Chapter 6 - The Skeletal System: Bone Tissue Flashcards

1
Q

What is Bone?

A

Bone is an organ made of different tissues working together
Bone, Cartilage, Dense Connective Tissue, Adipose tissue, and Nervous Tissue

Framework of bones and their cartilages make the Skeletal System

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2
Q

What is the Function of the Skeletal System?

A

1- Provide support
2- Protects internal organs
3- Assist in body movements (in conjunction with muscles)
4- Mineral Homeostasis - Store/release Calcium and Phosphorus
(Osteoblast dissolve - release calcium)
(Calcitonin removes calcium from blood)
5- Participate in Hemopoiesis (Erythroproteins)
6- Stores triglycerides in adipose cells of Yellow Marrow
7- Hormone production - Bones produce Osteocalcin to regulate insulin secretion and blood glucose levels

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3
Q

What are the parts of a Long Bone?

A

1- Diaphysis - Bone shaft
2- 2 Epiphyses - Both ends of the bone at joints (Reb Bone Marrow)
3- 2 Metaphyses - Region between Diaphysis and Epiphysis
4- Articular Cartilage - Covering both Epiphyses
5- Periosteum - Connective tissue surrounding Diaphysis)
6- Medullary Cavity - Hollow space within Diaphysis (Yellow Marrow)
7- Endosteum - Thin membrane lining Medullary Cavity

Nutrient Artery in Medullary Cavity

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4
Q

What is the Epiphyseal Line?

A

Hyaline Cartilage line between Epiphysis and Metaphysis

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5
Q

What does Bone contain?

A

Bone contains abundant Extracellular Matrix that surrounds widely separated cells

Made of :
15% water
30% Collagen
55% Crystalized mineral salts

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6
Q

What are the 4 Types of Bone Cells?

A

1- Osteoprogenitor Cells:
Bone stem cells able to differentiate into other types of cells

2- Osteoblasts:
Bone-building cells that secrete matrix

3- Osteocytes:
Mature bone cells, produce bone tissue

4- Osteoclasts:
Remodel bones and cause them to release calcium into blood
Decalcification

Osteoprogenitor cell develops into Osteoblast which forms Extracellular Matrix
Osteoblast develops into Osteocyte which maintains bone tissue
Osteoclast functions in resorption, the breakdown of bone extracellular matrix

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7
Q

What is Compact Bone?

A

Compact Bone is good at providing protection and support

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8
Q

What is Spongy Bone?

A

Spongy Bone is lightweight and provides tissue support

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9
Q

What is Compact Bone Composed of?

A

1- Osteon:
Made of Concentric Lamellae
Osteonic Canal in center
Contains Blood vessels

2- External Circumferential Lamellae:
Lamellae around Osteons

3- Internal Circumferential Lamellae:
Lamellae around Spongy Bone

4- Interstitial Lamellae:
Lamellae between Osteons

5- Periosteum:
Outer fibrous layer around Diaphysis
Inner Osteogenic layer
Held by Perforating fibers (Sharpey’s)
Has Periosteal arteries and veins

6- Interosteonic Canals (Volkmann’s or perforating)
Horizontal between Osteons

7- Lacunae:
Residence of Osteocytes
Canaliculi - Diverging tunnel of Lacunae for Osteocytes’ projections

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10
Q

What is Spongy Bone composed of?

A

Trabeculae
Space for Red Bone Marrow

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11
Q

What is Trabeculae?

A

Part of Spongy Bone
Contains:
Osteocytes in Lacunae
Lamellae around Lacunae
Osteoblasts aligned along Trabeculae of new bone
Osteoclast
Canaliculi

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12
Q

What is the Blood and Nerve Supply of Bone?

A

Periosteal Arteries, Periosteal Veins, and Nerves enter Diaphysis through Volkmann’s Canals

Nutrient Artery enter Diaphysis through Nutrient Foramen
Nutrient Veins exit Diaphysis through Nutrient Foramen

Metaphyses and Epiphyses have their own arteries and veins
Metaphyseal Artery/Veins and Epiphyseal Artery/Veins

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13
Q

What is Bone Formation?

A

Ossification or Osteogenesis
Process of bone formation

Bones form in 4 situations:
During embryological and fetal development
When bones grow before adulthood
When bones remodel
When fractures heal

2 Forms:
Intramembranous Osteogenesis
Endochondral Osteogenesis

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14
Q

What is Intramembranous Osteogenesis?

