Bone Structure And Function Flashcards

1
Q

5 functions of bones are:

A

Structural function
Mobility and strength
Support- ligaments and muscles can attach to them
Protection- of internal organs
Production and storage of minerals like calcium and phosphates

Other points:
Posture
Produces blood cells in red bone marrow at ends of bones
Produces and stores fats in yellow bone marrow in shafts

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2
Q

Typical long bone key points

A

Proximal and distal epiphysis covered in articular cartilage

Epiphysis area has the spongy / trabecular bone

Diaphysis area is the shaft of bone covered in compact / cortical bone
Hole in middle of diaphysis is medullary cavity, containing blood vessels and bone marrow and connective tissue and endosteum layer is covered in osteoprogenitor cells

Nutrient artery in nutrient foramen

Metaphysis adjoins diaphysis to epiphysis. Metaphysis separates epiphyseal plates which fully grown - become epiphyseal line

Periosteum layer covers all of long bone except cartilage.
Outer layer is dense irregular CT + enables attachment of ligaments and tendons
Inner layer has osteoprogenitor cells

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3
Q

BONE AS CONNECTIVE TISSUE

A

Bone is firm and slightly flexible

Matrix is collagen fibres and ground substance

Resists hard and compressive forces but has some give

Bone is :
25% water
25% collagen
50% crystallised mineral salts like calcium hydroxyapatite

Hard but brittle
Light per unit volume

Possess 4 types of cells:
Osteoprogenitor 
Osteocytes 
Osteoblasts 
Osteoclasts
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4
Q

What are two types of Osseous tissue?

A

Compact / cortical bone

Spongy/ trabecular/ cancellous bone

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5
Q

COMPACT TISSUE

A
80% of total bone mass
Solid hard layer on all bones 
External layer of all long bones 
Gives bones strength 
Withstands pressure vertically but not laterally/ transverse
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6
Q

SPONGY BONE

A

20% of total bone mass
Found within epiphysis of long bones and inner parts of axial skeleton
Honeycomb network
Lightness to bones
Good at shock absorption (redistributes pressures and stresses in a number of directions)

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7
Q

COMPACT BONE MORE DETAIL

A

Denser and less flexible

Osteon = concentric lamellae rings of calcified matrix around vertically oriented vessels. Can be called Haversian systems too.

Many osteons along diaphysis

Compact bone withstands great pressure vertically.

Osteons keep bones hard and receive nutrients from body and waste disposal.

Between osteons there is more lamellae.

Separating lamellae is lacunae (small depression in the bone)- has extracellular fluid and osteocytes.

Osteocytes =mature bone cells. Osteoblasts laid down the collagen fibres into cross cross formation, get trapped then turn into osteocytes.

Osteocytes in lacunae have canaliculi (projections) to connect to osteocytes in other lacunae about what must happen.

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8
Q

What is an osteon?

A

Functional unit of compact bone with collagen fibres laid down into rings of concentric lamellae and in criss cross formation with vertical blood vessels

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9
Q

What is osteocytes?

A

Osteocytes is mature bone cell that has canaliculi to connect to other osteocytes

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10
Q

What is osteoblast?

A

Cells which lay down new bone tissue into concentric rings of lamellae

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11
Q

What is lacuna?

A

Depression within a bone containing extracellular fluid and osteocytes

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12
Q

Canaliculus

A

Projection from one osteocytes to another to communicate and receive nutrients and remove waste

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13
Q

Spongy / trabecular bone

A

Found in epiphysis and in axial skeleton like rib, skull and in between vertebrae

Osteoblasts lay down collagen fibres along lines of stress

Lattice like

Light

Spongy bone deals with stresses in different directions and gives strength

Stress can be transferred in many projections

Holes in spongy bone makes it light, although they do contain blood vessels, red bone marrow and extracellular fluid.

Osteocytes in lacunae on surface of trabeculae and nutrients pass through canaliculi projections.

