chapter 5 Flashcards

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1
Q

Differentiate between bones, ligaments, and cartilage.

A

Most of the mass of bones consists of nonliving extracellular crystals of calcium minerals that give bones their hard, rigid appearance and feel. But bone is actually a living tissue that contains several types of living cells involved in bone formation and remodeling, plus nerves and blood vessels. Indeed, bones bleed when cut during orthopedic surgery or when they break.

Ligaments attach bone to bone. Ligaments consist of dense fibrous connective tissue, meaning that they are a regular array of closely packed collagen fibers all oriented in the same direction, with just a few fibroblasts in between. (Recall that fibroblasts are cells that produce and secrete the proteins that compose collagen, elastic, and reticular fibers.) Ligaments confer strength to certain joints while still permitting movement of the bones in relation to each other.

Cartilage contains fibers of collagen and/or elastin in a ground substance of water and other materials. Cartilage, smoother and more flexible than bone, is found where support under pressure is needed and movement is necessary. There are three types of cartilage in the human skeleton. Fibrocartilage consists primarily of collagen fibers arranged in thick bundles. It withstands both pressure and tension well. The intervertebral disks between the vertebrae, and also certain disklike supportive structures in the knee joint called menisci, are made of fibrocartilage. Hyaline cartilage is a smooth, almost glassy cartilage of thin collagen fibers. Hyaline cartilage forms the embryonic structures that later become the bones. It also covers the ends of mature bones in joints, creating a smooth, low-friction surface. Elastic cartilage is mostly elastin fibers, so it is highly flexible. It lends structure to the outer ear and to the epiglottis, a flap of tissue that covers the larynx during swallowing.

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2
Q

Describe the five functions of bones.

A

Bones perform five important functions. The first three—support, protection, and movement—are the same as the functions of the skeleton overall, which is, after all, primarily bone. The rigid support structure of bones allows us to sit and to stand upright. The bones of the skeleton also support, surround, and protect many of our soft internal organs, such as the lungs, liver, and spleen. The attachment of bones to muscles makes it possible for our bodies to move. The fourth and fifth functions of bones—blood cell formation and mineral storage—are harder to remember, but they are just as important. Cells in certain bones are the only source of new red and white blood cells and platelets for blood. Without this ability to produce new blood cells, we would die within months. Bones also serve as an important long-term storage depot for two minerals, calcium and phosphate, that can be drawn from bone when necessary (for example, during pregnancy to support the growth of a fetus).

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3
Q

Differentiate between compact and spongy bone

A

Dense compact bone forms the shaft and covers each end, and less dense spongy bone fills the inner regions of the epiphyses.

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4
Q

Differentiate between yellow and red bone marrow

A

. A central cavity in the diaphysis is filled with yellow bone marrow. Yellow bone marrow is primarily fat that can be utilized for energy. In certain long bones, most notably the long bones of the upper arms and legs (humerus and femur, respectively), the spaces within spongy bone are filled with red bone marrow. Special cells called stem cells in the red bone marrow produce red and white blood cells and platelets.

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5
Q

Identify the epiphysis and diaphysis of a long bone

A

A typical long bone, so called because it is longer than it is wide, consists of a cylindrical shaft (called the diaphysis) with an enlarged knob called an epiphysis at each end (Figure 5.1a).

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6
Q

Describe how osteocytes in compact bone are arranged in osteons

A

Taking an even closer look at compact bone (Figure 5.1c), we see that it is made up largely of extracellular deposits of calcium phosphate enclosing and surrounding living cells called osteocytes (from the Greek words for “bone” and “cells”). Osteocytes are arranged in rings in cylindrical structures called osteons (sometimes called Haversian systems). Osteocytes nearest the center of an osteon receive nutrients by diffusion from blood vessels that pass through a central canal (Haversian canal).

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7
Q

What is the function of a central canal?

A

In bone, the hollow central tube of an osteon that contains nerves and blood vessels. Waste products produced by the osteocytes are exchanged in the opposite direction and are removed from the bone by blood vessels.

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8
Q

Describe the function of ligaments

A

Ligaments attach bone to bone. Ligaments consist of dense fibrous connective tissue, meaning that they are a regular array of closely packed collagen fibers all oriented in the same direction, with just a few fibroblasts in between. (Recall that fibroblasts are cells that produce and secrete the proteins that compose collagen, elastic, and reticular fibers.) Ligaments confer strength to certain joints while still permitting movement of the bones in relation to each other.

