q

What is the diaphysis (the cylindrical part) in long bones composed of?

A

Almost totally dense compact (cortical) bone with a thin region of cancellous bone on the inner surface around the central marrow cavity

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23
Q

Two Processes of Osteogenesis

A

Intramembranous ossification and Endochondral ossification

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24
Q

Intramembranous ossification

A

Osteoblasts
differentiate directly from mesenchyme and begin
secreting osteoid. There is no cartilage precursor.

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25
Q

Endochondral ossification

A

A preexisting matrix of hyaline cartilage is eroded and invaded by
osteoblasts, which then begin osteoid production.

Longitudinal growth at epiphyseal plate

Appositional growth around diaphysis

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26
Q

Two Patterns of Osteogenesis

A

Longitudinal growth and Appositional growth

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27
Q

Longitudinal growth

A

in long bones is
regulated by the epiphyseal plate, which
separates the epiphysis from the diaphysis
(shaft).

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28
Q

Appositional growth

A

Occurs by formation of
a periosteal bone collar around the diaphysis.

Growth in the circumference of long bones does not involve endochondral
ossification. It occurs through osteoblasts developing from osteoprogenitor cells in
the periosteum by a process of appositional growth which begins with formation of the bone collar on the cartilaginous diaphysis.

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29
Q

Fracture Repair

A

Repair of a fractured bone uses the cells and mechanisms already in place for bone growth and
remodeling.

(1) Blood vessels torn within the fracture release blood that clots to produce a large fracture hematoma.
(2) The hematoma is removed by macrophages; a matrix of damaged, cell-free bone is resorbed by osteoclasts; the periosteum and the endosteum at the fracture site respond with intense proliferation and produce by a soft fibrocartilage-like mass called procallus tissue.

(3) The procallus is invaded by regenerating blood vessels and proliferating osteoblasts. In the next
few weeks the fibrocartilage is gradually replaced by woven bone which forms a hard callus throughout the original area of fracture.

(4) The woven bone is then remodeled as compact and cancellous bone and fully functional vasculature is reestablished. Stresses imposed on the bone during repair and gradual return to
activity help to remodel the bone callus.

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30
Q

Primary bone tumor

A

Cancer originating directly from bone cells (a primary
bone tumor) is fairly uncommon (0.5% of all cancer deaths), although a cancer called osteosarcoma can arise in osteoprogenitor cells.

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31
Q

Secondary metastatic tumors

A

The skeleton is often the site of secondary,
metastatic tumors, when cancer cells move into
bones via small blood or lymphatic vessels from
malignancies in other organs, such as the breast, lung, prostate gland, kidney, or thyroid gland.

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32
Q

What causes rickets

A

Calcium deficiency in children can lead to rickets, a disease in which the bone matrix does not calcify normally and the epiphyseal
plate can become distorted by the normal strains of body weight and muscular activity.

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33
Q

Osteogenesis imperfecta

A

“brittle bone disease,” refers to a group of related congenital disorders in which the osteoblasts
produce deficient amounts of Type I collagen or defective Type I collagen due to genetic mutations. Such defects lead to a
spectrum of disorders, all characterized by significant fragility of the bones.

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34
Q

Bone is a composite of

A

It is a composite of proteinaceous fibers and mineral.

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35
Q

Howship lacunae are formed by

A

Osteoclasts

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36
Q

What part of a long bone, such as the femur, is composed of cancellous bone covered by a thin layer of compact cortical bone?

A

Epiphysis

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37
Q

Hydroxyapatite is the mineral component of bone. It is composed primarily of which ions?

A

Calcium and phosphate

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38
Q

Endochondral ossification is not typical of these bones.

A

Flat bones of the skull, such as the frontal.

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39
Q

What is a part of the mature haversian system?

A

Nerves, Central canal, Osteocytes

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40
Q

Acromegaly is caused by

A

An increase in levels of growth hormone in adults.

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41
Q

How much of the dry weight of bone matrix is inorganic?

A

50%

42
Q

Osteocytes have dendritic processes that communicate with each other by means of

A

Canaliculi

43
Q

Lacunae of bone tissue contain

A

Osteocytes

44
Q

After a long bone has undergone most of its development, the two principal regions of hyaline cartilage that remain are the articular cartilages at the joints, and the _____________________

A

Epiphyseal plate

45
Q

In a bone fracture, which cells remove the blood cells of a hematoma?

A

Macrophages

46
Q

What processes are part of appositional growth of a long bone?

A

Osteoblasts deposit bone on the periphery of the diaphysis, and osteoclasts enlarge the marrow cavity.

47
Q

How does osteoid differ from mature bone?

A

Mature bone is calcified (ossified); osteoid is not.

