Exam 2 Flashcards
Functions of a skeleton
Support Protection Movement Electrolyte balance Acid-base balance Blood formation
Osseous tissue
Connective tissue
Necrosis
Bone death
Shapes of bone
Long bones
Short bones
Flat bones
Irregular bones
Long bones
Arms and legs
Longer than wide
Produce leverage for movement
Short bone
Bones in ankle
Usually function by supporting and gliding
Flat bones
Cranium and ribs
Protection, attachment site for muscles
Irregular bones
Some skull bones
Don’t fit into another category
Bone features
Epiphysis and diaphysis
Epiphysis and diaphysis
Separate in children (growing bone) by the epiphyseal plate (cartilage)
Anatomy of a flat bone
Usually limited marrow
Larger area of spongy bone
Makes sense with its function
Osteogenic cells
Stem cells, found in the endosteum
Osteoblasts
Bone-forming cells
Synthesize bone matrix
Osteocytes
Trapped former osteoblasts
Reside in lacunae and communicate with other cells via gap junction, resort bone matrix, deposit bone matrix, contribute to calcium-phosphate levels in blood and bone density, strain sensors in bone remodeling
Osteoclasts
Bone-dissolving cells, different origin than other bone cells, fusion of stem cells
The matrix
- 1/3 organic matter- (glyco-) synthesized by osteoblasts; collagen, glycosaminoglycans, proteoglycans, glycoproteins
- 2/3 inorganic matter- mostly hydroxyapatite; calcium carbonate; magnesium, sodium, potassium, fluoride, sulfate, carbonate, hydroxide
- contaminants- many mineral contaminants can concentrate in bone; heavy metals (usually not harmful in the bone because they kill your kidneys first); radioactive metals can cause problems; examples: uranium (found in the drinking water in NE NV), radium
Physical properties of bone matrix
-Is a composite material(like wood, fiberglass sports equipment)
-Strong, but brittle(ceramic component, mineral)
-flexible, but weak (polymer, collagen, protein/fly an component)
Wood has to be flexible lignin and brittle/strong cellulose fibers
Bone development
- Ossification- formation of bone
- Growth (long bone and flat bone)- elongation, widening and thickening
- remodeling- 10% of bone is recycled per year in a process called remodeling
Intramembraneous ossification
Formation of flat bones- within a fibrous sheet
Endochondral ossification (long bone usually)
-development in pre-existing hyaline cartilage
Bone elongation
- child’s hand
- epiphyseal plates- when they disappear, it becomes a line
- disappear when growth stops
Epiphyseal plate
Zones of growth
Bone widening and thickening
- similar to intramembraneous ossification
- osteoblasts deposit matrix on the inner surface of the periosteum
- they then get trapped (osteocytes)
- produces circumferential lamellae
- marrow cavity widens- osteoclasts of the endosteum
- bone grows by creating more bone in the inside
Bone remodeling
- bone continually remodeled
- collaboration of osteoclasts(resorb bone and breaks it down) and osteoblasts(lay down bone matrix)
- bone mass is greater in athletes and manual laborers
- osteoclasts respond to electrical charges that come from strain on hydroxyapatite
- if it is out of balance- several different pathologies such as osteoporosis
Bone physiology
Deposition, resorption, calcium and phosphate homeostasis
Physiological of osseous tissue
- is influenced by and influences the rest of the body- principle organ for storing calcium and phosphate
- mineral deposition
- mineral resorption
- calcium and phosphate homeostasis- hormonal control
Mineral deposition
- osteoblasts lay down collagen fibers in a helical pattern along the length of the osteon
- this is where our discussion of equilibrium comes in
- this is inhibited in most tissues, not in osseous tissue
Eptopic calcification
Getting calcification where you don’t want it
Eptopic ossification
- if the inhibition disappears ossification can happen in the wrong tissues (lungs, brain, eyes, muscles, tendons, arteries, etc)
- this is what happens in arteriosclerosis
Mineral resorption
- free minerals from the bone and makes then available in the blood
- carried out by osteoclasts
- H+ pumps in the membranes of osteoclasts cause a locally acidic environment that dissolves bone
- acid phosphates (an enzyme) dissolved the collagen- works under highly acidic conditions
Calcium homeostasis
- acts as a cellular second messenger, cofactors on many enzymes, neurons, muscle contraction, blood clotting, exocytosis
- maintained at 9.2-10.4 mg/dL (narrow range)
- deficiency in blood called hypocalcemia- symptoms: CNS depression, muscle weakness, sluggish reflexes, cardiac arrest
Phosphate homeostasis
- component in many biological molecules (DNA, RNA, phospholipids), acid-base balance
Hormonal control of calcium balance
- calcitriol
- calcitonin
- parathyroid hormone
Calcitriol
- A form of vitamin D, server also positive effects on blood Ca
- synthesis and effects- UV light breaks the bond
Calcitonin
- thyroid gland hormone, served all negative (lowering) effects on blood Ca
- osteoclasts inhibition
- osteoblasts stimulation- increases bone deposition
- plays an important role in children
- osteoclasts are highly active in children
Parathyroid hormone
- several positive effects on blood Ca
- negative feedback loop
Bone disorders
- fractures and repair
- other disorders such as osteoporosis
Types of fractures
Open, displaced Greenstick Comminuted Linear Transverse, nondisplaced Oblique, nondisplaced Spiral Colles Pott
Hematoma formation
The hematoma is converted to granulation tissue by invasion of cells and blood capillaries
Soft callus formation
Deposition of collagen and fibrocartilage converts granulation tissue to a soft callus
Hard callus formation
Osteoblasts deposit a temporary bony collar around the fracture to unite the broken pieces while ossification occurs
Bone remodeling
Small bone fragments are removed by osteoclasts, while osteoblasts deposit spongy bone and then convert it to compact bone
Rickets
Defective mineralization of bone in children, usually as a result of insufficient sunlight or vitamin D, sometimes due to a dietary deficiency of calcium or phosphate, or to liver or kidney diseases that interfere with calcitriol synthesis. Causes bone softening and deformity, especially in weight-bearing bones of the lower limbs
Osteomalcia
Adult form of rickets, most common in poorly nourished women who have had multiple pregnancies. Bone become softened, deformed, and more susceptible to fractures
Osteoporosis
Loss of bone mass, especially spongy bone, usually as a result of lack of exercise or deficiency of estrogen after menopause. It results in increasing brittleness and susceptibility to fractures.
Too much bone is being dissolved by osteoclasts.
Treatable with medication (fosamax)- directly inhibits the activity of osteoclasts.
Osteitis deformans (paget disease)
Excessive proliferation of osteoclasts and resorption of excess bone, with osteoblasts attempting to compensate by depositing extra bone. This results in rapid, disorderly bone remodeling and weak, deformed bones. Osteitis deformans usually passes unnoticed, but in some cases it causes pain, disfigurement, and fractures. It is most common in males over the age of 50.
Osteomyelitis
Inflammation of osseous tissue and bone marrow as a result of bacterial infection. This disease was often fatal before the discovery of antibiotics and is still very difficult to treat.
Osteogenesis imperfecta (brittle bone disease)
A defect in collagen deposition that renders bones exceptionally brittle, resulting in fractures present at birth or occurring with extraordinary frequency during childhood; also causing tooth deformity, and hearing loss due to deformity of middle-ear bones