Endochondral Ossification, Bone Growth & Remodeling Flashcards

1
Q
  • _______ ossification involves the direct differentiation of _______ cells into Osteoblasts and is how ____ bones of the skull and the ____ develop
  • ______ ossification requires a ______ ______ template that eventually gets substituted for bone
A
  • Intramembranous; mesenchymal; flat; clavicle

- Endochondral; Hyaline Cartilage

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2
Q

Endochondral Ossification
-Occurs in _____ bones: ____ and _______ skeleton
-Replacement of Type II/______ cartilage by bone
Stains:
-______ red stain of ______
-______ blue stain of _______

A

-Long; axial; appendicular
-Hyaline
-Alizarin; bone
Alcian; cartilage

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3
Q
  • ______ condensation at day ____ leads to the formation of condensed _______ by day ____. Due to the TF ____ & _____ signaling
  • Differentiation of condensed ________ to early ______ by day ____. Due to ____ signaling mediated by Wnt/β-Catenin signaling, & ___/___ mediated by Bmp signaling
A
  • Mesenchymal; E10.5; prechondrocytes; E12.5; Tgfβ; Wnt

- Prechondrocytes; Chondrocytes; E14.5; Sox9; Sox5/6

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4
Q

Primary Ossification Center Steps

1) _____ ______ is the template of long bones
2) Proliferation of _____ followed by their _____ at the ____ of the shaft initiates the formation of the _____ ____ ____. ______ ____ secrete a ____ ____ ____ ____ ___ (___) to induce sprouting of blood vessels from the ______, and are larger than regular chondrocytes due to taking up liquid and appear _____. Calcification of the ____ and ____ of the ______ _____ than occurs.
3) _____ ____ of the perichondrium form the ____ ____
4) Blood vessels form the ______ _____ and branch in opposite directions, bringing _____ & ______ to the Primary Ossification Center.
5) The skeletal element grows in _____ as the _____ _____ template is converted to ____
- ______ cartilage is the only type of cartilage remaining after the conversion to _____

A

1) Hyaline cartilage
2) Chondrocytes; hypertrophy; midpoint; Primary Ossification Center; Hypertrophic Chondrocytes; Vascular Endothelial cell Growth Factor (VEGF); Perichondrium; white; matrix; apoptosis; Hypertrophic Chondrocytes
3) Osteoprogenitor cells; Periosteal Collar
4) Periosteal Bud; Osteoblasts; Osteoclasts
5) Length; Hyaline Cartilage; bone
- Articular; bone

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5
Q

Growth Plate

  • Region where the _____ between cartilage and bone is occurring
  • Migrate towards the _______ of the bone
  • _____ ____: Cartilage located furthest away from the growth plate, consisting of ____ cartilage growing in size due to the presence of ______. Allows for the formation of more _____ _____ to be converted to _____.
  • ______ ____: Proliferative _____ that align in _____ & _____ columns.
  • ______ _____: Location of the hypertrophic ______ that undergo _____, and the point where _____ of the territorial _____ begins. ______: Individual calcified zones within lacunae.
  • ____ ____ ____: Blood vessels penetrate transverse ____ bringing ____ _____ & _____ that attach to the calcified areas and begin to deposit bone
A
  • Transition
  • Epiphyses
  • Reserved Zone; hyaline; chondroblasts; hyaline cartilage; bone
  • Proliferating Zone; Chondrocytes; Vertical; Parallel
  • Hypertrophic Zone; chondrocytes; apoptosis; calcification; matrix; Septa
  • Vascular Invasion Zone; septae; Osteoprogenitor Cells; Osteoblasts
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6
Q

Proliferative Zone

  • Flattened ______ in columns
  • ______ _____: Chondrocytes sharing the same ______
A
  • Chondrocytes

