cartilage and bone Flashcards

1
Q

What is cartilage

A

Cartilage is a robust and viscoelastic connective tissue that can be found in joints between bones, the rib cage, intervertebral discs, the ear, and the nose. While more rigid and less flexible than muscle, cartilage is not as stiff as bone. These properties allow cartilage to serve as a support structure for holding tubes open or for proper locomotion.
👉It has a firm extracellular matrix.
👉It contains chondrocytes embedded in matrix

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2
Q

What are some examples of where cartilage can be found

A

👉cricoid cartilage and carina of the trachea,
👉the torus tubarius at the opening of the auditory tube, and
👉the auricle/pinna of the ear.

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3
Q

What are some functions of cartilage

A

👉A supporting framework for the walls of airways in the nose,
trachea, larynx and bronchi, preventing airway collapse.
👉Forms the articulating surfaces of bones.
👉Forms the template for the growth and development of most of
the fetal skeleton including long bones.
👉It contributes to the expansion of the thoracic cage during respiration

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4
Q

What can you say about the cells in cartilag

A

👉The cells in cartilage are chondroblasts and chondrocytes.

👉Chondroblasts are found in the outer covering layer of cartilage.

👉They secrete the extracellular matrix and fibers and, as they do so, they become trapped inside it and mature into chondrocytes.

👉In growing cartilage , the chondrocytes can divide, and the daughter cells remain close together in groups, forming a ‘ nest ’ of
2 – 4 cells.

👉These trapped cells sit together in clear areas called lacunae ( lacunae means ‘ little lakes ’ ).

👉Active chondrocytes are large secretory cells with a basophilic
(purple staining) cytoplasm, which arises from a high content of
rough endoplasmic reticulum (ER).

👉Older chondrocytes contain fat droplets.

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5
Q

Older chondrocytes contain:

A

Fat droplets

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6
Q

Discuss how chondrocytes are formed

A

👉The cells in cartilage are chondroblasts and chondrocytes.

👉Chondroblasts are found in the outer covering layer of cartilage.

👉They secrete the extracellular matrix and fibers and, as they do so, they become trapped inside it and mature into chondrocytes.

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7
Q

Discuss the formation of the lacunae

A

👉In growing cartilage , the chondrocytes can divide, and the daughter cells remain close together in groups, forming a ‘ nest ’ of
2 – 4 cells.

👉These trapped cells sit together in clear areas called lacunae ( lacunae means ‘ little lakes ’ ).

👉Active chondrocytes are large secretory cells with a basophilic
(purple staining) cytoplasm, which arises from a high content of
rough endoplasmic reticulum (ER).

👉Older chondrocytes contain fat droplets.

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8
Q

Why are active chondrocytes basophilic (purple staining)

A

a high content of
rough endoplasmic reticulum (ER).

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9
Q

comment on the extracellular matrix of the cartilage

A

👉The extracellular matrix (ECM) of cartilage is made up of aggrecan (10%), water (75%) and fibers.

👉Aggrecan is formed of aggregates of up to 100 molecules of the GAG, chondroitin sulfate, bound to hyaluronic acid.

👉Chondroitin sulfate is rubbery, provides cartilage with resilience, and this type of GAG is only found in cartilage.

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10
Q

comment on the extracellular matrix of the cartilage

A

👉The extracellular matrix (ECM) of cartilage is made up of aggrecan (10%), water (75%) and fibers.

👉Aggrecan is formed of aggregates of up to 100 molecules of the GAG, chondroitin sulfate, bound to hyaluronic acid.

👉Chondroitin sulfate is rubbery, provides cartilage with resilience, and this type of GAG is only found in cartilage.

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11
Q

what is the % composition of aggrecan in cartilage

A

10%

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12
Q

what is the %comp. of water in cartilage

A

75%

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13
Q

what is aggrecan composed of

A

Aggregates of up to a 100 the Glycosaminoglycan(GAG), chondroitin sulphate, bound to hyaluronic acid

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14
Q

comment on the fibres in cartilage

A

👉Fibers in cartilage are either collagen (Type I or Type II), or a mixture of collagen and elastin fibers.
👉A network of collagen fibers generates a very high tensile strength.
👉Elastic fibers provide elasticity.

