Exam 4 Part 2 Flashcards

1
Q

The human skeleton initially consists of

A

Just cartilage, which is replaced by bone, except in areas requiring flexibility

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Skeletal Cartilage

A

•made of highly resilient, molded cartilage tissue that consists primarily of water

–Contains no blood vessels or nerves

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Three types of cartilage:

A

Hyaline

Elastic

Fibrocartilage

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Hyaline

A
  • Provides support, flexibility, and resilience
  • Most abundant type; contains collagen fibers only
  • Articular (joints), costal (ribs), respiratory (larynx), nasal cartilage (nose tip)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Elastic cartilage

A
  • Similar to hyaline cartilage, but contains elastic fibers
  • External ear and epiglottis
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Fibrocartilage

A
  • Thick collagen fibers: has great tensile strength
  • Menisci of knee; vertebral discs
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

There are seven important functions of bones

A

Support

Prtection

Movement

Mineral and growth factors storage

Blood cell formation

Triglyveride (fat) storage

Hormone production

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Bones are also classified according to one of four shapes:

A

Long

Irregular

Short

Fla

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Axial skeleton

A
  • Long axis of body
  • Skull, vertebral column, rib cage
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Appendicular skeleton

A

•Bones of upper and lower limb

  • Girdles attaching limbs
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Compact bone

A

–dense outer layer on every bone that appears smooth and solid

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Spongy bone

A

–made up of a honeycomb of small, needle-like or flat pieces of bone called trabeculae

•Open spaces between trabeculae are filled with red or yellow bone marrow

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Structure of short, irregular, and flat bones

A

–Consist of thin plates of spongy bone (diploe) covered by compact bone

–Compact bone sandwiched between connective tissue membranes

•Periosteum covers outside of compact bone, and endosteum covers inside portion of compact bone

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Structure of typical long bone

A

–All long bones have a shaft (diaphysis), bone ends (epiphyses), and membranes

•Diaphysis: tubular shaft that forms long axis of bone

–Consists of compact bone surrounding central medullary cavity that is filled with yellow marrow in adults

•Epiphyses: ends of long bones that consist of compact bone externally and spongy bone internally

–Articular cartilage covers articular (joint) surfaces

•Between diaphysis and epiphysis is epiphyseal line

–Remnant of childhood epiphyseal plate where bone growth occurs

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Membranes:

A

two types (periosteum and endosteum)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Periosteum:

A

–white, double-layered membrane that covers external surfaces except joints

  • Fibrous layer: outer layer consisting of Sharpey’s fibers that secure to bone matrix
  • Osteogenic layer: inner layer abutting bone and contains primitive osteogenic stem cells that gives rise to most all bone cells
  • Contains many nerve fibers and blood vessels that continue on to the shaft through nutrient foramen openings

Anchoring points for tendons and ligaments

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Endosteum

A
  • Delicate connective tissue membrane covering internal bone surface
  • Covers trabeculae of spongy bone
  • Lines canals that pass through compact bone
  • Like periosteum, contains osteogenic cells that can differentiate into other bone cells
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

Red marrow

A

–found within trabecular cavities of spongy bone and diploë of flat bones, such as sternum

  • In newborns, medullary cavities and all spongy bone contain red marrow
  • In adults, red marrow is located in heads of femur and humerus, but most active areas of hematopoiesis are flat bone diploë and some irregular bones (such as the hip bone)
  • Yellow marrow can convert to red, if person becomes anemic
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

Bone markings

A

–Sites of muscle, ligament, and tendon attachment on external surfaces

–Areas involved in joint formation or conduits for blood vessels and nerves

–Three types of markings:

  • Projection: outward bulge of bone
  • Depression: bowl- or groove-like cut-out
  • Opening: hole or canal in bone
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q
A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q
A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

Cells of bone tissue

A
  1. Osteogenic cells
  2. Osteoblasts
  3. Osteocytes
  4. Bone-lining cells
  5. Osteoclasts
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

Osteogenic cells

A

–Also called osteoprogenitor cells

–Mitotically active stem cells in periosteum and endosteum

–When stimulated, they differentiate into osteoblasts or bone-lining cells

–Some remain as osteogenic stem cells

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

Osteoblasts

A

–Bone-forming cells that secrete unmineralized bone matrix called osteoid

  • Osteoid is made up of collagen and calcium-binding proteins
  • Collagen makes up 90% of bone protein

