Bone Hard πŸ†πŸ’¦ Flashcards

1
Q

Osteoid =

Made by
What is in
Looks

A
Extra cellular matrix 
Secretes by osteoblasts 
Type 1 collagen 
Gags and proteglycans 
Pale pink histology
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2
Q

Resorption cavities=

A

Howships lacunae

Depressions that osteoclasts create

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3
Q

Osteon=

A

Central Haversion canal with blood vessel. This canal surrounded by concentric rings of lamellar bone w osteocytes

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4
Q

Haversion canal=

A

Route for blood vessel within bone

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5
Q

Clavicle is annoying. Why

A

It’s a frickin flat bone !

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6
Q

Osteoblasts secretes what

A

Osteoid and RANK L

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7
Q

Volkmanns canal=

A

Canal for blood vessels that runs perpendicular to Haversian canals/osteons , connecting them up.

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8
Q

Effect of rank L

A

Activates osteoclasts.

Attached to osteoclast precursor (monocyte) allowing them to go and remodel bone. Because it allows the rank ligand to bind to the rank part of monocytes/osteoclasts

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9
Q

What blocks activation of monocytes-> osteoclasts

A

OPG

Osteoprotegrin

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10
Q

What does OPG block

A

It stop activation of osteoclasts by stopping rank ligand binding to rank(on the osteoclast itself) as opg binds to the rank ligand itself

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11
Q

What is opg used to treat

A

Bone loss, osteoporosis

It lowers osteoclast activity so less bone chewwwwed

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12
Q

How many layers of cells in synovial joints

A

1-4

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13
Q

Types of cells in synovial joints

A

Type A - phagocytes

Type b- rich in RER, secrete synovial fluid

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14
Q

What inhibits bone resorption

A

Bone resorption is chewwwing by osteoclasts

So OPG
And calcitonin

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15
Q

Long bone formation

A

Endochondrial

  • from cartilage to bone
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16
Q

Flat bone (and irregular bone) formation

A

Intramembranous

  • from mesenchymal cells
17
Q

Ossification centres =

A

Bone laid down (osteoblasts) on top of hyaline cartilage (chondrocytes)

Primary= middle of bone
Secondary= ends of bone
18
Q

What happens to ossification centre

A

Osteoclasts break down to leave a medullary cavity

19
Q

Mineralisation

When
What
Regulated by

A

Intramembranous ossification

Hydroxyapatite crystals laid down (calcium and phosphate)

Hardens bone- spicules created which then fuse to trabeculae

Vit d and PTH

20
Q

Healing

Direct-

A

Osteoclasts cute tunnels and osteoblasts fill them in, across fracture

Stable fracture

21
Q

Healing
- / indirect

4 stages

A

Unstable fractures

1 inflammation- haemotoma (clotted blood swelling inc wbc) stabilises

2 soft callus formation - fibroblasts and collagen , replaces haemotoma

  1. Hard callus formation- endochondrial ossification to create woven bone
  2. Remodelling - woven bone becomes lamellar
22
Q

Macro bone types

A

Corticol = compact , dense

trabecular- spongy, cancellous. (Light) Holes . Often filled with bone marrow

23
Q

Micro. Bone types

A

Primary/ wovenβ€” made quickly, disorganised

Secondary - lamellar/- made slowly, layered . Replaces woven