- Isogenous Groups; lacuna

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7
Q

Hypertrophic Zone

  • Located ______ the Proliferative Zone
  • Chondrocytes take in _____, mainly _____, causing them to increase in size
  • Hypertrophy squeezes the _______ matrices separating chondrocytes into ______
  • _______ begins at the ____ end of the zone in the _____, preventing the diffusion of nutrients leading to _____ of the cells
  • As ____ _____ begins below the hypertrophic zone, invading osteoblasts deposit _____ on the calcified septa, and ______ remove residual chondrocytes and the matrix
A
  • Below
  • Fluid; water
  • Interterritorial; septa
  • Calcification; lower; septa; apoptosis
  • Vascular invasion; osteoid; Osteoclasts
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8
Q

Zone of Vascular Invasion

  • In close proximity to the lowest part of the ____ ____
  • _______ tissue will identify as blue in developing bone marrow
  • ______ can be identified as long dark blue/purple structures
  • ______ line the septa depositing _____ onto the calcified _______ matrix
A
  • Hypertrophic Zone
  • Hematopoietic
  • Septa
  • Osteoblasts; osteoid; cartilaginous
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9
Q

Osteoclastic “Chase” & Chondrocytic “Run”
-______ enlarge the bone marrow cavity and are derived from monocytes
Chondrocytic Run:
1) The _____ _____ invades and destroys the ______, passing through the _____ they initially inhabited
2) Calcification of the cartilaginous matrix surrounding the _______ ________
3) Proliferating ________ located away from the Ossification Front in the __________ Zone increase the length of the cartilage
- Surrounding _______ provides more cells to the growing cartilage
- An equilibrium between cartilage production in the ______ Zone and the rate of the advancement of the ______ of _______ _______ is needed for proper growth. Bone won’t grow in length resulting in _____ bones if the rate of the advancement of the ______ _____ Zone is too great. If the proliferation of cartilage in the _______ ________ is too great you get longer bones;

A
  • Osteoclasts
    1) Ossification Front; chondrocytes; septae
    2) Hypertrophic Chondrocytes
    3) Chondrocytes; Reserved
  • Perichondrium
  • Reserved; Zone of Vascular Invasion; short; Vascular Invasion; Reserved Zone
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10
Q

Secondary Ossification Centers

  • The _____ _______ _____ attracts blood vessels to the midpoint of the bone and begins as an _______
  • ______ ______ ______ form in each of the 2 epiphyses. Bone will grow in length after they form and stops at the conclusion of ______. Capillaries can be seen that bring in ______ & ______.
  • _______: Portion of the diaphysis nearest to the epiphyses
  • ______ _______ _____ ______: Located between the metaphysis and the epiphysis, and eventually gets replaced by bone
  • _____ _____: Bone is particularly dense at this point and is the location of the last growth plate, and indicates no more ________ ossification can occur so you no longer grow
  • ______ ____(___): TF of the hedgehog family that stimulates chondrocyte _______ in the Epiphyseal Cartilaginous Growth Plate while preventing chondrocyte ________
  • Endochondral ossification begins in the ______ and ends at the conclusion of ______
A
  • Primary Ossification Center; embryo
  • Secondary Ossification Centers; puberty; Osteoblasts; Osteoclasts
  • Metaphysis
  • Epiphyseal Cartilaginous Growth Plate
  • Epiphyseal Line; endochondral
  • Indian Hedgehog (Ihh); proliferation; hypertrophy
  • Embryo; puberty
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11
Q

Secondary Ossification Center Formation Steps

1) ______ ______ and _______ infiltrate the Epiphysis establishing a Secondary Ossification Center
2) A similar Secondary Ossification Center appears in the opposite ________
3) The ______ _______ will be replaced by the ______ ______, this occurs gradually from puberty to maturity as both ______ ______ form at the same time preventing further bone growth.
4) Blood vessels from the _______ & _______ intercommunicate
5) All the _______ Cartilage is replaced by bone, except for the _______ cartilage

A

1) Blood vessels; mesenchyme
2) Epiphysis
3) Epiphyseal Plate; Epiphyseal line
4) Diaphysis; Epiphysis
5) Epiphyseal; Articular

