bone growth and healing Flashcards
how does a bone grow and heal?
osteoblast and osteocyte formation, they are in charge of lamellar production which results in thickness of the bone
what are the characteristics of membrana osteogenesis
is Direct
Appositional growth in thickness
has Mesenchymal fibrous tissue (osteoblasts)
what are the characteristics of Endochondral osteogenesis
is Indirect
Longitudinal growth
Hyaline cartilage calcifies - this is how it grows by calcifying the hyaline cartilage
describe the first process of bone growth/healing in the epiphyseal plate
it has several zones, while the bone still grows there is proliferation of new chondrocytes that stack in the proliferation zone
describe the second process of bone growth/healing in the epiphyseal plate
the chondrocytes mature which happens in the hypertrophy zone (the cells basically get bigger)
describe the 3rd process of bone growth/healing in the epiphyseal plate
the cells decalcify, so they get harder and then the calcified cartilage ossifies becoming bone tissue - ossification zone
why is optimal loading important?
its important because the bone needs to know what it can and cant withstand
what is first in the bone healing stages and how long does it last?
inflammation - lasts up to 7 days after injury
what is second in the bone healing stages and how long does it last?
proliferation - takes all the material that was brought in the inflammation stage and lasts 2/3 weeks
what is 3rd in the bone healing stages and how long does it last?
remodeling stage, it rearranges tissue according to the load the tissue is put under, 17 weeks.
describe the vascularization of bones
very well vascularised
the main vascularization comes through the periosteum and inner endosteal layer. the capillaries through the Volkman canals distribute horizontally and through the haversian canals vertically.
describe endochondral osteogenesis
new chondrocytes are formed and laid down in the proliferation zone. in the hypotrophy zone they grow and mature . chondrocytes calcify and become full bone tissue in the ossification zone
endochondral osteogenesis simple terms
is also referred to as indirect growth and is responsible longitudinal growth