Bone cells, types and processes Flashcards

1
Q

How does bone differ from other CT?

A

Calcium phosphate (CaPO4), sometimes called hydroxyapatite, which mineralises the extracellular matrix.

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

What gives bone its mechanical properties?

A

Calcium phosphate - great compressive strength

Collagen - great tensile strength to the bone

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

Describe osteoblasts?

A

Synthesise new bone - migrate over matrix and synthesise and deposit osteiod - matrix protein of bone

Major protein is collagen, contains smaller quantites of osteocalcin and osteopontin

Make bone by depositing calcium phosphate

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

Describe osteoclasts?

A

Multinucleate cells formed by fusion of progenitor cells of the monocyte/macrophage lineage

They move over the surface of the bone matrix and secrete acidic chemicals to dissolve it - this creates a pit on the surface of the cortical bone

Absorbs minerals - and thn releases them in the extracellular fluid

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

What is meant by resorption?

A

The process of bone breakdown and mineral uptake

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

What are osteocytes?

A

Trapped osteoblasts within the bone matrix

They are trapped within lacunae and become involved with signalling processes

Communicate with other osteocyctes via filipodia (projections) which extend through the canaliculi (microscopic canals between the lacunae of ossified bone) of the bone

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Describe the distribution of bone within the adult human skeleton?

A

The adult human skeleton comprises 206 bones and within these there are 26 vertebrae, 64 bones in the upper limbs (32 each side) and 62 bones in the lower limbs. Many of these bones are contained within the hands and feet.

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

What is the axial skeleton?

A

The axial skeleton forms the longitudinal axis of the body

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What is the appendicular skelton?

A

bones of the upper and lower limbs.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Describe the structure of a long bone

A

The diaphysis is the shaft of a long bone.

This flares out at each end into the metaphysis, which lies adjacent to the growth plate.

On the other side of the growth plate is the epiphysis. The articulating surfaces are covered with hyaline cartilage and the remainder of the bony surface is covered with periosteum.

The medullary cavity is lined with endosteum. The medullary cavity itself is full of red marrow in the child, which is actively involved in haematopoiesis, whereas in the adult there is a high fat content and the marrow appears yellow.

The nutrient artery supplies the marrow and enters the bone through a nutrient foramen, usually near the middle of the diaphysis.

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

Describe short bones?

A

As long as they are wide.

Located in the wrist (carpal) and ankle (tarsal) joints, short bones provide stability and, when working together, they facilitate a great range of movement

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

Describe flat bones?

A

The function of flat bones is to protect the internal organs such as the brain skull, heart (sternum and ribs), and pelvic organs (ilium, ischium, and pubis). Flat bones can also provide large areas of attachment for muscles.

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

Describe sesamoid bones?

A

Sesamoid bones are bones embedded in tendons and function to protect the tendons from stress and wear.

They also function to provide mechanical advantage to a muscle crossing a joint over a wide range of movement.

e.g. patella - provides mechanical advantage to the quadriceps.

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

Describe irregular bones?

A

Irregular bones vary in shape and structure and therefore do not fit into any other category (flat, short, long, or sesamoid).

They often have a complex shape, which helps protect internal organs. For example, the vertebrae protect the spinal cord.

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

Define processes ?

A

Processes are prominent projections of a bone. Processes may be divided into articulating or non-articulating.

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

What is a head process?

A

Rounded articular projection supported by a neck (e.g. head of humerus)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

What is a condyle process?

A

Large, knuckle-like, articular projection (e.g. medial condyle of the femur)

18
Q

What is a facet?

A

Smooth flat surface (superior and inferior articulating facets of the vertebrae)

19
Q

What are non articulating processes?

A

The result of traction on the developing bone by muscles, ligaments etc. The stronger the force exerted on the bone, the larger the bony prominence that develops

20
Q

What is an epicondyle process?

A

Smaller projection above the condyle (usually attachment site for muscles and ligaments e.g. medial epicondyle of femur)

21
Q

What is a trochanter?

A

Blunt projection (only on femur; greater and lesser trochanters of femur)

22
Q

What is a tubercle?

A

Small knob-like rounded process (e.g. greater tubercle of humerus)

23
Q

What is a tuberosity?

A

Large, often rounded, usually roughened, process (usually an attachment site e.g. tibial tuberosity)

24
Q

What is a crest process?

A

Prominent border or ridge (e.g. iliac crest)

25
Q

What is a line process?

A

Less prominent ridge than a crest (e.g linea aspera)

26
Q

What is a spine process?

A

Sharp slender process (e.g. spinous process of a vertebra)

27
Q

What is a fovea depression?

A

Pit-like landmark (e.g. fovea capitis of femur)

28
Q

What is a sulcus / groove depression

A

Furrow that accommodates soft tissue such as blood vessels, nerves or tendons (e.g. intertubercular sulcus of the humerus through which the tendon of the long head of biceps brachii passes)

29
Q

What is a fossa depression?

A

Baisin like depression

30
Q

What is a cavity depression?

A

Spacious open area

31
Q

What is a notch depression?

A

a C- or U-shaped depression

32
Q

What is a fissure opening

A

Narrow slit-like opening between adjacent parts of bones through which blood vessels or nerves pass (e.g. superior orbital fissure of sphenoid bone)

33
Q

What is a foramen opening?

A

Hole or window in the bone

34
Q

What is a canal opening?

A

Tube like passageway

35
Q

Describe the blood supply to bones?

A

Main supply is the nutrient artery which enters the diaphysis (shaft) of the bone

Also periosteal ateries which supply the periosteum (a dense layer of vascular connective tissue enveloping the bones except at the surfaces of the joints.) and the outer third of the cortex of the bone

36
Q

Describe metaphyseal arteries and how their blood supply differs in children and adults?

A

Metaphyseal arteries are present in some bones (femur) - They enter at the site of attachment of the capsule

Children - metaphyseal arteries do not cross the growth plate meaning the secondary ossification centre in the epiphysis is completely dependant on the epiphyseal artery.

Adults - epiphysis fuses and an anastomosis (cross connection) formes between the epiphyseal and metaphyseal arteries

37
Q

What is avascular necrosis?

A

Death of bone due to loss of bone supply

38
Q

What are the causes of avascular necrosis?

A

Most common clinical example - intracapsular fracture of the neck of femur

Alcoholism

Excessive steroid use

Other trauma (non-fracture)

Radiation

Thrombosis (blood clot)

Hypertension (high blood pressure)

Decompression sickness (after deep sea diving).

39
Q

Describe how radiation exposure can lead to avascular necrosis?

A

Obliterates small arteries

40
Q

Describe how decompression sickness can lead to avascular necrosis?

A

Small bubbles of nitrogen form which can impede the blood supply to the bone

41
Q

What is bone remodelling

A

Bone remodelling occurs in response to environmental factors (e.g. sustained application of a load) due to a change in the balance in activity between osteoblasts and osteoclasts.