A

Occurs in flat bones (Appendicular Skeleton) when a connective tissue membrane is replaced by bone
Cranial bones and Clavicles, forms mostly flat bones

1- Development of Ossification center:
Osteoblasts secrete organic extracellular matrix

2- Calcification:
Calcium and other mineral salts deposited and extracellular matrix calcifies (hardens)

3- Formation of Trabeculae:
Extracellular matrix develops into trabeculae that fuse to form spongy bone

4- Development of Periosteum:
Mesenchyme at the periphery of the bone develops into the periosteum

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15
Q

What is Endochondral Osteogenesis?

A

Replaces cartilage with bone in the developing embryo and fetus
All bones below base of skull, except scapulae

1- Development of Cartilage:
Mesenchymal cells develop into chondroblasts which form cartilage

2- Growth of Cartilage:
Growth occurs by cell division of chondrocytes

3- Development of Primary Ossification Center:
In this region of Diaphysis, bone tissue has replaced most of the cartilage

4- Development of Medullary Cavity:
Bone breakdown by osteoclasts forms medullary cavity

5- Development of Secondary Ossification Center:
Occurs in Epiphyses of the bone

6- Formation of Articular Cartilage and Epiphyseal Plate:
Both structures consist of Hyaline cartilage

Endochondral Ossification also occurs in Epiphyseal Plates of long bones as the grow in length

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15
Q

How do Bones Thicken?

A

Bones thicken due to cooperative action of Osteoblasts and Osteoclasts

1- Ridges in periosteum create groove for blood vessel
2- Periosteal ridges fuse, forming an endosteum-lined tunnel
3- Osteoblasts in endosteum build new concentric lamellae inward towards center of tunnel, forming a new osteon
4- Bone grows outwards as Osteoblasts in periosteum build new circumferential lamellae. Osteon formation repeats as new periosteal ridges fold over blood vessels

Osteoblast deposits bone on outer surface
Osteoclast widens medullary cavity from within

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16
Q

What is Bone Fracture and How is it Repaired?

A

Fracture is a break in a bone
Many different tyees of fractures may occur

Healing process involves 3 different phases in 4 steps:

1- Reactive Phase:
Early inflammation phase - Fracture Hematoma
Neutrophils go to fracture area to fight infection

2- Reparative Phase:
Includes formation of Fibrocartilaginous Callus first, then Bony Callus
Osteoblasts and macrophages go to fracture area and clean up
Macrophages let Fibroblast lay Fibrocartilaginous cells to cover fracture
Over time osteoblasts form bone again
Chondrocytes lay cartilage again

3- Bone Remodeling Phase:
Bony Callus is remodeled
Osteoclasts come over, decalcify excess bone, remodel it correctly

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17
Q

What are some Types of Bone Fractures?

A

Closed (Simple)
Open (Compound)
Comminuted
Greenstick
Impacted
Pott
Colles

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18
Q

What is a Closed (Simple) Bone Fracture?

A

Broken bone doesn’t break skin

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19
Q

What is an Open (Cpompund) Bone Fracture?

A

Broken ends of bone protrude through skin

20
Q

What is a Comminuted Bone Fracture?

A

Bone is splintered, crushed, or broken into pieces at site of impact
Smaller bone fragments lie between 2 main fragments

21
Q

What is a Greenstick Bone Fracture?

A

Partial fracture in which one side of bone is broken and other side bends
Occurs only in children whose bones not fully ossified and contain more organic material than inorganic material

22
Q

What is an Impacted Bone Fracture?

A

One end of fractured bone is forcefully driven into the interior of the other end

23
Q

What is a Pott Bone Fracture?

A

Fracture of distal end of lateral leg bone (Fibula)
With serious injury to distal Tibial articulation