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15
Q

comment on perichondrium

A

👉The perichondrium is a layer of dense, irregular connective tissue that surrounds hyaline cartilage and elastic cartilage.

👉It consists of an outer fibrous layer containing type I collagen, fibroblasts, and blood vessels and

👉an inner cellular layer containing chondrogenic cells and chondroblasts.

👉It provides the nearest blood supply to the avascular cartilaginous tissue

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16
Q

why cant cartilage not become very thick

A

👉Unlike other connective tissue, cartilage is AVASCULAR (like epithelium). 👉Cartilage is nourished by long-range diffusion from nearby capillaries in the perichondrium.
👉Therefore, cartilage can never become very thick, as diffusion would not be sufficient to supply the cartilage with nutrients and oxygen.

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17
Q

WHAT ARE THE 2 WAYS CARTILAGE GROW

A

👉Interstitial growth: chondrocytes grow and divide and lay down
more matrix inside the existing cartilage. This mainly occurs
during childhood and adolescence (In the epiphyseal plates of long bones)

👉Appositional growth: new surface layers of matrix are added to
the pre - existing matrix by new chondroblasts from the
perichondrium. i.e the differentiation of chondrogenic cells in the perichondrium.

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18
Q

explain interstitial growth of cartilage

A

👉Interstitial growth: chondrocytes grow and divide and lay down
more matrix inside the existing cartilage. This mainly occurs
during childhood and adolescence (In the epiphyseal plates of long bones)

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19
Q

explain appositional growth of cartilage

A

👉Appositional growth: new surface layers of matrix are added to
the pre - existing matrix by new chondroblasts from the
perichondrium. i.e the differentiation of chondrogenic cells in the perichondrium.

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20
Q

what are the types of cartilage

A

👉hyaline cartilage
👉fibrocartilage
👉elastic cartilage

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21
Q

comment on hyaline cartilage

A

👉This is the most common, and the weakest type of cartilage in the body
* It stains light purple (basophilic) in H & E.
* It contains dispersed fine type II collagen fibers, which provide
strength.
* It has an outer layer called the perichondrium, except at articular surfaces
* Hyaline cartilage is a precursor of bone
* Hyaline cartilage is found in epiphyseal growth plates, ribs, nose, larynx, and trachea
* Chondrocytes are arranged in groups

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22
Q

comment on elastic cartilage

A
  • It is found in the external ear (pinna), auditory canal, larynx, and epiglottis where it helps to maintain their shapes.
  • It is flexible and resilient and contains elastic as well as collagen fibers (type II).
  • The chondrocytes are found in a threadlike network of elastic fibers within the matrix.
  • It has a perichondrium.
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23
Q

comment on fibrocartilage

A
  • Fibro-cartilage is found in joint capsules, ligaments, tendon insertions, and intervertebral discs
  • It is made up of alternating layers of hyaline cartilage matrix
    and thick layers of dense parallel bundles of collagen fibers (type I and type II), oriented in the direction of applied stresses, to reinforce this cartilage.
  • This is the strongest kind of cartilage.
  • It does not have a perichondrium as it is usually sandwiched
    between hyaline cartilage and tendons or ligaments.
  • Chondrocytes are arranged in parallel rows between bundles of collagen
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24
Q

where is hyaline cartilage found

A

👉epiphyseal growth plates
👉ribs (ventral ends)
👉nose,
👉larynx,and
👉trachea

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25
Q

where is elastic cartilage found

A

👉external ear,
👉larynx, and
👉epiglottis

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26
Q

where is fibrocartilage found

A

👉joint capsules,
👉ligaments,
👉tendon insertions, and
👉intervertebral discs

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27
Q

what is bone

A

Bone is the primary constituent of the adult skeleton. It is a specialized type of connective tissue with a calcified extracellular matrix in which characteristic cells are embedded

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28
Q

applied pressure to bone does what

A

bone resorbtion

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29
Q

applied tension to bone does what

A

bone formation

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30
Q

what are the functions of bone

A

👉Support: Bones provide a structural framework for the body.