Osteoblasts are actively mitotic

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Q

Osteocytes

A

–Mature bone cells in lacunae that no longer divide

–Maintain bone matrix and act as stress or strain sensors

  • Respond to mechanical stimuli such as increased force on bone or weightlessness
  • Communicate information to osteoblasts and osteoclasts (cells that destroy bone) so bone remodeling can occur
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
26
Q

Bone-lining cells

A

–Flat cells on bone surfaces believed to also help maintain matrix (along with osteocytes)

–On external bone surface, lining cells are called periosteal cells

–On internal surfaces, they are called endosteal cells

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
27
Q

Osteoclasts

A

–Derived from same hematopoietic stem cells that become macrophages

–Giant, multinucleate cells function in bone resorption (breakdown of bone)

28
Q

Compact bone

A

–Also called lamellar bone

–Consists of:

  • Osteon (Haversian system)
  • Canals and canaliculi
  • Interstitial and circumferential lamellae
29
Q

Osteon (Haversian system)

A

–An osteon is the structural unit of compact bone

–Consists of an elongated cylinder that runs parallel to long axis of bone

•Acts as tiny weight-bearing pillars

–An osteon cylinder consists of several rings of bone matrix called lamellae

  • Lamellae contain collagen fibers that run in different directions in adjacent rings
  • Withstands stress and resist twisting
30
Q

Central (Haversian) canal

A

–runs through core of osteon

•Contains blood vessels and nerve fibers

31
Q

Perforating (Volkmann’s) canals

A

–canals lined with endosteum that occur at right angles to central canal

•Connect blood vessels and nerves of periosteum, medullary cavity, and central canal

32
Q

Bone is made up of

A

organic (35%) and inorganic components (65%)

33
Q

Organic components

A

•Includes osteogenic cells, osteoblasts, osteocytes, bone-lining cells, osteoclasts, and osteoid

–Osteoid, which makes up one-third of organic bone matrix, is secreted by osteoblasts

»Consists of ground substance and collagen fibers, which contribute to high tensile strength and flexibility of bone

34
Q

Inorganic components

A

–Hydroxyapatites (mineral salts)

  • Makeup 65% of bone by mass
  • Consist mainly of tiny calcium phosphate crystals in and around collagen fibers
  • Responsible for hardness and resistance to compression
35
Q

Ossification (osteogenesis)

A

•process of bone tissue formation

–Formation of bony skeleton begins in month 2 of development

–Postnatal bone growth occurs until early adulthood

Bone remodeling and repair are lifelong

36
Q

Endochondral ossification

A

–Bone forms by replacing hyaline cartilage

–Bones are called cartilage (endochondral) bones

–Form most of skeleton

37
Q

Intramembranous ossification

A

–Bone develops from fibrous membrane

–Bones are called membrane bones

38
Q

Endochondral ossification

A

–Forms essentially all bones inferior to base of skull, except clavicles

–Begins late in month 2 of development

–Uses previously formed hyaline cartilage models

–Requires breakdown of hyaline cartilage prior to ossification

–Begins at primary ossification center in center of shaft

  • Blood vessels infiltrate perichondrium, converting it to periosteum
  • Mesenchymal cells differentiate into osteoblasts
39
Q

•Five main steps in the process of ossification:

A
  1. Bone collar forms around diaphysis of cartilage model
  2. Central cartilage in diaphysis calcifies, then develops cavities
  3. Periosteal bud invades cavities, leading to formation of spongy bone
  4. Diaphysis elongates, and medullary cavity forms
  5. Epiphyses ossify
40
Q

Intramembranous ossification:

A

•begins within fibrous connective tissue membranes formed by mesenchymal cells

–Forms frontal, parietal, occipital, temporal, and clavicle bones

41
Q

Long bones grow

A

lengthwise by interstitial (longitudinal) growth of epiphyseal plate

42
Q

Bones increase thickness

A

through appositional growth

43
Q

Resting (quiescent) zone

A

–Area of cartilage on epiphyseal side of epiphyseal plate that is relatively inactive

44
Q
  1. Proliferation (growth) zone
A

–Area of cartilage on diaphysis side of epiphyseal plate that is rapidly dividing

–New cells formed move upward, pushing epiphysis away from diaphysis, causing lengthening

45
Q
  1. Hypertrophic zone
A

–Area with older chondrocytes closer to diaphysis

–Cartilage lacunae enlarge and erode, forming interconnecting spaces

46
Q
  1. Calcification zone
A

–Surrounding cartilage matrix calcifies; chondrocytes die and deteriorate

47
Q

4.Ossification zone

A

–Chondrocyte deterioration leaves long spicules of calcified cartilage at epiphysis-diaphysis junction