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9
Q

What type of connective tissue are ligaments composed of?

A

Fibrous collagen fibers

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10
Q

What type of protein fiber makes up much of ligaments

A

collagen

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11
Q

Summarize in what way cartilage differs from bone.

A

. Cartilage contains fibers of collagen and/or elastin in a ground substance of water and other materials. Cartilage, smoother and more flexible than bone, is found where support under pressure is needed and movement is necessary There are three types of cartilage in the human skeleton. Fibrocartilage consists primarily of collagen fibers arranged in thick bundles. It withstands both pressure and tension well. The intervertebral disks between the vertebrae, and also certain disklike supportive structures in the knee joint called menisci, are made of fibrocartilage. Hyaline cartilage is a smooth, almost glassy cartilage of thin collagen fibers. Hyaline cartilage forms the embryonic structures that later become the bones. It also covers the ends of mature bones in joints, creating a smooth, low-friction surface. Elastic cartilage is mostly elastin fibers, so it is highly flexible. It lends structure to the outer ear and to the epiglottis, a flap of tissue that covers the larynx during swallowing.

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12
Q

What type of cartilage form the model structure that later turns into bone?

A

Hyaline cartilage

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13
Q

What type of cells form cartilage?

A

In the earliest stages of fetal development, the rudimentary models of future bones are created out of hyaline cartilage (Figure 5.2a) by cartilage-forming cells called chondroblasts. Most chondroblasts are short-lived, however; within 2–3 months they begin to die, and as they do the cartilage dissolves, making room for blood vessels (Figure 5.2b).

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14
Q

What type of cells form bone?

A

At the same time, the periosteum begins to form on the outer surface of the developing bone. The blood vessels carry bone-forming cells called osteoblasts (from the Greek words for “bone” and “to build”) into the area from the developing periosteum. Osteoblasts secrete a mixture of proteins (including collagen) called osteoid, which forms a matrix that provides internal structure and strength to bone (Figure 5.2c). Osteoblasts also secrete enzymes that facilitate the crystallization of hard mineral salts of calcium phosphate around and between the osteoid matrix. As more and more calcium phosphate is deposited, the osteoblasts become embedded in the hardening bone tissue. In mature compact bone, approximately one-third of the structure is osteoid and two-thirds is crystals of calcium phosphate.

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15
Q

Which of these cell types eventually becomes an osteocyte when it becomes trapped in bone.

A

Osteoblast

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16
Q

Describe what a growth plate is

A

Some bones, called long bones, continue to lengthen throughout childhood and adolescence. This is because chondroblasts and osteoblasts remain active in a narrow strip of cartilage called the growth plate (or epiphyseal plate) (Figure 5.2d). Chondroblast activity (and hence the deposition of new cartilage) is concentrated on the outside of the plate, whereas the conversion of the cartilage model to bone by osteoblasts is concentrated on the inside of the plate (Figure 5.3). In effect, the bone lengthens as the two growth plates migrate farther and farther apart. Bones also grow in width as osteoblasts lay down more bone on the outer surface just below the periosteum.

17
Q

Describe the function of osteoclasts

A

Bone remodeling and repair are in part due to a third type of bone cell called an osteoclast (from the Greek words for “bone” and “to break”). Osteoclasts cut through mature bone tissue, dissolving the hard calcium phosphate crystals and digesting the osteoid matrix in their path. The released calcium and phosphate ions enter the blood. The areas from which bone has been removed attract new osteoblasts, which lay down new osteoid matrixes and stimulate the deposition of new calcium phosphate.

18
Q

What causes remodeling?

A

Over time, constant remodeling can actually change the shape of a bone. The key is that compression stress on a bone, such as the force of repeated jogging on the legs, causes tiny electrical currents within the bone. These electrical currents stimulate the bone-forming activity of osteoblasts. The compressive forces and the electric currents are greatest at the inside curvature of the long bone undergoing stress (Figure 5.4a). Thus, in the normal course of bone turnover, new bone is laid down in regions under high compressive stress and bone is resorbed in areas of low compressive stress (Figure 5.4b). The final shape of a bone, then, tends to match the compressive forces to which it is exposed (Figure 5.4c). Weight-bearing exercise increases overall bone mass and strength. The effect is pronounced enough that the bones of trained athletes may be visibly thicker and heavier than those of nonathletes. You don’t have to be a professional athlete to get this benefit, however. If you begin a regular program of any weight-bearing exercise, such as jogging or weight lifting, your bones will become denser and stronger as your osteoblasts produce more bone tissue