24
What is a Colles Bone Fracture?
Fracture of distal end of lateral forearm bone (Radius) in which distal fragment is displaced posteriorly
25
What is Bone's Role in Calcium Homeostasis?
Bones store 99% of body' Calcium Parathyroid Gland secretes Parathyroid Hormone (PTH) when calcium levels drop Osteoclasts stimulated to increase bone resorption and calcium is released PTH also stimulates production of Calcitriol by kidneys to increase calcium absorption in intestines
26
What is the Calcium Homeostasis Negative Feedback Loop?
Blood calcium level drops Parathyroid Gland cells detect this and increase production of cAMP Parathyroid Hormone Gene turns on and increase PTH release PTH makes osteoclasts increase bone resorption PTH makes kidneys retain Ca2+ in blood and excrete phosphate in urine and produce Calcitriol In response, blood calcium increased
27
What are the Factors that Affect Bone Growth?
Calcium and Phosphorus Magnesium Fluoride Manganese Vitamin A Vitamin C Vitamin D Vitamin K and B12 Growth Hormone (GH) Insulin-Like Growth Factors (IGFs) Thyroid Hormones (T3 and T4) Insulin Sex Hormones (Estrogens and Testosterone) PTH Calcitonin (CT) Exercise Aging
28
How does Calcium and Phosphorus affect Bone Growth?
Calcium and Phosphorus make bone extracellular matrix hard
29
How does Magnesium affect Bone Growth?
Magnesium helps form bone extracellular matrix
30
How does Fluoride affect Bone Growth?
Fluoride helps strengthen bone extracellular matrix
31
How does Manganese affect Bone Growth?
Manganese activates enzymes involved in synthesis of bone extracellular matrix
32
How does Vitamin A affect Bone Growth?
Vitamin A needed for activity of osteoblasts during remodeling of bones Deficiency stunts bone growth Toxic in high doses
33
How does Vitamin C affect Bone Growth?
Vitamin C needed for synthesis of collagen, the main bone protein Deficiency leads to decreased collagen production that slows down bone growth and delays repair of fractures
34
How does Vitamin D affect Bone Growth?
Vitamin D's active form (Calcitriol) is produced by kidneys Helps build bone by increasing absorption of calcium from GI tract into blood Deficiency causes faulty calcification and slows bone growth May reduce risk of Osteoporosis Toxic in high doses
35
How does Vitamin K and B12 affect Bone Growth?
Vitamin K and B12 needed for synthesis of bone proteins Deficiency leads to abnormal protein production in bone extracellular matrix Decreased bone density
36
How does Growth Hormone (GH) affect Bone Growth?
GH secreted by anterior lobe of Pituitary Gland Promotes general growth of all body tissues by stimulating production of Insulin-like Growth Factors
37
How does Insulin-like Growth factors (IGFs) affect Bone Growth?
IGFs secreted by liver, bones, and other tissues on stimulation of GH Promotes normal bone growth by stimulating osteoblasts and increasing synthesis of proteins needed to build bone
38
How does Thyroid Hormones (T3 and T4) affect Bone Growth?
T3 and T4 secreted by Thyroid Gland Promote normal bone growth by stimulating osteoblasts
39
How does Insulin affect Bone Growth?
Insulin secreted by Pancreas Promotes normal bone growth by increasing synthesis of bone proteins
40
How does Sex Hormones (Estrogens and Testosterone) affect Bone Growth?
Sex Hormones stimulate osteoblasts Promote "sudden spurt" at puberty Shut down growth at epiphyseal plates around 18-21 years old, causing end to lengthwise growth of bones Contribute to bone remodeling in adulthood by slowing bone resorption by osteoclasts and promoting bone deposition by osteoblasts
41
How does Parathyroid Hormone (PTH) affect Bone Growth?
PTH secreted by Parathyroid Gland Promotes bone resorption by osteoclasts Enhances recovery of calcium ions from urine Promotes formation of Calcitriol
42
How does Calcitonin (CT) affect Bone Growth?
Calcitonin secreted by Thyroid Gland Inhibits bone resorption by osteoclasts
43
How does Exercise affect Bone Growth?
Weight-bearing activities stimulate osteoblasts So help build thicker stronger bones Retard loss of bone mass with age
44
How does Aging affect Bone Growth?
Levels of sex hormones diminish, especially in women after menopause Bone resorption by osteoclasts outpaces deposition by osteoblasts Decrease in bone mass Increased risk of Osteoporosis
45
What is Rickets?
Osteomalacia for adults is called Rickets in children Calcium deficiency Soft bones, Cartilage bends
46
What is Osteoporosis?
Calcium deficiency Lack of proteins Menopause in women Vitamin D deficiency Bone density too low, high risk of fractures Alendronate: medicine acting like Calcitonin, takes calcium from blood to bone
47
What is the Axial Skeleton?
Skull Vertebral Column Rib Cage
48
What is the Appendicular Skeleton?
Upper and lower limbs The Girdles attaching them to Axial Skeleton