CH 6 - Skeletal System Flashcards
What are the components of the skeletal system?
Bones, cartilages, joints, connective tissues
Osteology
The study of bone structure and treatment of bone disorders
What are the functions of the skeletal system?
Support
Store minerals and lipids
Blood cell production
Protection
Leverage
Hematopoiesis (hemopoiesis)
Process of producing blood cells
What are examples of long bones?
Phalanges Metacarpals Metatarsals Femur Tibia Fibula
What are examples of irregular bones?
Vertebrae Pelvic bones Sacrum Sphenoid Ethmoid
What are examples of flat bones?
Ribs
Scapula
Cranial bones
Sternum
What are examples of short bones?
Talus
Carpals
Tarsals
Diaphysis
The shaft of a long bone, made of compact bone
Medullary cavity
Central space within a long bone that contains yellow bone marrow
Epiphysis
The wide ends of a long bone that articulates with other bones, made of spongy bone
*May contain red or yellow bone marrow
Cortical bone (cortex)
A layer of compact bone that surrounds spongy bone
Epiphseal growth plate
Residual hyaline cartilage allowing the bones to grow longer
Epiphyseal line
The ossified bone tissue product once the epiphyseal growth plate is done growing
*Adult height is reached
Describe the structure of a flat bone.
Spongy bone between two layers of cortical bone
Diploë
Spongy bone layer within the cranium
Osseous tissue
A type of supporting connective tissue that contains specialized cells, ground substance, and extracellular protein fibers that form the matrix of bone tissue
What is the organic matrix of bone comprised of?
Collagen fibers and bone cells
What does the organic matrix of bone do?
Provide strength & flexibility
What is the inorganic matrix of bone comprised of?
Calcium salts
- calcium phosphate
- calcium hydroxide
- calcium carbonate
Minerals
- sodium
- magnesium
- fluoride
- phosphorus
What does the inorganic matrix of bone do?
Provide rigidity & compression strength
What are osteocytes?
Amitotic, mature bone cells within a lacuna
What are the functions of osteocytes?
Maintain protein/mineral content of bone matrix
Participate in repairs of damaged bone
Canaliculus
Gap junctions that provide osteocytes with nutrients and oxygen
What do osteoblasts do?
Produce & release proteins/organic components of the organic bone matrix
Promote calcification to produce new bone
What is osteogenesis (bone deposition) and what are the 2 steps involved?
Process of forming bone
- Ossification
- Mineralization
Ossification
Replacing tissue with bone
Calcification
Accumulation of calcium salts in the organic matrix
Mineralization
The addition of calcium and other minerals to osteoid
What are osteoprogenitor (osteogenic) cells?
Connective tissue stem cells that arise from mesenchymal cells
What do osteoprogenitor (osteogenic) cells do?
Where are they found?
Produce & maintain population of osteoblasts
Cell (osteogenic) layer of periosteum, endosteum
What are osteoclasts?
Giant cells with 50+ nuclei, derived from stem cells that produce leukocytes
What do osteoclasts do?
Osteolysis/bone resorption
Secretes acids to dissolve calcium salts, and collagenase to dissolve collagen fibers, in order to destroy/erode bone
*Releases stores minerals into blood
Why do osteoclasts have ruffled borders?
To increase their surface area
Osteon (haversian system)
The basic unit of bone
Central canal (Haversian canal)
Hollow tube in the middle of the osteon that contains an artery, a vein, and a nerve
Perforating canals (volkmann’s canals)
Hollow tubes running perpendicular to the central canal that carry blood vessels and nerves into bone
Concentric lamallae
Thin layers of bone matrix produced by osteoblasts around the central canals of compact bone
*Osteocytes are arranged in concentric lamellae which forms the osteon
Circumferential lamellae
Layers of bone matrix found at the external and internal bone surfaces that enclose the osteons and is covered by the periosteum or endosteum
Interstitial lamellae
Remnants of recycled osteons that fills in the spaces between existing osteons
Trabeculae
A meshwork of supporting thin columns (bony struts) that are covered by the endosteum
*Grows and adapts throughout life
Describe the structure of spongy bone.
Trabeculae allows for stress in many directions.
Spaces between trabeculae are filled with red or yellow bone marrow.
Periosteum
An external membrane that covers all external bone surfaces except parts enclosed in joint capsules or articular cartilage
What are the 2 layers of the periosteum?
Outer, fibrous layer
Inner, cellular layer (osteogenic layer)
*No osteocytes, but all others
Perforating fibers
Thick bundles of collagen fibers of the periosteum that secure it to underlying bone
What are the functions of the periosteum?
