Bones & Joints Flashcards

1
Q

Describe the matrix components of bone

A

specialised connective tissue

Strong flexible shatter resistant Matrix made of:

  • strong, flexible organic component: osteoid, collagen & protein complexes
  • hard, inflexible inorganic component: hydroxyapatite, mineral salts, CaPhosphate, CaCO3
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2
Q

Describe 4 types of bone cell

A

Osteogenic stem cells in periosteum/endosteum, develop into osteoblasts

Osteoblasts secret osteoid, deposit minerals for new bone

Osteocytes are mature bone cells in lacunae within bone to maintain matrix

Osteoclasts remove minerals from matrix to remodel bone

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3
Q

Describe 2 types bone tissue

A

Compact - on bone surface provides strength for weight bearing (osteons in same direction) and prevents buckling

Cancellous (spongy) - interior, trabeculae arranged haphazardly (marrow between) lighter than compact

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4
Q

Describe bone marrow

A

spaces between trabeculae of spongy bone and medullary cavities of long bones

Red - myeloid tissue (haemopoietic)
Yellow - fatty tissue doesn’t produce blood (can transform back in severe anaemia)

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5
Q

In what 4 ways is bone shape classified?

A

Long (levers) - femur, metatarsals, phalanges

Short (= length/width glide across each other) - carpals/tarsals

Flat (organ protection/muscle attachment) - sternum, scapula, pelvic, cranial

Irregular (muscle attachment) - vertebrae, some skull

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6
Q

Describe bone formation and name 2 methods

A

Ossification/Osteogenesis

Intramembranous or endochondral ossification

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7
Q

Describe intramembranous ossification

A

occurs in flat bones/clavicles

  1. mesenchymal cells secrete osteoid, deposited calcium salts cause calcification, mesenchymal cells differentiate to osteoblasts
  2. blood vessels grow into area supplying nutrients/O2
  3. initially only cancellous bone but can be remodelled into compact
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8
Q

Describe endochondral ossification

A
  1. cartilage laid down, outer cells differentiate into osteoblasts producing thin outer bone collar developing blood supply
  2. Diaphysis cells differentiate into osteoblasts in primary ossification centre
  3. Osteoclasts erode diaphysis centre forming marrow cavity
  4. Secondary ossification centres develop in epiphyses where bone replaces cartilage. Metaphyseal thin plate cartilage remains forming epiphyseal plate
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9
Q

How do bones grow?

A

New cartilage constantly laid down at epiphyseal side of plate, invaded by osteoblasts to be replaced by bone

speed of cartilage growth > osteoblast activity growth continues, at puberty GH/Thyroid Hormones increase halting growth

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10
Q

How are bones remodelled?

A

Calcium salt deposition/resorbed as required
Bone thickens to increase strength
Old bone renews and injured bones replaced

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11
Q

What are the types of fracture?

A

Compound (open) or simple (closed)

Greenstick
Comminuted
Linear
Transverse
Oblique
Spiral

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12
Q

Describe bone healing and inhibitory factors

A
  1. haematoma invaded by capillaries/fibroblasts/macrophages/osteoclasts
  2. Soft callus formed/hardened by mineral deposition (bony callus), remodelled by osteoclasts

Delayed by:
low blood supply
infection
tissue fragments/poor alignment/continued mobility of bone ends
Systemic illness, malnutrition, age, drugs (corticosteroids)

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13
Q

What are the functions of the skeleton?

A

structural support
protect internal organs
stores Ca
produce blood cells
provides leverage for movement

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14
Q

Describe the 3 structural classifications of joints

A

Fibrous - dense irregular connective tissue, collagen-rich e.g. sutures in skull, syndesmosis via ligament/DnsIrrCT

Cartilaginous - primary hyaline (longbone epiphyseal plate) secondary fibrocartilage (vertebrae/symphasis pubis)

Synovial - separated by joint cavity enclosed in fibrous capsule (interphalyngeal): synovial membrane and articular cartilage enclosed

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15
Q

Describe 3 functional classifications of joints

A

Synarthroses - immovable fibrous/cartilaginous (sutures/epiphyseal plate)

Amphiarthroses - slightly movable fibrous/cartilaginous (interosseous membrane/symphasis

Diarthroses - freely movable (all synovial)

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16
Q

Describe 6 classifications of synovial joints

A

Ball + socket (shoulder)
Hinge (elbow)
Gliding (sternoclavicular sliding)
Pivot (atlantoaxial)
Ellipsoid (radiocarpal)
Saddle (thumb metacarpal)