Bone Histology Flashcards

1
Q

What are osteoprogenitor cells

A

Mesenchymal origin with properties of stem cells; capacity to differentiate

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2
Q

Where are osteoprogenitor cells found?

A

Inner layer of periosteum and endosteum

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3
Q

What do osteoprogenitor cells give rise to?

A

Osteoblasts; they are deactivated during times of bone repair

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4
Q

What are osteoblasts?

A

They are epithelial like cells with cuboidal or columnar shapes; they deposit osteoid and control mineralization of osteoid; they give a strong cytochemistry reaction for alkaline phosphates

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5
Q

what are osteocytes?

A

Cells that come from osteoblasts that were trapped inside lacunae within the osteoid matrix they deposited

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6
Q

Where do osteoclasts come from?

A

Monocytes in bone marrow; become osteoclasts in bone matrix

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7
Q

What do osteoclasts do?

A

Generate a secluded acidic environment for bone restoration; important role in bone remodeling and renewal

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8
Q

What are the principle functions of periosteum and endosteum?

A

Nutrition of osseous tissue; continuous supply of new cells for growth and repair; periosteum does not cover articular surfaces of bone

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9
Q

What is in the inner layer of periosteum?

A

Osteoprogenitor cells and osteogenic layer

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10
Q

What is in the outer layer of periosteum?

A

Rich in blood vessels and nerves; fibroblasts and collagen fibers; sharpey’s fibers (anchoring collagen fibers penetrate the outer circumferential lamellae)

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11
Q

What does endosteum do?

A

Covers spongy walls

Extends into all cavities of bone

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12
Q

What is intramembraneous ossification? What are the steps?

A

Formation of bone (flat bones) by condensation of mesenchyme, deposition of osteoid tissue by osteoblasts on mesenchymal surface; entrapment of first osteocytes and formation of periosteum; creation of spongy bone; vascular channels are closed off to form distinct layer of bone

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13
Q

What are the steps of endochondral ossification

A

Mesenchyme develops into a body of hyaline cartilage covered with a fibrous perichondrium

Perichondrium stops producing chondrocytes and starts producing osteoblasts

Blood vessels penetrate the bony collar and invade the primary ossification center, this produces primary marrow cavity

Osteoblasts line the cavity, deposit osteoid and form the spongy bone

A wave of cartilage death progresses toward the ends of the bone and osteoclasts follow the wave enlarging the marrow cavity of the diaphysis prep

Chondrocytes enlargement and death create a secondary ossification center in the epiphysis

The epiphysis will fill with spongy bone and cartilage is limited to epiphyseal plate

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14
Q

What are the 5 steps of periosteal bone growth?

A
  1. An osteoblasts forms from a bone trabecular. Edges of the trabecula extend toward each other
  2. The ridges fuse and the groove changes into a body tunnel enclosing the blood vessel
  3. Additional bone lamellae are deposited around the tunnel which is then converted to Haversian canal containing a blood vessel
  4. The haversian vessel continue to receive blood through the canals of Volkmann extending obliquely across the diaphysis
  5. When the bone reaches full size, outer and inner circumferential lamellae provide the boundaries of the compact bone consisting of multiple osteoblasts
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15
Q

What are the four steps of bone fracture repair

A
  1. Formation of fracture hematoma
  2. Fibrocartilaginous callus formation (by chondroblasts)
  3. Bony callus formation (osteoblasts lay down osteoid)
  4. Bone remodeling (osteoclasts)
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16
Q

What is achondroplasia?

A

An autosomal dominant mutation in FGFR3 gene (stops bone growth at a normal age, but mutated form will stop bone growth too early); MC form of dwarfism; presentation is shortening of proximal extremities, relatively normal trunk, small mid face, altered spine curvature, intelligence not usually affected

17
Q

What is rickets?

A

Calcium deficiency during growth - defect in mineralization of cartilage in growth plate

Caused by insufficient calcium intake or vitamin D

Presentation: delayed closure of fontanelles, bowed lower limbs, parietal and frontal bossing, widening of wrists and bowing of distal radius and ulna

18
Q

What is osteoporosis?

A

A progressive loss of normal bone density with deterioration of its microarchitecture; caused by imbalance between osteoclast resorption of bone and osteoblasts deposition of bone; MC occurring bone disease; common among elderly and postmenopausal women; presentation is easy fractures