Lecture 3 - Bones Flashcards

1
Q

What makes up the Skeletal System?

A

Bones, Cartilages, Joints, Ligaments (strip of connective tissue that surrounds joint to keep the joint stable) and other connective tissues.

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2
Q

What are the functions of the skeletal system?

A

Support against gravity,
storage (Calcium (95% stored in bone without calcium muscles cant contract so the heart wont beat, when calcium is needed in the blood/body its released), phosphorous, fat),
Blood cell production (blood cells are produced in bone marrow by metabolic active tissue),
Protection of soft internal organs (skull protects brain and ribs protect thoracic organs)
Leverage for muscle action.

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3
Q

Describe flat bones

A

Flat bones= it has an external table and internal table which is separated by dipole, good rigid protection, has a double layer giving extra strength in case of impact but is still light. They’re thin, have parallel surfaces and are found in the ribs and shoulder blades.

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4
Q

Describe the long bones

A

Longer than they are wide, arms, legs, fingers and toes have these bones, useful for leverage.
Long part of the bone is called the diaphysis (shaft), made up of compact bone on the outside and a medullary cavity running through the middle. The Epiphyses (ends) are at the end of the bone have compact bone on the outside and have the trabecular (spongy) bone in the middle, this bone joins to the joints. These are usually covered by articular cartilage.

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5
Q

Describe short bones

A

Short bones = width is equal to length. Bones are in wrists, tightly fitted together but can slide slightly allowing more suppletory of movement.

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6
Q

Describe irregular bones

A

Irregular bones= complex shapes, the vertebra, bones in the pelvis and some bones in the skull have these bones, bones stack up giving support and protection of the spinal cord.

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7
Q

Describe sutural bones

A

Sutural bones= found between flat bones in the skull, they’re small, flat and oddly shaped.

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8
Q

Describe sesamoid bones

A

Sesamoid bones= Small, round, flat and develop in tendons, is found the knee cap (patella).

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9
Q

What’s the microscopic structure of bone?

A
  • Ground Substance= two thirds of bone matrix and is made up of minerals, a prominent mineral is hydroxyapatite which contains calcium salts and ions.
  • Protein= this reinforces the bone and is mainly made up of collagen fibres and makes it less brittle, this one third of the bone matrix
  • Bone cells= only 2% of bone mass, these contain mesenchymal stem cells which turn into osteoblasts cells (which ar bone builder cells), these then turn into osteocytes (adult bone cells) and there’s osteoclasts which dissolve away old bone. The osteocytes are found within lacunae, lacunae are organised around blood vessels.
  • In the bone cells (osteocytes) there’s also narrow passageways running through the matrix which form a network so nutrients and waste products etc, can be exchanged.
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10
Q

What are Osteoblasts?

A

Osteoblasts =they make proteins in bone which is a jelly like substance before its mixed with the mineral part and it’s a surface bone. Also produce new bone matrix either by ossification or osteogenesis

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11
Q

What are Osteocytes?

A

Osteocytes are mature bone cell maintaining the bone matrix, it’s has a cell body with branching arms (called canaliculi) that allow nutrients to diffuse around, stores minerals, detects damage and knows when old bone needs dissolving.

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12
Q

What are Osteoclasts?

A

Osteoclast= has lots of nuclei, big surface area that has acids and enzymes which break down mineral and fibres to dissolve the bone, this releases stored minerals. The erosion process is called Osteolysis and it’s useful for regulating the calcium and phosphate ion concentration in body fluids.

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13
Q

What’s compact bone?

A

Compact bone has a very dense structure with lacunae in it, Osteons are parallel to each other with a hole running down the middle in a central canal, the central canal is responsible for the blood supply (contains blood vessels) running to the bones. Also, there’s perforating canals which supply blood to deeper areas in the blood and tissue, these run perpendicular to the surface. Lamellae are concentric layers of matrix running around the outer bit of the bone. The collagen fibres line up in different directions to give maximal strength and resiliency.
Compact bones are strongest when the forces applied to it are coming from the same direction, along the same axis.

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14
Q

What’s trabecular (spongy) bone?

A

Trabecular (Spongy) Bone = it has no osteons but does contain trabeculae, bundles of supporting fibres, which branch in lots of different directions, run in different direction which increases strength but its lighter than compact bone, making it easier for muscles to move. Trabeculae is found in areas where there’s less stresses There’s red bone marrow which is between trabeculae and they form red blood cells and provide nutrients to the osteocytes.
Yellow bone marrow is found in the medullary cavity and this stores fat. There are canaliculi on the surface which provides diffusion between the blood and bone.

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15
Q

What’s Periosteum?

A

Periosteum is on the outside of the bone and is a membrane, the outer layer (fibrous) is made of collagen fibres which are continuous with bones, joints, ligaments…
It covers the compact bone but the medullary cavity. The role of the Periosteum is to isolate the bone from surrounding tissues, provide a route for blood vessels and nerves and take part in bone growth and repair.
At joints, the periosteum becomes continuous with the connective tissue that’s holding the bone in place. The periosteum fibres also entwine with tendons so that when they grow, they become part of the lamellae. Collagen fibres also get joined into bone tissue from tendons and ligaments are called perforating fibres.

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16
Q

What’s the Endosteum layer?

A

There’s a membrane lining the inside of the bone (called Endosteum) which is an incomplete cellular layer, it lines the medullary cavity, central canals and the trabeculae. This is active during bone growth and repair, also osteocytes and osteoblasts remove and deposit bone matrix in this exposed sites.

17
Q

What’s the Intramembranous ossification process?

