bone function and repair Flashcards

1
Q

Function of bone

A

Mechanical- protect important and delicate tissues and organs, provide a frame work for the overall shape of the human body, from the basis of levers involved in movement

Synthetic- haemopoiesis(holds and projects red bone marrow)

Metabolic- mineral storage (calcium and phosphorus)
fat storage yellow bone marrow
acid-base homeostasis (absorbs and releases alkali salts to help regulate blood pH)

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2
Q

Intramembranous ossification has how

A

Formation of bone from the cluster of mesenchymal stem cells in center of bone (not the replacement of hyaline cartilage)

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3
Q

What kind of bones do intramembranous ossification

A

Flat bones formation and the thickening of long bones

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4
Q

Stage I of into membranous ossification

A

Mesenchymal cells form a tight cluster
MSC transform into osteoprogenitor cells and then into osteoblasts
osteoblasts laydown a osteoid (ECM cotaining type I collagen)

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5
Q

Stage II of intramembranous ossification

A

Osteoid mineralises to form spicules (surrounded by osteoblasts and containing osteosytes)

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6
Q

stage III of intramembranous ossification

A

spicules join to form trabeculae

trabecule merge to form woven bone

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7
Q

stage 4 of intramembranous ossifcation

A

trabeculae replaced by the lamella of mature compact bone

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8
Q

ECM contains what type of collagen

A

type I

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9
Q

does cancellous bone contain Haversian and Volkmanns canals

A

No

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10
Q

explain the osteocyte arrangement in immature and mature bone

A

immature bone has osteocytes in random arrangements

mature bone has osteocytes arranged in concentric lamellae of osteons

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11
Q

bone strength

A

bone resist fracture - great tensile and compressive strength and a degree of flexibility
main frrce lines are through the cortical bone

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12
Q

why are the main force lines through the cortical bone

A

lamellae are thought to be able to slip, relative to each other to resist fracture

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13
Q

factors affecting bone stability

A

osteocyte have both osteoclast and osteoblast activity
activity of osteoblast
activity of osteoclast

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14
Q

4 stages of fracture repair

A

hematoma formation
firbrocartilaginous callus formation
bony callus formation
bone remodelling

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15
Q

heamatoma formation

A

break rupture blood vessels and a heamatoma forms and phagocytic cells remove dead tissue

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16
Q

firbrocartilaginous callus formation

A

new blood vessels infiltrate haemotoma as firbroblasts that span the producing a fibrocartilagious callus containing osteoblasts invaded from the periosteum that begin reconstructing the bone

17
Q

Bony callus formation

A

the fibrocartilagious callus is converted to cancellous bone called a bony callus by endochondrial and intramembranous ossification

18
Q

bone remodelling

A

where cancellous bone is converted to compact bone. (especially in the cortial region)

19
Q

osteogenesis

A
mutation in COL1A gene
incorrect production of collagen 1 fiber
weak bones and increased fracture risk
shorten height and stature
mainly effects children as don't live past adulthood
20
Q

rickets

A
mainly effects children
vitamin D deficiency
poor calcium mobilidsation
ineffective mineralisation
weakened bone development
soft bone
shortened height and stature
painful to walk

characteristic bowed legs

21
Q

osteomalacia

A

rickets in children
vitamin D deficiency - low mineralisation, increased osteoid

increased calcium reabsorption
e.g protection from sunlight-produces vit D

22
Q

osteoporpsis

A
primary 
type 1 - postmenapausal women 
due to an increase in osteoclast number
loss of oestrogen after the menopause
type 2 - occurs in oldre men and women
due to the loss of osteoblast function
loss of both oestrogen and androgen

secondary
result of drug theapy
processes affect bone remodelling
metabolic bone diseases

23
Q

osteoporosis risk factors

A

insufficient calcium intake
exercise
cigarette smoking in women

24
Q

anchondroplasia

A

FGF3 mutated gene

effected endochondrial ossification affected