👉Protection: Bones in the skull and the ribs protect internal organs such as the brain, heart and lungs, respectively.

👉Assisting movement: Bones provide the major attachment sites
for muscles, and joints between bones allow movement to take place.

👉Mineral homeostasis: Bone stores calcium and phosphorus.

👉Blood cell production: Cells are produced in the bone marrow.

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31
Q

what are the types of bone formation

A

👉Endochondral bone formation
👉Intramembranous bone formation

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32
Q

which bone formation is the most common

A

endochondral

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33
Q

which bone formation is the rare one

A

intramembranous

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34
Q

comment on endochondral bone formation

A

Endochondral (most common): bone forms on a temporary cartilage model.

👉As the cartilage grows (zone of proliferation), and the chondrocytes
mature (zone of maturation) and start to hypertrophy (zone of
hypertrophy).

👉The matrix starts to calcify, and the chondrocytes die (zone
of cartilage degeneration).

👉The fragmented calcified matrix left behind acts as a structural
framework for bony material.

👉Osteoprogenitor cells and blood vessels from the periosteum invade this area, proliferate, and differentiate into osteoblasts, which start to lay down bone matrix (osteogenic zone).

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35
Q

comment on intramembranous bone formation

A

👉Intramembranous ossification occurs in a few specialized places such as the flat bones of skull (i.e. parietal bone), mandible, maxilla, and clavicle.

👉Mesenchymal cells, in the presence of a vascular zone, condense into primary ossification centers, differentiate into osteoblasts, and begin secreting osteoid.

👉As calcification occurs, osteoblasts become trapped in their own matrix and become osteocytes. These centers of developing bone are called trabeculae.

👉Fusion of the bony trabeculae produces spongy bone as blood vessels invade the area and other undifferentiated mesenchymal cells give rise to the bone marrow.

👉The periosteum and endosteum develop from portions of the mesenchymal layer that do not undergo ossification.

👉Mitotic activity of the mesenchymal cells gives rise to osteoprogenitor cells, which undergo cell division and form more osteoprogenitor cells or differentiate into osteoblasts within the inner layer of the developing periosteum.

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36
Q

In endochondral bone formation, what is the first step?

A

👉As the cartilage grows (zone of proliferation), and the chondrocytes
mature (zone of maturation) and start to hypertrophy (zone of
hypertrophy).

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37
Q

after the cartilage grows (zone of proliferation), and the chondrocytes
mature (zone of maturation) and start to hypertrophy (zone of
hypertrophy) in endochondral bone formation, the second step is:

A

👉The matrix starts to calcify, and the chondrocytes die (zone
of cartilage degeneration).

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38
Q

After the matrix starts to calcify, and the chondrocytes die (zone
of cartilage degeneration) in endochondral bone formation, the third step is:

A

The fragmented calcified matrix left behind acts as a structural
framework for bony material.

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39
Q

After the fragmented calcified matrix left behind acts as a structural
framework for bony material in endochondral bone formation, the fourth and final step:

A

the osteoprogenitor cells and blood vessels from the periosteum invade this area, proliferate, and differentiate into osteoblasts, which start to lay down bone matrix (osteogenic zone)

40
Q

In intramembranous bone formation, what is the first step?

A

Mesenchymal cells, in the presence of a vascular zone, condense into primary ossification centers, differentiate into osteoblasts, and begin secreting osteoid.

41
Q

after Mesenchymal cells, in the presence of a vascular zone, condense into primary ossification centers, differentiate into osteoblasts, and begin secreting osteoid in intramembranous ossification, what’s the second step

A

👉As calcification occurs, osteoblasts become trapped in their own matrix and become osteocytes. These centers of developing bone are called trabeculae.