48
Q

Osteosarcomas arise in cells that are rapidly dividing in regions of bone growth. Typically these cells are the

A

Osteoprogenitor (mesenchymal) cells

49
Q

Periosteum (both layers) contains

A

Type 1 collagen and fibroblasts, Blood vessels, Osteoblasts and osteoprogenitor cells

50
Q

In a long bone, the primary ossification center is in the

A

Diaphysis

51
Q

About 90% of the organic part of bone matrix is type 1 collagen; the rest includes

A

Proteoglycans and multiadhesive glycoproteins

52
Q

The connective tissue that lines the bony trabeculae in the marrow cavity is called

A

Endosteum

53
Q

During healing of a bone fracture, which tissues produce the woven bone that forms the callus?

A

Periosteum and endosteum

54
Q

Somatotropin

A

Stimulates the production of IGF-1, it is also called growth hormone, it is produced by the anterior lobe of the pituitary gland

55
Q

In appositional growth of a developing long bone, the osteoblasts within the periosteum form the

A

Bone collar

56
Q

What secretes bone matrix?

A

Osteoblasts

57
Q

Cells that reside in the lacunae in bone tissue

A

Osteocytes

58
Q

Derived from monocyte blood cells

A

Osteoclasts

59
Q

Cells that maintain the calcified matrix of bone

A

Osteocytes

60
Q

Mesenchymal cells that give rise to osteoblasts

A

Osteoprogenitor cells

61
Q

A type of bone cell that is large and multinucleate

A

Osteoclasts

62
Q

These cells remodel bone tissue by breaking down the ossified matrix

A

Osteoclasts

63
Q

These bone cells are connected by canaliculi

A

Osteocytes

64
Q

These cells like the newly deposited osteoid

A

Osteoblasts

65
Q

Which type of bone forms the hard callus in a healing bone fracture?

A

Woven bone

66
Q

What is the function of Sharpey fibers?

A

They bind the periosteum to the bone.

67
Q

Which type of bone is formed from a cartilaginous precursor?

A

Endochondral bone

68
Q

Reversed prompt

a type of connective tissue, with an ossified (by deposition of calcium) extracellular matrix (ECM), that supports the body, protects internal organs, forms blood cells in bone marrow, and acts as the body’s Ca2+ and PO43– ion reservoir.

A

Bone

69
Q

Reversed prompt

Osteoblasts, Osteocytes, Osteoclasts

A

Three major types of bone cells

70
Q

Reversed prompt

Secrete the matrix which then hardens by calcification, trapping the
differentiating cells now called osteocytes in individual lacunae.

Secrete osteoid rich in Type 1 collagen

A

Osteoblasts function

71
Q

Reversed prompt

Maintain the calcified matrix and receive nutrients from vessels in the central canals of the osteons via tiny channels called canaliculi that connect the lacunae.

A

Osteocytes function

72
Q

Reversed prompt

digestion and reabsorption of bone matrix in large resorption cavities (Howship lacunae) on the matrix surface.

A

Osteoclasts function

73
Q

Reversed prompt

Periosteum and Endosteum

A

Two types of connective tissue covering bone that contain osteogenic cells

74
Q

Reversed prompt

A type of connective tissue covering bone that contains osteogenic cells.

A dense connective tissue. Bone is vascularized by vessels from the periosteum.

In the outer layer, bundles of collagen called perforating (or Sharpey)
fibers bind the periosteum to the bone.

The periosteum’s inner layer is more cellular and includes osteoblasts, and mesenchymal stem cells referred to as osteoprogenitor cells.

A

Periosteum

75
Q

Reversed prompt

A type of connective tissue covering bone that contains osteogenic cells.

Covers all trabeculae around the marrow cavities.

Contains osteoprogenitor cells and osteoblasts.

A

Endosteum

76
Q

Reversed prompt

Osteoblasts originate from mesenchymal osteoprogenitor cells and
produce the organic components of bone matrix, including type I collagen fibers.

Osteoblasts are located exclusively at the surfaces of bone matrix as a
single layer of cuboidal cells. They produce a layer of collagen-rich, uncalcified material called osteoid between the osteoblast layer and the bone surface.

A

Osteoblasts misc.

77
Q

Reversed prompt

Produced from osteoblasts

Type I collagen, the protein
osteocalcin, and chondroitin sulfate, a GAG that forms part of proteoglycans. Chondroitin sulfate provides most of the resistance to compression in cartilage.

A

Important components of osteoid

78
Q

Reversed prompt

Large multinucleated cells which are derived by the fusion of several blood-derived monocytes.

A

Osteoclasts misc.

79
Q

Reversed prompt

One of the two components of bone matrix.

About 50% of the dry weight of bone matrix is inorganic.

Calcium hydroxyapatite is the most abundant
inorganic compound.

The surface of hydroxyapatite crystals is hydrated, facilitating the exchange of ions within body fluids.

A

Inorganic matter

80
Q

Reversed prompt

One of the two components of bone matrix.

90% of calcified matrix is Type I collagen, but also includes small proteoglycans and multiadhesive glycoproteins.

Calcium-binding proteins, notably osteocalcin, promote calcification of the matrix.

