Bone Flashcards

1
Q

What are the differences between Compact and Spongy/Trabecular/Cancellous Bone?

A
  • Compact Bone
    • Outer solid cortex surrounding spongy bone
    • Lamellar bone
  • Spongy/Trabecular/Cancellous
    • Inner Layer
    • Spaces for BM
    • Lamellar or woven bone
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Woven Bone

A
  • Immature/Primary
    • Replaced by Lamellar
  • Loose arrangement of collagen fibers
  • Forms during Fx repair or remodeling
    • Mechanically weak, forms quickly
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Lamellar Bone

A
  • Mature/Secondary
  • Regular parallel arrangement of collagen fibers
  • Not visible on H&E stains
  • Form of most adult bone
    • Mechanically strong, forms slowly
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Bone Matrix

What comprises Organic bone?

What comprises Inorganic bone?

A
  • Organic Bone (33%)
    • Type I collagen fibers
    • Osteoid (Unmineralized bone)
  • Inorganic Bone (65%)
    • CaPO4, Hydroxyapatite
    • Creates hardness/stiffness
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Osteoprogenitor Cells

Origin and properties?

Location?

Give rise to what?

When are they reactivated?

A

Mesenchyme; Properties of SCs (Proliferation & Differentiation)

Inner layer of Periosteum and Endosteum

Osteoblasts

Reactivated during bone repair

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Osteoblasts

Function?

A
  • Function
    • Deposit osteoid; Control mineralization of osteoid
    • Give strong cytochemical reaction for AlkPhos
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Osteocytes

What are they?

How do they communicate and receive nutrients necessary for survival?

What does the life of bone matrix depend on?

A

Osteoblasts trapped in Lacunae within Osteoid Matrix

Highly branched cells create complicated communicating network (Lacunae –> Canaliculi –> Connection of Osteocytes)

Survival status of the osteocytes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Osteoclasts

Derived from?

How do they perform bone resorption?

Important roles?

Where do they reside?

A
  • Monocytes entering bone via blood stream
  • Generate secluded acidic environment
    • H+-ATPase: enzymatic degradation of organic bone matrix
  • Bone remodeling and renewal
  • Howship’s Lacuna
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Periosteum and Endosteum

Functions

What does periosteum not cover?

A
  • Nutrition of osseous tissue
  • Continuous supply of new cells for growth and repair
  • Articular surfaces of bone
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Periosteum (outer layer of Compact Bone)

What is in the inner (osteogenic) layer?

What is in the outer layer?

A

Osteoprogenitor cells

Blood vessels and nerves; Fibroblasts and collagen fibers

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Endosteum (compact bone inner layer)

What does is cover?

Where does it extend?

What cell differentiation occurs?

A

Covers spongy/trabecular bone walls

Extends into all cavities of bone

Osteoprogenitor cells –> become Osteoblasts

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Interstitial Lamellae

Location?

What separates interstitial lamellae and osteon?

A

Between Osteons

Cement Line

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Osteons (Haversian System)

A

Concentrically arranged Lamellae around longitudinal vascular channel

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Outer Circumferential Lamellae

A

External surface of compact bone

Under Periosteum

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Inner Circumferential Lamellae

A

Internal surface of compact bone

Subadjacent to Endosteum

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Osteocytes

Where do they reside?

What are their extensions travel through?

A

Bone cells supporting matrix

Occupy a Lacuna

Radiating Canaliculi penetrate Lamellae

17
Q

Haversian Canal

A

Longitudinal vascular channel

Housing capillaries and post-capillary venules

Center of Osteon

18
Q

Volkmann’s Canal

A

Transverse vascular channels

Connect Haversian Canals

19
Q

Intramembranous Ossification

What types of bones does this occur?

What are the steps?

A
  • Flat bones
20
Q

Endochondral Ossification

What type of bones?

What are the steps?

A
  • Long bones
21
Q

Endochondral Ossification at Epiphyseal Plate

Describe the Process

A

Chondrocytes (zone of reserved cartilage) Proliferate (zone of proliferation) and Hypertrophy (zone of hypertrophy) pushing Epiphysis away from Diaphysis

Chondrocytes become Calcified and die (zone of calcified cartilage)

Osteoclasts resorb/remove dead chondrocytes to lengthen medullary cavity (zone of resorption)

22
Q

Bone Fracture Repair

What are the steps?

A

Formation of fracture hematoma

Fibrocartilaginous callus formation

Bony callus formation (Osteoblast)

Bone remodeling (Osteoclast)

23
Q

Achonroplasia (MC form of Dwarfism)

Autosomal Dominant mutation in what gene?

Presentation?

A

FGFR3 (Mutation Inhibits Endochondral Growth)

  • Shortening of proximal extremities
  • Relatively normal trunk length
  • Small midface
  • Altered spinal curvature
  • Intelligence not usually affected
24
Q

Rickets

What is underlying cause?

Insuffiency in what?

Presentation?

A

Ca deficiency during growth –> defect in mineralization of cartilage in growth plate

Insufficient Ca intake or Vit D

  • Bowed lower limbs
  • Widening of wrists and bowing of distal radius and ulna
25
Q

Osteomalacia

What is it?

Caused by?

Presentation?

A

Adult form of Rickets - Progressive softening/bending of bone

Vitamin D deficiency of GI disease (MC cause in U.S.)

  • Bone and Joint pain
  • Muscle weakness, spasms, and cramps
  • Fracture
  • Difficulty walking/waddling gait
26
Q

Osteoporosis (MC bone disease)

What is it?

Caused by?

Commonly occurs in what population?

Presentation?

A

Progressive loss of normal bone density

Imbalance between osteoclast and osteoblast functioning

Elderly and postmenopausal females

Easy fractures