Bone Cartilage growth, repair and anatomy Flashcards

1
Q

Describe the main roles of bone and cartilage tissue in the musculoskeletal system.

A
  • Provide support
  • Protection for vital organs
  • Provide rigid rods and level which muscles can act to effect movement
  • Multitude of organic ions (Calcium and phosphorus)
  • Cartilage is found between 2 bones to prevent them rubbing together
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2
Q

What is bone tissue made up of?

A
  • Matrix - organic and inorganic substances
  • Cells - Osteocytes, Osteoblasts and Osteoclasts
  • Vascular spaces
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3
Q

What matter can be found within the bones matrix?

A

Organic:
- Osteoid: ground substances to which many collagen fibres are embedded
- Collagen type 1 fibres (strong, inert structural component)

Inorganic:
- 60-70% dry weight
- Confer hardness and rigidity
- Make bone radio-opaque

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4
Q

What is the bone matrix surrounded by?

A
  • It is embedded in a ground substance made from:
  • Water
  • Glycoproteins (bind collagen and minerals)
  • Proteoglycans (bind growth factors)
  • Bone sialoproteins (associated with cell adhesion)
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5
Q

What is woven bone?

A
  • In early stages of life or following a fracture, the collagen fibres are not lined up in parallel
  • This bone is formed and mineralised quicker, making it ideal in fracture repair
  • This type of bone is not as strong as lamellar bone
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6
Q

What is lamellar bone?

A
  • Parallel collagen fibres
  • Thin layers of osteoid within
  • Structurally superior (stronger)
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7
Q

Describe the Havarian system (The canals and surrounding lamellae)

A
  • Primary Osteons are produced when the bone increases in diameter
  • They run parallel to the long axis of the bone
  • They contain one or more vascular canals (Haversian canals)
  • They are ALWAYS surrounded by woven bone
  • The vascular canals contain the blood vessels and nerves
  • Tunnels that come off the primary Osteons are know as the secondary osteons and they allow more blood to travel through the bone
  • Osteoclasts release enzymes that melt the bone too allow the tunnelling
  • Osteocytes are scattered within the matrix and are connected o one another by dendritic processes
  • Derived from the Osteoblasts
  • Reside within Lacunae which are interconnected by canaliculi
  • Maintain the bone matrix
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8
Q

What is an Osteoblast?

A
  • Derived from mesenchymal cells
  • Synthesise and secrete osteoid (the extracellular matrix of bone)
  • Active in the mineralisation process
  • Once the osteoblast is surround by the extracellular matrix it is known as an Osteocyte
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9
Q

What is an Osteoclast?

A
  • Responsible for bone resorption
  • Large cells, multiple nuclei
  • Release protons to form an acidic environment, which causes demineralisation
  • Derived from bone marrow
  • Secrete protease enzyme, which destroys organic matter
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10
Q

Describe the process of bone modelling/remodelling

A
  • Bone is excavated in cylindrical tunnels by the Osteoclasts
  • Bone is then replaced by the Osteoblasts, they follow forming concentric lamellae/lamellar bone on the walls
  • This surrounds a centrally in growing blood vessel (forming a secondary Osteon)
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11
Q

What does bone modelling/remodelling facilitate?

A
  • Change in the bone shape
  • Change in the bone material
  • Repair of damaged bones
  • Release of mineral ions
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12
Q

What is a stress fracture?

A
  • Small incomplete fractures caused by repetitive exercise of the same area of bone
  • Body tries to create more Osteons and if too many form the bone will become weaker
  • This may result in more small fractures
  • Often the cause of most catastrophic fractures
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13
Q

What is maladaptive remodelling?

A
  • Body trying to fix the fracture by creating more bone in different places.
  • Cause abnormal bone growth, bone may be going into soft tissue which will cause pain
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14
Q

What is a joint?

A
  • Flexible interface between bones
  • Smooth bearing surface
  • Cartilage can grow from the inside (interstitial growth)
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15
Q

What is the differences between bone and cartilage?

A
  • Biochemistry
  • Microstructure
  • Cell type
  • Metabolism
  • Cartilage is Avascular (no blood vessels)
  • Aneural - no nerves
  • Cartilage is often thin as it must get nutrients from tissue around it
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16
Q

What is Hyaline/Articular cartilage?

A
  • Precursors to bone in embryonic skeleton
  • Predominantly type II collagen fibres
  • Collagen is embedded in a highly hydrated ground substance (carbohydrate and water rich)
  • Slippery connective tissue hat covers the end of bones in the synovial joints
17
Q

What is Hyaline/Articular cartilage designed to do?

A
  • Withstand and distribute load
  • Act as an elastic shock absorber
  • Provide a wear/resistant surface to articulating joints
  • Be self-mainting
18
Q

What is white fibrocartilage?

A
  • Specialised cartilage found in areas requiring tough support or high tensile strength
  • Lines surface of bony grooves for tendon attachment
  • Interface between ligament/tendon and bone
  • Contains more collagen than hyaline cartilage does
  • Contains type I and II collagen
19
Q

What is yellow cartilage?

A
  • Contains elastic bundles (elastin) scattered throughout the matrix
  • Main function is to keep tubular structures open
20
Q

What are chondrocytes?

A
  • Only cells found within cartilage
  • Produce and maintain the cartilage matrix
  • Exist in low density
  • Obtain nutrition and oxygen via diffusion
  • They continue creating more matrix while remaining in the matrix
  • Are capable of division within the matrix
21
Q

What is subchondral bone?

A

Bone found beneath cartilage

22
Q

Describe the composition of Hyaline/Articular cartilage.

A

3D latticework of type II: Orientation of fibres divided into zones
- Deeper (interface with bone) layer calcifies

Hydrated Gel: Chondrocytes, No blood vessels, lymphatics or nerves
Deeper portion calcifies
- This expands between collagen fibres and is held together by other structural molecules
- It is negatively charged and so attracts NA+ ions
- Osmotic so attracts water (pulls water in)

  • This cartilage is resistant to compression and is viscoelastic (High strain rate)