42
Q

after “As calcification occurs, osteoblasts become trapped in their own matrix and become osteocytes. These centres of developing bone are called trabeculae” step of intramembranous ossification, what is the third step?

A

Fusion of the bony trabeculae produces spongy bone as blood vessels invade the area and other undifferentiated mesenchymal cells give rise to the bone marrow.

43
Q

after “Fusion of the bony trabeculae produces spongy bone as blood vessels invade the area and other undifferentiated mesenchymal cells give rise to the bone marrow.” step of intramembranous ossification, what is the fourth step?

A

The periosteum and endosteum develop from portions of the mesenchymal layer that do not undergo ossification.

44
Q

after “The periosteum and endosteum develop from portions of the mesenchymal layer that do not undergo ossification.” the fifth and final step is

A

Mitotic activity of the mesenchymal cells gives rise to osteoprogenitor cells, which undergo cell division and form more osteoprogenitor cells or differentiate into osteoblasts within the inner layer of the developing periosteum.

45
Q

what are the cells in bone

A

👉osteoprogenitor cells
👉osteoblasts
👉osteoclasts
👉osteoocytes

46
Q

comment on the osteoprogenitor cells

A

👉They are the ‘ stem ’ cells of bone, and are the source of new osteoblasts.
👉 They are derived from the embryonic mesenchyme
👉 They are located in the periosteum and endosteum
👉 In low oxygen saturation, they may differentiate into chondrogenic cells

47
Q

osteoprogenitor cells are derived from?

A

embryonic mesenchyme

48
Q

where are the osteoprogenitor cells located

A

periosteum and endosteum

49
Q

In low oxygen saturation, osteoprogenitor cells differentiate into:

A

chondrogenic cells

50
Q

comment on osteoblasts

A

👉They are derived from osteoprogenitor cells under the influence of members of the:
-bone morphogenic protein (BMP) family and also
-transforming growth factor–beta (TGF-beta)
👉osteoblasts line the surface of bone, and
👉secrete collagen and the organic matrix of bone (osteoid), which then becomes calcified.
👉Osteoblasts become trapped in the organic matrix, and differentiate into osteocytes.

51
Q

comment on osteocytes

A

👉They maintain bone tissue.
👉They sit in the calcified matrix, in small spaces called lacunae (singular, lacuna).
👉They project fine processes out through small channels (canaliculi), which transport nutrients and waste.
👉They are nourished and maintained by nutrients, metabolites, and signal molecules carried by the extracellular fluid that flows through the lacunae and canaliculi.
👉In addition, calcium released from bone enters the extracellular fluid located within these spaces.
👉The tips of these processes contact those from other osteocytes, and are connected by communicating gap junctions.
👉They contain abundant heterochromatin, a paucity of RER, and a small Golgi complex.

52
Q

osteocytes contain

A

They contain abundant heterochromatin, a paucity of RER, and a small Golgi complex.

53
Q

comment on the osteoclasts

A

👉Osteoclasts are large, multinucleated (4 – 6 nuclei) cells with a “ruffled border”
👉they resorb bone matrix, and are important for bone remodelling, growth, and repair.
👉They secrete enzymes:
➡️carbonic anhydrase, to acidify and decalcify the matrix, and
➡️hydrolases, to break down the matrix once it is decalcified.

👉They are not derived from osteoprogenitor cells, but are derived
from monocytes/macrophages

54
Q

parathyroid hormone does what to bone?

A

stimulates resorption

55
Q

calcitonin does what to bone

A

inhibits resorption

56
Q

describe the extracellular matrix of bone

A

The inorganic (calcified) portion of the bone matrix (about 65% of the dry weight) is composed of:
👉calcium,
👉phosphate,
👉bicarbonate,
👉citrate,
👉magnesium,
👉potassium
👉sodium
👉hydroxyapatite crystals

The organic portion of the bone matrix (about 35% of the dry weight) consists primarily of:
👉type I collagen (95%)
👉It has a ground substance that contains:
-chondroitin sulfate
-keratan sulfate.
👉The proteoglycans:
-glycosaminoglycans,
-osteonectin (anchors bone mineral to collagen),
-glycoproteins, and
-osteocalcin (calcium-binding protein).