–Spicules are then eroded by osteoclasts and are covered with new bone by osteoblasts

–Ultimately replaced with spongy bone

–Medullary cavity enlarges as spicules are eroded

48
Q

Osteoblasts

A

beneath periosteum secrete bone matrix on external bone

49
Q

Osteoclasts

A
  • remove bone on endosteal surface
  • Usually more building up than breaking down which leads to thicker, stronger bone that is not too heavy
50
Q

Growth hormone

A

•most important hormone in stimulating epiphyseal plate activity in infancy and childhood

51
Q

Thyroid hormone

A

•modulates activity of growth hormone, ensuring proper proportions

52
Q

Testosterone (males) and estrogens (females) at puberty

A

•promote adolescent growth spurts

–End growth by inducing epiphyseal plate closure

•Excesses or deficits of any hormones cause abnormal skeletal growth

53
Q

1.Hormonal controls

A
  • Negative feedback loop that controls blood Ca2+ levels
  • Calcium functions in many processes, such as nerve transmission, muscle contraction, blood coagulation, gland and nerve secretions, as well as cell division
  • 99% of 1200–1400 gms of calcium are found in bone
  • Intestinal absorption of Ca2+ requires vitamin D
54
Q

Parathyroid hormone (PTH)

A

–produced by parathyroid glands in response to low blood calcium levels

  • Stimulates osteoclasts to resorb bone
  • Calcium is released into blood, raising levels
55
Q

Calcitonin

A

–produced by parafollicular cells of thyroid gland in response to high levels of blood calcium levels

•Effects are negligible, but at high pharmacological doses it can lower blood calcium levels temporarily

56
Q

Leptin

A

–Hormone released by adipose tissue

–May play role in bone density regulation by inhibiting osteoblasts

57
Q

Serotonin

A

–Neurotransmitter regulates mood and sleep; also interferes with osteoblast activity

–May inhibit bone turnover after a meal, so bone calcium is locked in when new calcium is flooding into bloodstream

58
Q

Wolf’s law

A

–states that bones grow or remodel in response to demands placed on them

  • Stress is usually off center, so bones tend to bend
  • Bending compresses one side, stretches other side

–Diaphysis is thickest where bending stresses are greatest

–Bone can be hollow because compression and tension cancel each other out in center of bone

  • Handedness (right- or left-handed) results in thicker and stronger bone of the corresponding upper limb
  • Curved bones are thickest where most likely to buckle
  • Trabeculae form trusses along lines of stress
  • Large, bony projections occur where heavy, active muscles attach
  • Bones of fetus and bedridden people are featureless because of lack of stress on bones
59
Q

Three major bone diseases:

A

–Osteomalacia and rickets

–Osteoporosis

–Paget’s disease

60
Q

Osteomalacia

A

–Bones are poorly mineralized

–Osteoid is produced, but calcium salts not adequately deposited

–Results in soft, weak bones

–Pain upon bearing weight

61
Q

Rickets (osteomalacia of children)

A

–Results in bowed legs and other bone deformities because bones ends are enlarged and abnormally long

–Cause: vitamin D deficiency or insufficient dietary calcium

62
Q

•Risk factors for osteoporosis

A

–Most often aged, postmenopausal women

•Estrogen plays a role in bone density, so when levels drop at menopause, women run higher risk

–Men are less prone due to protection by the effects of testosterone

–Petite body form

–Insufficient exercise to stress bones

–Diet poor in calcium and protein

–Smoking

–Hormone-related conditions

  • Hyperthyroidism (Thyroid hormone stimulates bone resorption)
  • Low blood levels of thyroid-stimulating hormone (TSH has bone protective properties)
  • Diabetes mellitus (insulin may promote bone growth)

–Immobility

–Males with prostate cancer taking androgen-suppressing drugs

63
Q

Treating osteoporosis

A

–Traditional treatments

  • Calcium
  • Vitamin D supplements
  • Weight-bearing exercise
  • Hormone replacement therapy

–Slows bone loss but does not reverse it

–Controversial because of increased risk of heart attack, stroke, and breast cancer

64
Q

Other drugs for osteoporosis:

A

–Bisphosphonates: decrease osteoclast activity and number

–Selective estrogen receptor modulators: mimic estrogen without targeting breast and uterus

–Denosumab

•Monoclonal antibody shown to reduce fractures in men with prostate cancer

Improves bone density in elderly

65
Q
A