Spongy bone - converts to compact bone by osteoblasts

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14
Q

OSTEOPROGENITOR CELLS

A

Undifferentiated cells

Make new bone when required

When stimulated they divide and daughter cells are osteoblasts

Found in endosteum and inner layer of periosteum

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15
Q

OSTEOBLASTS

A

Came from osteoprogenitor cells

Build matrix and collagen fibres.

Cannot divide

Build a system of bone and get trapped within it. They become osteocytes.

Found on surface of bone as osteoblasts + sit in lacunae once they are osteocytes

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16
Q

OSTEOCYTES

A

In lacunae as mature bone cells

Maintain bone via communication

Canaliculi projections

Communication about nutrients within blood

Tells whether blasts or clasts need to perform more action

17
Q

OSTEOCLASTS

A

Have ruffled border

Large and come from monocytes

Clear up bone + reabsorb the bone

Attach to surface of bone, create a seal then re,ease enzymes / acids to break down bone and reabsorb debris

Release minerals back into bloodstream eg, calcium

On surface of bone

Rate of clearing, reabsorption and release of minerals depends on instructions from osteocytes

18
Q

Remodelling

A

Remodelling - coupling between osteoblast makingnew bone cell and osteoclast clearing

Uncoupling - one acts more than other

Eg osteoporosis (more osteoclast than blast activity)

19
Q

Why we need to know?

A

Bones constantly remodelled in childhood and adolescence

Cell activity in bone , removal and replacement at same site is remodelling - needs coupling

20
Q

How a bone gets longer

A

New cartilage produced on epiphyseal side of plate

Cartilage replaced and old cartilage converted into bone

Age 18-25, bone stops producing cartilage and collagen at growth plates and amount of bone to grow bones stops as well

21
Q

Bones growth in width

A

Blood vessels in bones stimulates osteoblasts to produce more bone on surface of bones to make them wider.

So length = cartilage
Width= osteoblasts and blood vessel

22
Q

Bone growth issues

A

LOP BB

Low bone density (osteoporosis) uncoupling

Osteogenesis imperfecta- genetic, low collagen production. Brittle bones + may fracture, may harm growth plates

Pagets disease of bone- Bone regeneration speeds up but not produced correctly so is weak

Bone cancer- metastatic (secondary cancer growth)

Bone infections- Trauma or surgery. Osteomyelitis, increased by recent fracture, injury or diabetes etc

23
Q

Blood supply to bones

A

People Neevr Make Eggs

Periosteal arteries- through periosteum Volkmann’s canals. Supplies blood to osteons of compact bone (outer)

Nutrient artery- in nutrient foramen within diaphysis , supplies medullary cavity and inner compact bone

Metaphyseal arteries- enters through metaphysis to supply spongy bone and bone marrow

Epiphyseal arteries- through epiphyses + supplies spongy bone and bone marrow

24
Q

Bone remodelling affected by:

A

Call Me A Hippy G

Calcium and phosphate levels

Mechanical stress

Age

Hormones

Genetics and environmental factors

25
Q

AGE

A

Demineralisation of bones - 1% each year after 40

Women age 40-45 are worse (up to 8% per year), loss of oestrogen

HRT keep levels of oestrogen up and prevent osteoporosis

Osteoporosis

26
Q

MECHANICAL STRESS

A

Weight bearing needed to develop and heal

Muscle pulls on bone, mechanical stress + bone remodels

Relate to weight bearing of patient

Lack of weightbearing reduces bone mineral density

12 weeks non weight bearing reduces bone min density by 1/2

Elderly may not get back to original bone density after fracture

27
Q

Other factors

A

Black people= larger bone density

Asian people = bone density issues

Women more likely

Genetic factors

ENVIRONMENTAL=
Calcium deficiency: osteoblasts will receive info that not enough calcium so clasts break down bone to re,ease more calcium into blood - lose bone mineral density
Calcium also needed in blood clotting

800-1000 mg a day
After menopause: 1000-1200mg a day

Calcium:
Muscle contractions and heart beat
Strengthens bone and teeth
Clotting blood

Vitamins D and K absorb calcium