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12
Q

Regulators of Chondrocyte Differentiation in the Growth Plate

  • _____ ______(___): Secreted by Proliferative Zone Chondrocytes, regulating the formation of the bone _____ and stimulates the synthesis of ______
  • ______ ________ _______ (___): Stimulates the proliferation of Chondrocytes in the Reserved Zone, while inhibiting differentiation of ______ Zone chondrocytes into Hypertrophic Chondrocytes
  • ________ ______ secrete VEGF which attract ______ ______ , and they secrete ______ __ Collagen which provides structural support to cells
  • High [___] & [___] stimulates cartilage proliferation while inhibiting the differentiation to _______ Chondrocytes effectively lowering [___] slowing the rate of the advancement of the Vascular Invasion Zone. This is an example of a _______ mechanism that allows the continued growth of _______ cartilage
A
  • Indian Hedhehog (Ihh); collar; PTHrP
  • Parathyroid Hormone-related Protein (PTHrP); Proliferative
  • Hypertrophic Chondrocytes; blood vessels; Type X
  • [Ihh] & [PTHrP]; Hypertrophic; [VEGF]; feedback; hyaline
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13
Q

Bone Modeling

  • Alteration in the size & shape of bones only during _____ by the process of bone _______ & _______.
  • Growth in width of the _______ long bone cylinder and expansion of the _______ _______ cavity.
  • Shaping of the ____ of the long bones to convert the broad _______ ______ into a narrow _____ ______.
  • Enlargement of the _____ _____ curvature.
  • Bone growth is an ______ mechanism, where new bone is added to an existing bone ______.
  • ______ growth is ______ in a rigid calcified ECM
A
  • Growth; formation & resorption
  • Diaphyseal; inferior marrow
  • Ends; Metaphyseal Funnel; Diaphyseal Cylinder
  • Cranial Vault
  • Appositional; surfaces
  • Interstitial; Impossible
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14
Q

Bone Growth in Width

1) A new _____ ______ forms under the Periosteum. Longitudinal ridges form along the ______, and Periosteal Cells differentiate into _____. A ______ capillary is found in the groove, and new bone begins to extend ______ ridges towards each other.
2) The ridges ______ and the groove becomes a bony tunnel enclosing the ______ ______.
3) Additional bone_____ are deposited around the tunnel, causing the diameter of the tunnel to _____ in size. This tunnel gets converted into the ______ _____ containing the blood vessel.
4) The _____ _____ continues to receive blood through the Volkmann’s Canals extending obliquely across the _______ and are perpendicular to the _____ _____. The _____ _____ is surrounded by _______ lamellae, and multiple form resulting in _______ growth widening the bone shaft.
- Similar widening of the ______ cavity occurs

A

1) Haversian System; diaphysis; Osteoblasts; Periosteal; Adjacent
2) Fuse; blood vessel
3) Lamellae; reduce; Haversian Canal
4) Haversian Vessel; Diaphysis; Haversian Vessels; Haversian Vessel; concentric; Appositional
- Medullary

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15
Q

Factors Affecting Bone Growth

  • 20 or more ______, ______, and ______ _____ control bone growth. ______ are more life secondary factors since they serve as _______ for reactions.
  • Epiphyseal ______ activity is stimulated by ______ ______ released by the anterior pituitary during ______ & _________
  • During puberty ___ ______ mainly regulate bone growth. Both ______ & _______ initially promote adolescent growth spurts by stimulating proliferation of ______ cells and _______ in the growth plate. This results in masculinization and feminization of specific parts of the _______. Once the _____ ______ closes longitudinal bone growth ends.
  • Adolescent _______ grow faster and reach their full _____ earlier at roughly ____ years of age, since _____ has a strong effect on bone growth.
  • Adolescent _____ grow for a longer time due to sustained high levels of ________ resulting in larger than average stature until roughly ____ years of age.
  • Growth ceases when the _____ & ____ fuse
  • _______ _______ can cause premature closure of growth plates resulting in a shorter stature
A
  • Hormones; Vitamins; growth factors; Vitamins; Cofactors
  • Plate; growth hormones; infancy & childhood
  • Sex Hormones; estrogen & testosterone; Osteogenic; Chondrocytes; skeleton; Epiphyseal Plate
  • Women; height; 18; Estrogen
  • Men; Testosterone; 21
  • Epiphysis & Diaphysis
  • Anabolic Steroids
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16
Q