57
Q

What % dry weight is the organic portion of the extracellular matrix

A

35%

58
Q

what are the proteoglycans in the extracellular matrix of the bone

A

👉glycosaminoglycans,
👉osteonectin (anchors bone mineral to collagen),
👉glycoproteins, and
👉osteocalcin (calcium-binding protein).

59
Q

why is the bone hard

A

👉bone is hard because the ECM is calcified.
👉Calcium salts crystallize in the spaces between collagen fibers.

60
Q

discuss the inorganic portion of bone

A

The inorganic (calcified) portion of the bone matrix (about 65% of the dry weight) is composed of:
👉calcium,
👉phosphate,
👉bicarbonate,
👉citrate,
👉magnesium,
👉potassium
👉sodium
👉hydroxyapatite crystals

61
Q

discuss the organic portion of bone

A

The organic portion of the bone matrix (about 35% of the dry weight) consists primarily of:
👉type I collagen (95%)
👉It has a ground substance that contains:
-chondroitin sulfate
-keratan sulfate.
👉The proteoglycans:
-glycosaminoglycans,
-osteonectin (anchors bone mineral to collagen),
-glycoproteins, and
-osteocalcin (calcium-binding protein).

62
Q

what % dry weight is the inorganic portion of the extracellular matrix of bone

A

65%

63
Q

the ground substance of bone contains

A

-chondroitin sulfate
-keratan sulfate.

64
Q

comment on the periosteum

A

👉The periosteum is a layer of noncalcified connective tissue covering bone on its external surfaces, except at synovial articulations and muscle attachments.
👉It is composed of an outer dense fibrous collagenous layer and an inner cellular osteoprogenitor (osteogenic) layer.
👉Sharpey fibers (type I collagen) attach the periosteum to the bone surface.
👉The periosteum functions to distribute blood vessels to bone.

65
Q

where is periosteum not found on the bone

A

synovial articulations and muscle attachments

66
Q

the outer layer of the periosteum is

A

dense fibrous collagenous layer

67
Q

the inner layer of the periosteum is

A

osteoprogenitor (osteogenic) layer

68
Q

what attaches the periosteum to the bone

A

Sharpey fibers (type I collagen)

69
Q

what is the function of periosteum

A

to distribute blood vessels to the bone

70
Q

comment on the endosteum of the bone

A

The endosteum is a thin specialized connective tissue that:
👉lines the marrow cavities and
👉supplies osteoprogenitor cells and osteoblasts for bone growth and repair.

71
Q

what are the basis for classifying bone

A

THEIR GROSS PROPERTIES AND THEIR MICROSCOPIC PROPERTIES

72
Q

Based on gross properties, what are the type of bone

A

👉Spongy (cancellous) bone
👉Compact (dense) bone

73
Q

comment on spongy bone

A

👉It is composed of interconnected trabeculae.
👉Bony trabeculae surround cavities filled with bone marrow.
👉The trabeculae contain osteocytes and are lined on both surfaces by a single layer of osteoblasts.
👉Spongy bone is always surrounded by compact bone.
👉Cancellous bone is found at the ends of long bones (in the epiphysis)

74
Q

Comment on compact bone

A

👉Compact bone is found in the shafts (diaphyses) of long bones
👉It has no trabeculae or bone marrow cavities
👉Older compact bone is organized into Haversian systems
(or osteons ).

75
Q

comment on the organisation of compact bone ((Haversian system)

A

👉The lacunae containing osteocytes are arranged in concentric rings of bone matrix called lamellae (little plates).
👉The lacunae are around a central Haversian canal (which runs longitudinally), and their processes run interconnecting canaliculi.
👉The central Haversian canal, and horizontal canals (perforating or Volkmann ’ s canals) contain blood vessels and nerves from the periosteum.