19
Q

osteoporosis

A

you know what it is

20
Q

Contrast the axial skeleton with the appendicular skeleton

A

The axial skeleton consists of the skull (including the maxilla and mandible), sternum, ribs, and vertebral column (including the sacrum; see Figure 5.5). The second division of the human skeleton, the appendicular skeleton, includes the arms, legs, and their attachments to the trunk, which are the pectoral and pelvic girdles.

21
Q

Define joint

A

joint Joints, also called articulations, are the points of contact between bones. Ligaments and tendons are connective tissues that stabilize many joints

22
Q

Describe the structure of a synovial joint

A

The most freely movable joints are synovial joints, in which the bones are separated by a thin fluid-filled cavity. The two bones of a synovial joint are fastened together and stabilized by ligaments. The interior of the cavity is lined with a synovial membrane, which secretes synovial fluid to lubricate and cushion the joint. To reduce friction even further, the articulating surfaces of the two bones are covered with a tough but smooth layer of hyaline cartilage. Together, the synovial membrane and the surrounding hyaline cartilage constitute the joint capsule.

They are stabilized even more by tendons, another type of tough connective tissue, which join the bones to muscles. Ligaments and tendons contain collagen arranged in parallel fibers, making ligaments and tendons as strong and as flexible as a twisted nylon rope. In addition, muscle contraction strengthens and stabilizes certain joints at the very moment they need it the most.

23
Q

Sprains mean damage to ligaments A sprain is due to stretched or torn ligaments. Often, it is accompanied by internal bleeding with subsequent bruising, swelling, and pain. The most common example is a sprained ankle. Sprains take a long time to heal because the ligaments have few cells and a poor blood supply. Minor sprains, in which the ligaments are only stretched, usually mend themselves with time. If a large ligament is torn completely, it generally does not heal by itself, and surgery may be necessary to remove it. Sometimes the joint can be stabilized with a piece of tendon or by repositioning other ligaments. Torn ligaments in the knee are particularly troublesome because they often leave the knee joint permanently unstable and prone to future injuries

A

Sprain

24
Q

Bursitis and tendinitis refer to inflammation of the bursae or tendons. (The suffix -itis denotes that the disease is characterized by inflammation; perhaps the best-known inflammatory disease is appendicitis.) Inflammation is a response to injury characterized by redness, warmth, swelling, and pain. Causes of bursitis and tendinitis may include tearing injuries to tendons, physical damage caused by blows to the joint, and some bacterial infections. Like ligaments, tendons and the tissues lining the bursae are not well supplied with blood vessels, so they do not heal quickly. Treatment usually involves applying cold during the first 24 hours and heat after that, resting the injured area, and taking pain-relieving medications. “Tennis elbow” is a painful condition caused by either bursitis or tendinitis. Other common locations for pain include the knee, shoulder, and the Achilles tendon that pulls up the back of the heel

A

Bursitis/tendinitis

25
Q

By their nature, joints are exposed to high compressive forces and are prone to excessive wear caused by friction. Arthritis is a general term for joint inflammation. The most common type of arthritis is osteoarthritis, a degenerative (“wear-andtear”) condition that affects about 20 million Americans, most over age 45. In osteoarthritis, the cartilage covering the ends of the bones wears out. With time the bone thickens and may form bony spurs, which further restrict joint movement. The result is increased friction between the bony surfaces, and the joint becomes inflamed and painful. Overthe-counter medications can reduce the inflammation and pain, and surgical joint replacements for severe osteoarthritis are fairly routine today. Injections of hyaluronic acid, a component of hyaline cartilage, can also reduce arthritic knee pain. Many physicians advise people with osteoarthritis to exercise regularly, which helps preserve the joints’ healthy range of motion. Several promising new treatments to reduce joint inflammation are still in the experimental stage. Osteoarthritis should not be confused with rheumatoid arthritis. Rheumatoid arthritis also involves joint inflammation, but it is caused by the body’s own immune system, which mistakenly attacks the joint tissues. We take a closer look at rheumatoid arthritis when we discuss the immune system.

A

-Arthritis