A

Intramembranous Ossification= flat bone formation, bone forms in a flat sheet and this turns into the flat bone. Mesenchymal stem cells differentiate into osteoblasts (metabolically active), osteoblasts then differentiate into osteocytes which form spicules of bone within the membrane. Between spicules blood vessels form which increase the oxygen supply accelerating bone growth. Osteoblasts keep depositing bone creating spongy bone, which then remodels into compact bone. The connective tissues around the bone form the periosteum membrane, however this whole process only happens if there’s a good blood supply.

18
Q

What’s the Endochondral ossification process?

A

Endochondral Ossification= formation of cartilage, starts with a cartilage model and this gradually grows into bone. Cartilage turns into bone. This ossification mainly occurs in long bones
Starts with a cartilage model, chondrocytes within the matrix enlarge and then die, so osteoblasts cover the shaft (diaphysis) in a thin layer of bone. Blood vessels and Osteoblasts penetrate the bone to form a primary ossification centre, occurring in the shaft of the bone. The primary ossification centre enlarges so the marrow cavity in the middle is created. Secondary ossification centres are formed at the end of the shaft at the epiphyses. Cartilage allows bone to grow longer and more cartilage is turning into bone so over time both the bone and cartilage are growing larger. Eventually the cartilage stops growing so all the cartilage in the epiphyseal is turned into bone leaving a line and it can’t grow anymore.

19
Q

What’s the appositional growth process?

A

Appositional bone growth causes bones to grow wider, so it’s not a way to form bone but a way to expand it. Bone is deposited by osteoblasts so that they’re eventually surrounded by bone marrow and differentiate into osteocytes. At the same time, osteoclasts remove bone at the inner layers but at a slower rate enabling bones to get wider and the medullary cavity also increases.

20
Q

What are the 3 main sets of blood vessel that develop?

A
  • Nutrient vein and artery= they supply the blood when diaphysis (shaft) is forming and occurs by invading the cartilage in endochondral ossification.
  • Metaphyseal Vessels= supply blood to the inner surface of the epiphyseal cartilage, the cartilage that is replaced by bone.
  • Periosteal Vessels= the blood vessels from the periosteum membrane which provide blood to the superficial osteons of the shaft. Also provide blood to secondary ossification centres during the endochondral ossification process.
21
Q

What are the basic requirements for bone growth?

A

Minerals, Vitamins, Hormones and Loading

22
Q

How are minerals useful?

A

Minerals= calcium, phosphate- needed for bone growth and maintenance

23
Q

How are Vitamins useful?

A

Calcitriol and Vitamin D (got from the sun and has calcium)- needed for calcium and phosphate ion absorption in the digestive tract
Vitamin C= required for enzymatic reactions and is needed for osteoblast differentiation
Vitamin A= stimulates osteoblast activity
Vitamin K and B12= needed for protein synthesis

24
Q

How are hormones useful?

A

Hormones- growth hormone (it stimulates bone growth, protein synthesis, cell differentiation and cell growth throughout the body),
sex hormone (at puberty when this hormone increases, it causes osteoblast activity to increase so cartilage expands and it leads to epiphyseal closure),
thyroid hormone and others

25
Q

How is loading useful?

A

Loading- depends on the force applied to the bone, so can form in different shapes- where force is applied the bones adapt to be stronger at that point.

26
Q

What’s bone remodelling?

A

Bone remodelling- is the continuous breakdown and reforming of bone tissue, it allows adaption to reflect applied loads. It recycles and renews the organic and mineral components in the bone matrix, so minerals get circulated around the body.
Osteoblasts form osteons and osteoclasts remove them, this is kept in a homeostatic balance. However, if more osteons were removed than formed then bones will weaken, but if osteoblasts are dominant then bones will get stronger. People that do weight training are making their bones stronger as well as their muscles.

27
Q

What controls calcium homeostasis?

A

Calcium homeostasis is controlled by hormones, so bones get enough calcium- it controls storage and the release of calcium. PTH releases calcium and Calcitonin stores calcium.

28
Q

What’s Osteoporosis?

A

Osteoporosis is when the bone mass is reduced by a significant amount so much so that it restricts normal function. Bones become brittle and fragile so much more easily broken
Rapid loss of bone in women after menopause so can result in osteoporosis which means bones fracture easier and bone mass is lower.

29
Q

How does a bone fracture fix?

A
  • When bones fracture, there’s bleeding and the formation of blood clots.
  • Formation of external callus (cartilage) and internal callus (spongy bone)
  • Over time cartilage dissolves and bone replaces it and the internal callus unites the broken ends
  • Initial swelling eventually remodels
30
Q

Types of bone fracture?

A
  • Transverse fracture= when you break a bone shaft along its long axis
  • Displaced Fractures= produce new and abnormal bone arrangements
  • Non-Displaced Fractures= retain normal alignment of the bone/fragments
  • Compression fracture= occur in vertebrae which is subjected to large stresses, often associated with osteoporosis.
  • Spiral fracture= produced by twisting stresses that spread along the length of the bone
  • Epiphyseal fracture= occur when the bone matrix is undergoing calcification or chondrocytes are dying
  • Compact fracture= shatter the affected area in lots of different fragments
  • Greenstick fracture= one side of the bone is broken and the other is bent, commonly occurs in children
  • Colles fracture= a break in the distal part of the radius
  • Potts fracture= occurs at the ankle
31
Q

What does a dual X-ray absorptiometry machine do?

A

A Dual X-Ray Absorptiometry machine can measure bone density/mass

32
Q

What colour are osteons at different stages?

A
  • Old fully mineralised osteons appear white.
  • New osteons with lower mineralisation appear darker.
  • New dark osteons are apparent at the periosteal surface
33
Q

What’s bad about Osteoblasts?

A

Osteoblasts can’t differentiate between different mineral ions e.g. calcium and lead, therefore bone can be made with dangerous ions incorporated into it which can have health effects.