Isolate bone from urrounding tissue
Provide entrance for blood vessels & nerves
Participates in bone growth/repair/remodeling
Attachment point for tendons/ligaments
Endosteum
An internal membrane composed of a single layer of endosteal cells
Endosteal cells
Osteoblasts, osteoprogenitors, and osteoclasts
*No osteocytes
Where is the edosteum?
Lining of medullary cavity
Lining of inner surface of central canals/perforating canals
Covers trabeculae of spongy bone
What is the function of the endosteum?
Participates in bone growth, repair, and remodeling
What are the 4 types of bone formation?
Initial bone formation of a fetus
Pre-adult bone growth
Bone remodeling
Repair of fractures
When does bone begin to develop in a fetus? When is it complete?
Bony skeleton begins forming 6 weeks after fertilization
Fetal skeleton is complete after 3 months but is made primarily of cartilage
What are the 2 forms of ossification?
Intramembranous ossification &
Endochondral ossification
Intramembranous ossification
Bones form directly within mesenchyme
- Occurs in flat bones of the cranium
- Starting tissue: dense fibrous connective tissue
Endochondral ossification
Bone forms within hyaline cartilage
- Occurs in all bones
- Starting tissue: hyaline cartilage
Describe the steps of intramembranous ossification.
- Ossification center develops, osteoblasts secrete organic ECM
- Calcification of ECM with added calcium salts/minerals
- ECM > trabeculae > spongy bone
- Periosteum develops from mesenchyme
Describe the steps of endochondral ossification. 🙃
- Insterstitial (length) & appositional (width) growth of cartilage
- Chondroblasts produce a cartilage model surrounded partially by perichondrium
- Perichondrium of diaphysis becomes periosteum, bone collar produced, cartilage calcifies
- Ossification center forms, blood vessels/osteoblasts invade cartilage, osteoblasts lay down bone matrix, spongy bone forms
- Step 4 continues, epiphyses/medullary cavity form
- Secondary ossification centers form in epiphyses
- Unossified cartilage becomes epiphyseal plate and articular cartilage
- Epiphyseal plate becomes epiphyseal line, bone fully formed
Interstitial growth
Increase in the length of bones (longitudinal or vertical) at the epiphyseal growth plate
What are the 5 zones of interstitial growth?
- Zone of resting cartilage
- non dividing chondrocytes
- Zone of proliferating cartilage
- chondrocytes actively divide
- Zone of hypertrophic cartilage
- chondrocytes hypertrophy
- Zone of calcified cartilage
- calcified cartilage forms
- chondrocytes die & leave open space
- Zone of ossification
- osteoblasts fill open spaces
- osteogenesis begins
*Zone 5 will be closest to medullary cavity and zone 1 will be closest to articular cartilage of each epiphysis
Appositional growth
An increase in the diameter and thickness of bone
What are the steps of appositional growth?
- Osteoblasts beneath periosteum lay down bone in ridges to form grooves for blood vessels
- Groove is transformed to a tunnel when bone of adjacent ridges meet, periosteum of groove becomes endosteum of tunnel
- Appositional growth by osteoblasts from endosteum forms new concentric lamellae
- Additional concentric lamellae fills tunnel and forms osteon
Osteolysis (bone resorption)
Removal of minerals and collagen fibers by osteoclasts
Bone remodeling
Bone resorption & bone deposition
- Must balance or will end up with over/undergrowth
- Life-long process
- No osteoprogenitor cells, but all others
- Appositional growth
Calcitriol
The active form of vitamin D3
*Helps absorb calcium and phosphorus from the digestive tract
What does vitamin C do for bones?
Collagen synthesis
Stimulation of osteoblasts differentiation
What do calcium and phosphorus do for bones?
Harden bone ECM
What do growth hormone, thyroxine, estrogens and androgens do for bones?
Stimulate osteoblasts
What do calcitonin and parathyroid hormone do for bones?
Regulate calcium and phosphate levels
What is the normal range of blood calcium?
8mg/dL - 11mg/dL
Hypercalcemia
A blood calcium content above 11mg/dL
Hypocalcemia
A blood calcium content below 8mg/dL
What are the functions of calcium?
Bone development/maintenance
Nerve impulse transmission
Muscle contraction
Blood clotting
What is calcium homeostasis maintained by?
Calcitonin and parathyroid hormone control the storage, absorption, and excretion of calcium
How does parathyroid hormone increase blood calcium ion levels? Where does this happen?
- Stimulate osteoclasts
- Increase intestinal absorption of calcium
- Decrease calcium excretion from kidneys
- Increase calcitriol secretion by kidneys
Parathyroid glands
How does calcitonin decrease blood calcium ion levels? Where does this happen?