76
Q

based on microscopic properties, what are the types of bone

A

👉Primary bone, also known as immature or woven bone

👉Secondary bone, also known as mature or lamellar bone

77
Q

Comment on primary bone

A

👉Primary bone, also known as immature or woven bone
👉Primary bone contains many osteocytes and large, irregularly arranged type I collagen bundles.
👉It has low mineral content.
👉It is the first compact bone produced during fetal development and bone repair.
👉It is remodelled and replaced by secondary bone except in a few places (e.g., tooth sockets, near suture lines in skull bones, and at insertion sites of tendons).

78
Q

what places are primary bone not replaced by secondary bone

A

👉tooth sockets,
👉near suture lines in skull bones, and
👉at insertion sites of tendons

79
Q

comment on secondary bone

A

👉Secondary bone is also known as mature or lamellar bone
👉Secondary bone is the compact bone of adults.
👉It has a calcified matrix arranged in regular layers or lamellae. Each lamella is 3 to 7 micrometer thick.
👉It contains osteocytes in lacunae between, and occasionally within, lamellae.

80
Q

what vitamins are concerned in bone formation

A

👉Vitamin A
👉Vitamin C
👉Vitamin D

81
Q

what hormones are concerned in bone formation

A

👉Calcitonin
👉Parathyroid hormone
👉Somatotropin

82
Q

comment on the role of vitamin A in bone formation

A

👉Vitamin A deficiency inhibits proper bone formation and growth,
👉Whereas an excess Vitamin A accelerates ossification of the epiphyseal plates.
👉Deficiency or excess of vitamin A results in small stature.

83
Q

comment on the role of vitamin D in bone formation

A

👉Vitamin D is necessary for the absorption of calcium from the small intestine.
👉Vitamin D deficiency results in poorly calcified (soft) bone, a condition known as rickets in children and osteomalacia in adults.
👉Vitamin D is also necessary for bone formation (ossification),
👉whereas an excess of vitamin D causes bone resorption.

84
Q

comment on the role of vitamin C in bone formation

A

👉Vitamin C is necessary for collagen formation.
👉Deficiency results in scurvy, characterized by poor bone growth and inadequate fracture repair.

85
Q

comment on the role of calcitonin in bone formation

A

👉Calcitonin is produced by parafollicular cells (C cells) of the thyroid gland.
👉It eliminates the ruffled border of osteoclasts and
👉It inhibits bone matrix resorption, preventing the release of calcium

86
Q

comment on the role of somatotropin in bone formation

A

👉Pituitary growth hormone (somatotropin) is produced in the pars distalis of the pituitary gland.
👉It stimulates overall growth, especially that of epiphyseal plates, and influences bone development via insulinlike growth factors (somatomedins), especially stimulating
growth of the epiphyseal plates.
👉Children deficient in this hormone exhibit dwarfism,
👉Whereas adults with an excess of somatotropin in their growing years display pituitary gigantism and acromegaly.

87
Q

comment on the role of parathyroid hormone in bone formation

A

👉Parathyroid hormone activates osteoblasts to secrete osteoclast-stimulating factor,
👉This then activates osteoclasts to resorb bone, thus elevating blood calcium levels.
👉Excess PTH (hyperparathyroidism) renders bone more susceptible to fracture and subsequent deposition of calcium in arterial walls and certain organs, such as the kidney.

88
Q

what is acromegaly

A

👉Acromegaly results from an excess of pituitary growth hormone in adults.
👉It is characterized by very thick bones in the extremities and in portions of the facial skeleton.

