Bone Pathology And Soft Tissue Pathology Flashcards
What are the regions in the long bone
Epiphysis
Diaphysis
What is the epiphysis
Ends of the bone
What is the diaphysis
Shaft of the bone
What does an osteon unit have
Haverian canal
What are the haversian canal linked by
Volksmann canal
What are the 3 main functions of the bone
Mechanical: function for muscles
Endocrine regulation
Haemopoiesis (red bone marrow)
What is bone composed of
Water
Anorganic part
Organic part
What is the anorganic part
Calcium in the form of hydroxyapatite crystals
Inorganic salts
Fluorids
Trace elements
What is the organic part
Collagen fibres
Proteoglycans
What cells are involved in bone remodelling
Osteoprogenitor cells
Osteoblasts
Osteocytes
Osteoclasts
What cells does osteoprogenitor cells give rise to
Osteoblast and osteoclasts
What are osteocytes
Inactive form of osteoblasts
What are the types of bone that belong to the lamellar bone
Compact and cancellous
What is woven bone
Physiological bone in fertile development
When we see woven bone in adults is that normal
No it is pathological
What is achondroplasia
Autosomal dominant bone disease caused by FGFR3 mutation that inhibits chondrocyte proliferation
What happens when you block chrondrocyte proliferation in long bones
The epihyseal plate chrondrocyte proliferation decreases so you have shortening of the the long bones
What is brittle bone disease (osteogenesis imperfecta)
Autosomal dominant genetic disorder that affects type 1 collagen synthesis
Which cell decreases in activtiy in brittle bone disese
Osteoblast
What other parts of the body does the collagen disorder synthesis affect
Skin
Joints
Sclera
What is osteopetrosis (marble bone disease)
Autosomal recessive disorder
What occurs in osteopetrosis
- Carbonic anhydrase 2 deficiency (enzymes required for acidification and excretion of hydrogen ions)
- Acidification is required for a space that osteoclast sit in called howship lucunae
- There is therefore reduced osteoblast bone resorption
- This causes a systemic sclerosis
- Bone becomes prone to fracture
Which hormones are involved in regulating bone homeostasis
Parathormone (PTH) Calcitonin STH Oestrogen and androgen Steroid hormone Vitamin d and c
What happens to the boen when there is a disrupted hormonal homeostasis
Decreased or increased bone mass
What is a common disease of the bone that is associated with decreased bone mass
Osteoporosis
What is primary osteoporosis due to
Post menopausal
Senile