Bone Remodeling

  • Occurs ______ life, may slow but NEVER _____. Unlike ____ ______ which only occurs during growth!
  • New bone converts ____ bone into mature _____ bone
  • ______ bone is continuously turned over
  • In adults ~____% of the _____ bone and ~___% of the ______ bone is remodeled per year
  • ____ _____ _____(___): Concerted action of Osteoclasts and Osteoblasts, and will differ in _____ & _____ bone
A
  • Throughout; ends; bone modeling
  • Woven; Lamellar
  • Mature
  • 3%; Cortical/Compact; 25%; Trabecular
  • Bone Remodeling Unit (BRU); Trabecular; Cortical
17
Q

Cortical Bone Remodeling

  • Osteoclasts are at the ______ edge/_____ cone tunneling through the ________ matrix
  • Osteoblasts at the ______ edge/______ cone & fill in the tunnel with concentric bone _____-
  • The center of the tunnel is occupied by penetrating _____ _____, that serve as the source of ______ cells
  • This process gives rise to the _____ structure on the inside of _______ bone
A
  • Leading; Cutting; Mineralized
  • Trailing; Closing; Lamellae
  • Blood Vessels; Osteoprogenitor
  • Osteon; Cortical
18
Q

Trabecular Bone Remodeling

  • ______ ______ are the BRU on the trabecular bone surface
  • _______ & ________ derive from progenitor cells in the bone _______
  • The process of ________ gives rise to lamellar bone, and filling of the resorption cavities takes place in layers by the ________
A
  • Howship’s Lacuna
  • Osteoclasts & Osteoblasts; marrow
  • Resorption; Osteoblasts
19
Q

Healing of Bone Fractures
1 )_______ ______: Blood clot from broken blood vessels causes swelling & _____
2) ______ ______ _______: Collagen and fibrocartilage is formed by ________ and infiltrates capillaries at the site of the break. Periosteal cells differentiate into _______
3) ______ _____: Soft callus is replaced by hard ____ bone callus in ~ 6 weeks. This resembles the process of _________ ossification.
4) ________: Woven bone is replaced by compact bone in ~6 months, and excess bone is removed by _______

A

1) Fracture Hematoma; pain
2) Soft Callus Formation; Fibroblasts; Chondrocytes
3) Callus Ossification; woven; endochondral
4) Resorption; Osteoclasts

20
Q

Segmentation of the Skeleton: Joints
-Skeletal elements are separated from each other by ____
Types of joints/_____:
-Non-synovial joints:
1) ____ ____/_____: Skeletal elements are directly linked by fibrous joints, preventing _______. Sutures between ____ bones, ____, and the ______.
2) _____ _____/_______: 2 skeletal elements are linked by cartilage providing _______ movement. Seen in joints between _______.
-Synovial Joints/_______: Have a joint cavity enclosed by a fibrous capsule lined by the synovial membrane allowing for ______ movement. Seen in joints separating skeletal elements in ______.
-_____ _____: Dense CT with blood vessels and covers the synovial membrane that is continuous with the ______ and is attached to the edge of _____ cartilage.
-______ _____: A layer of vascular CT 1-3 cell layers thick with NO basal lamina and has ______ capillaries. Contains ____ _____: A capillary ultrafiltrate that contains ____ produced by synovial cells.
-_____ ______: Hyaline cartilage lacking perichondrium and is NOT lined by the synovial membrane

A
  • Joints
  • Arthroses
    1) Fibrous Joints/Synarthroses; movement; skull; ribs; sternum
    2) Cartilaginous Joints/Amphiarthroses; limited; vertebrae
  • Diarthroses; free; limbs
  • Joint Capsule; Perichondrium; Articular
  • Synovial Membrane; fenestrated; Synovial Fluid; mucins
  • Articular Cartilage
21
Q

Steps of Synovial Joint Formation

1) _________ Condensation
2) Initial Formation of the ______ _______
3) _______ by ________

A

1) Prechondrogenic
2) Joint Interzone
3) Cavitation by Apoptosis