89
Q

what is osteoporosis

A

👉Osteoporosis is a disease characterized by low bone mass (low bone mineral density) and structural deterioration of bone tissue,
👉This makes the bone fragile and susceptible to fracture.
👉Osteoporosis is associated with an abnormal ratio of
mineral to matrix.
👉It results from increased bone resorption, decreased bone formation, or both

90
Q

what is osteopetrosis

A

👉Osteopetrosis, unlike osteoporosis, is a genetic disorder affecting osteoclasts so that they do not possess ruffled borders
👉Therefore, these osteoclasts cannot resorb bone, which creates an imbalance between bone formation and bone
resorption.
👉Thus, persons with osteopetrosis display increased bone density.
👉This condition leads to:
➡️anaemia because of decreased marrow space,
➡️blindness,
➡️deafness, and
➡️damage to the cranial nerves as the foramina of the skull becomes narrow and intrudes on the nerves.

91
Q

differentiate between spongy bone and compact bone

A

👉Structure: Spongy bone has a more open structure with a network of trabeculae, while the compact bone is denser with a more uniform structure.

👉Location: Spongy bone is typically found at the ends of long bones and in the interior of flat bones, while compact bone forms the outer layer of most bones.

👉Function: Spongy bone provides support and flexibility, while compact bone provides strength and protection.

👉Blood supply: Spongy bone has a greater blood supply compared to compact bone due to its more porous structure.

👉Calcium storage: Compact bone stores more calcium than spongy bone.

👉Red marrow production: Spongy bone produces more red marrow than compact bone, which is responsible for the production of blood cells.

👉Resorption rate: Spongy bone is more easily resorbed than compact bone.

👉Fracture resistance: Compact bone is more resistant to fractures due to its higher density.

👉Nerve supply: Spongy bone has a greater nerve supply compared to compact bone due to its more porous structure.

👉Bone growth: Spongy bone can grow faster than compact bone due to its more open structure.

92
Q

differences between primary bone and secondary bone

A

👉Formation: Primary bone is formed directly from cartilage or fibrous connective tissue, while secondary bone is formed by the remodeling of primary bone.

👉Structure: Primary bone has a more irregular structure with less organized collagen fibers, while secondary bone has a more organized structure with parallel collagen fibers.

👉Location: Primary bone is typically found in developing bones and in bones undergoing repair, while secondary bone is found in mature bones.

👉Cellular composition: Primary bone has a higher proportion of osteoblasts and osteoclasts, while secondary bone has a higher proportion of osteocytes.

👉Growth rate: Primary bone grows faster than secondary bone due to the presence of more active cells.

👉Strength: Secondary bone is stronger and more resistant to fracture than primary bone due to its more organized structure.

👉Vascularization: Primary bone has a higher density of blood vessels than secondary bone.

👉Calcification: Primary bone has a lower degree of calcification than secondary bone.

👉Remodeling: Secondary bone undergoes continuous remodeling throughout life, while primary bone is only present during early development or repair.

👉Function: Primary bone provides temporary support during development or repair, while secondary bone provides long-term structural support for the body.

93
Q

what is osteogenesis imperfecta

A

👉Osteogenesis imperfecta (OI) is a genetic disorder that affects the production of collagen, a protein that provides strength and structure to bones.
👉People with OI have bones that are brittle and prone to fractures, even with minor trauma or no apparent cause.
👉Other symptoms may include:
➡️bone deformities,
➡️short stature,
➡️hearing loss, and
➡️blue sclerae (the white part of the eye appears blue).

94
Q

what is osteomalacia

A

👉Osteomalacia is a condition in which the bones become soft and weak due to a deficiency of vitamin D or calcium, or due to a problem with the body’s ability to absorb these nutrients.
👉This condition can occur in adults and is different from rickets, which is a similar condition that affects children.
👉Osteomalacia can lead to:
➡️bone pain,
➡️muscle weakness,
➡️an increased risk of fractures.
➡️It can also cause bone deformities, such as bowing of the legs or curvature of the spine.

95
Q

what is rickets

A

👉Rickets occurs in children deficient in vitamin D, which results in calcium deficiency.
👉It is characterized by deficient calcification in newly formed
bone and is generally accompanied by deformation of the bone spicules in epiphyseal plates
👉bones grow more slowly than normal and are deformed by the stress of weight bearing.