A

Organic matter

81
Q

Reversed prompt

Woven bone, Lamellar bone, Compact (Cortical) bone, and Cancellous (Trabecular) bone

A

Types of bone

82
Q

Reversed prompt

Newly calcified

Locations: Developing and growing bones; hard callus of bone fractures

Synonyms: Immature bone; primary bone; bundle bone

A

Woven bone

83
Q

Reversed prompt

Remodeled from woven bone

Locations: All normal regions of adult bone

Synonyms: Mature bone; secondary bone, ossified

A

Lamellar bone

84
Q

Reversed prompt

~80% of all lamellar bone

Locations: Thick, outer region (beneath periosteum) of bones

Synonyms: Cortical bone

A

Compact (cortical) bone

85
Q

Reversed prompt

~20% of all lamellar bone

Locations: Inner region of bones, adjacent to marrow cavities

Synonyms: Spongy bone; trabecular bone; medullary bone

A

Cancellous (trabecular) bone

86
Q

Reversed prompt

Woven bone: newly formed, first bone tissue to appear in embryonic development and in fracture repair, weaker than lamellar bone because of lower mineral content.

Lamellar bone: Most bone in adults, whether compact or cancellous, is organized
as lamellar bone, characterized by multiple layers or lamellae of calcified matrix; like the orientation of wood fibers in plywood; this type of bone is fully ossified

A

Two types of organization for compact bone and cancellous bone based on the stage of development

87
Q

Reversed prompt

constitute most of the compact bone. An
osteon (or Haversian system) refers to the
complex of concentric lamellae

A

Osteons

88
Q

Reversed prompt

Composed of cancellous bone covered by a thin layer of compact (cortical) bone

A

What is the epiphyses (the bulbous ends) in long bones composed of?

89
Q

Reversed prompt

Almost totally dense compact (cortical) bone with a thin region of cancellous bone on the inner surface around the central marrow cavity

A

What is the diaphysis (the cylindrical part) in long bones composed of?

90
Q

Reversed prompt

Intramembranous ossification and Endochondral ossification

A

Two Processes of Osteogenesis

91
Q

Reversed prompt

Osteoblasts
differentiate directly from mesenchyme and begin
secreting osteoid. There is no cartilage precursor.

A

Intramembranous ossification

92
Q

Reversed prompt

A preexisting matrix of hyaline cartilage is eroded and invaded by
osteoblasts, which then begin osteoid production.

Longitudinal growth at epiphyseal plate

Appositional growth around diaphysis

A

Endochondral ossification

93
Q

Reversed prompt

Longitudinal growth and Appositional growth

A

Two Patterns of Osteogenesis

94
Q

Reversed prompt

in long bones is
regulated by the epiphyseal plate, which
separates the epiphysis from the diaphysis
(shaft).

A

Longitudinal growth

95
Q

Reversed prompt

Occurs by formation of
a periosteal bone collar around the diaphysis.

Growth in the circumference of long bones does not involve endochondral
ossification. It occurs through osteoblasts developing from osteoprogenitor cells in
the periosteum by a process of appositional growth which begins with formation of the bone collar on the cartilaginous diaphysis.

A

Appositional growth

96
Q

Reversed prompt

Repair of a fractured bone uses the cells and mechanisms already in place for bone growth and
remodeling.

(1) Blood vessels torn within the fracture release blood that clots to produce a large fracture hematoma.
(2) The hematoma is removed by macrophages; a matrix of damaged, cell-free bone is resorbed by osteoclasts; the periosteum and the endosteum at the fracture site respond with intense proliferation and produce by a soft fibrocartilage-like mass called procallus tissue.

(3) The procallus is invaded by regenerating blood vessels and proliferating osteoblasts. In the next
few weeks the fibrocartilage is gradually replaced by woven bone which forms a hard callus throughout the original area of fracture.

(4) The woven bone is then remodeled as compact and cancellous bone and fully functional vasculature is reestablished. Stresses imposed on the bone during repair and gradual return to
activity help to remodel the bone callus.

A

Fracture Repair

97
Q

Reversed prompt

Cancer originating directly from bone cells (a primary
bone tumor) is fairly uncommon (0.5% of all cancer deaths), although a cancer called osteosarcoma can arise in osteoprogenitor cells.

A

Primary bone tumor

98
Q

Reversed prompt

The skeleton is often the site of secondary,
metastatic tumors, when cancer cells move into
bones via small blood or lymphatic vessels from
malignancies in other organs, such as the breast, lung, prostate gland, kidney, or thyroid gland.

A

Secondary metastatic tumors

99
Q

Reversed prompt

Calcium deficiency in children can lead to rickets, a disease in which the bone matrix does not calcify normally and the epiphyseal
plate can become distorted by the normal strains of body weight and muscular activity.

A

What causes rickets

100
Q

Reversed prompt

“brittle bone disease,” refers to a group of related congenital disorders in which the osteoblasts
produce deficient amounts of Type I collagen or defective Type I collagen due to genetic mutations. Such defects lead to a
spectrum of disorders, all characterized by significant fragility of the bones.

A

Osteogenesis imperfecta

101
Q

Reversed prompt

Stimulates the production of IGF-1, it is also called growth hormone, it is produced by the anterior lobe of the pituitary gland

A

Somatotropin