- Inhibit osteoclasts activity
- Decrease intestinal absorption of calcium
- Increase calcium excretion by kidneys
- Decrease calcitriol secretions by kidneys
Thyroid gland
What is a fracture?
A crack or break in bone
What are the 4 steps of the bone repair process?
- Fracture hematoma
- Fibrocartilaginous callus
- Bony callus
- Remodeling
Describe a fracture hematoma.
A mass of clotted blood (from broken blood vessels within the bone) that forms within 6-8 hours
Describe a fibrocartilaginous callus.
A fibrocartilage callus fills the space between the ends of broken bone for 3 weeks and tissue repair begins
*Cartilage is present due to avasularity from broken blood vessels
Describe a bony callus.
Osteoblasts produce trabeculae of spongy bone, and fibrocartilage callus is converted to a bony callus joining the broken bones
*3-4 months
Describe bone remodeling.
Osteoblasts build compact bone to form the bone collar, then osteoclasts absorb the spongy bone to create a medullary cavity
What is an avulsion fracture?
Complete severing of a body part
What is a colles fracture?
Fracture at the distal end of the radius
What is a comminuted fracture?
Bone is splintered into several small pieces between the main parts
What is a complete fracture?
Bone is broken into two or more pieces
What is a compound (open) fracture?
Broken ends of the bone protrude through the skin
What is a compression fracture?
Bone is squashed
What is a depressed fracture?
Broken part of the bone forms a concavity
What is a displaced fracture?
Fractured bone parts are out of anatomic alignment
What is an epiphyseal fracture?
Epiphysis is separated from the diaphysis at the epiphyseal plate
What is a greenstick fracture?
Partial fracture where one side of the bone breaks while the other is bent
What is a hairline fracture?
Fine crack in which sections of bone remain aligned
What is an impacted fracture?
One fragment of bone is firmly driven into the other
What is an incomplete fracture?
Partial fracture extends only partway across the bone
What is a linear fracture?
Fracture is parallel to the long axis of the bone
What is a nondisplaced fracture?
Bone fragments retain their anatomic position
What is an oblique fracture?
Diagonal fracture at an angle
What is a pathologic fracture?
Weakening of a bone caused by disease or infection
What is a pott fracture?
Fracture is at distal ends of the tibia and fibula
What is a simple (closed) fracture?
Bone does not break through the skin
What is a spiral fracture?
Fracture spirals around axis of long bone due to twisting stress
What is a stress fracture?
Thin fractures due to repeated/stressful impact
What is a transverse fracture?
Fracture is at right angles to long axis of bone
Osteopenia
A condition that occurs when the body undergoes more more resorption that deposition
- Bones become thinner/weaker with age, beginning at 30-40 years
- Women lose 8% of bone mass per decade, men 3%
Osteoporosis
Significant reduction of bone mass that compromises normal function
Bone mineral density (BMD)
The total amount of bone mass in a defined area
- For a specific bone, total amount of mineral content (calcified bone tissue) measured in grams per centimeter squared
- High BMD means strong bone
Dual energy x-ray absorptiometry (DEXA)
A DEXA scanner passes 2 x-ray beams through the body to determine BMD
- Can measure 1% changes in BMD
- Focuses on hip joint and vertebrae
Fibrodysplasia ossificans progressiva (FOP)
A rare genetic disease that replaces muscle tissue with bone
Gigantism
A condition caused by overproduction of growth hormones BEFORE the closure of the epiphyseal plate
Acromegaly
A condition caused by the overproduction of growth hormones AFTER the closure of the epiphyseal plate in which bones become abnormally thick
Osteitis deformans (paget disease)
A chronic disorder that results in enlarged/weak/deformed bones due to excessive bone resorption & regrowth
Achondroplasia
A genetic disorder of bone growth causing cartilage to be abnormally converted to bone
*Epiphyseal growth plate prematurely ossifies preventing the bones from lengthening
Osteogenesis imperfecta (brittle bone disease)
Genetic disorder of bone characterized by extreme fragility of bones due to a defect in collagen deposition
*Babies can be born with bone fractures
Osteosarcoma (osteogenic sarcoma)
A type of cancer that starts in bone
Rickets
A disease that affects the bones of children/adolescents caused by the failure of the osteoid to calcify, resulting in soft/weak bones from extreme vitamin D deficiency
Osteomalacia
Adult version of rickets
Osteomyelitis
A bone infection usually caused by Staph. bacteria
*Can begin from an open fracture, infection after surgery, or infection of another body part that has spread to bone