lecture 6 Flashcards
bone is made of (6)
bone (osseous) tissue
cartilage
dense connective tissue
epithelial tissue
adipose tissue
nervous tissue
osteology
the study of bone structure
skeleton 6 main functions
supports body (framework)
protects internal organs
assists movement
assists mineral homeostasis
red blood cell production
store triglycerides
diaphysis
shaft of the bone
epiphysis
knobby ends of the bone
metaphysis
region between epiphysis and diaphysis. neck sort of thing
articular cartilage
reduced friction between joints, made of hyaline
periosteum
outer covering of the bones where tendons and ligaments attach
medullary cavity
hollow portion of diaphysis
endosteum
membrane that lines medullary cavity, made of 1 layer of osteocytes and thin connective tissue
% makeup of bone ECM
15 water, 30 collagen fibres, 55 mineral salts
calcification
harding of ECM
primary elements in bone
calcium first, then phosphorous
cells make up ____% of bone
2
4 cells in bone (o cell)
osteoprogenitor cells
osteoblasts
osteocytes
osterclasts
osteoprogenitor cells
stem cells of bone, located deep to the periosteum
osteoblasts
secrete collagen and other components of bone ECM. do not divide, once immobilized by its secretions, they become osteocytes
osteocytes
mature bone cells, do not divide or secrete, acquire nutrients and eliminate wastes
osteoclasts
catabolize bone, formed by 50 ish monocytes (WBCs), secrete lysosomal enzymes and acids, release minerals into blood
(bone resorption)
bone resorption
process done by osteoclasts where bone is catabolized or broken down and the minerals are released into the blood
where to find compact bone tissue
diaphysis of long bones
surrounding all bones (deep to periosteum)
where to find spongy bone tissue
inside epiphysis of long bones
inside flat bones (many of the axial skeleton)
structure of compact bone
strongest of bone tissues
resistant to mechanical stress
dense ECM
structural unit = osteons
bone remodeling
arrangement of osteons and trabeculae due to mechanical stress
types of lamellae
interstitial = old concentric from old osteons
concentric = rings around central canal
circumferential = surround long bone
interosteonic canals
provide passage for blood vessels and nerves
penetrates bone from periosteum to medullary cavity
travels between osteons
trabeculae structure
projections of bone tissue arranged alone areas of stress
surrounded by red bone marrow
is lighter that compact bone
supports and protects bone marrow
handles stress along multiple axes better then compact
periosteal arteries
nourish periosteum
nutrient artery
enters bone through nutrient foramen
penetrates diaphysis and branches into bone marrow
epiphyseal and metaphyseal arteries
nourish internal tissues of the epiphysis
branches of the nutrient artery
functions of the blood supply in bone
bring nutrients (o2, cells, minerals, hormones), remove waste
function of the nerve supply in bone
detect pain (respond before injury, regulate bone remodeling)
ossification
formation of bones
4 phases of life that require bone formation
development of embryonic skeleton
development during childhood and adolescence
during bone remodeling
during the repair of fractures
intramembranous ossification
bone develops directly from mesenchymal tissue
endochondral ossification
bone develops from a hyaline cartilage intermediate
forms most bones, including long bones
intramembranous ossification steps
- formation of ossification centre
- mesenchymal - osteoprogenitor - osteoblasts - calcification of mineral salts secreted by osteoblasts
- formation of trabeculae in spongy tissue
- CT between trabeculae becomes red marrow - formation of periosteum
- mesenchymal tissue surrounding trabeculae compacts and form the periosteum
key points of intramembranous ossification (4)
bone forms directly from mesenchymal tissue
makes bone spongy and compact tissue
starts in the embryo
makes flat cranial bones and most facial bones
endochondral ossification steps (6)
- mesenchymal cells differentiate into chrondroblasts
- chondroblasts secrete ECM to promote intersitial growth
- penetration of nutrient artery
- primary ossification extends to the ends of bones
- secondary ossification centre forms at epiphysis
- hyaline cartilage at joints become articular cartilage
interstitial growth
growth in bone length
appositional growth
growth in bone circumference
step 1 of endochondral in detail
mesenchymal cells differential into chondroblasts
they secrete collagen to become hyaline cartilage, and forms the future diaphysis
step 2 of endochondrial in detail
chondroblasts secrete ECM to promote interstitial growth
mature chondrocytes die and become lacunae
step 3 endochondrial in detail
penetration of nutrient artery through the perichondrium
stimulates: osteoprogenitor cells to mature into osteoblasts and make trabeculae in the primary ossification centre, perichondrium compacting into periosteum, and hyaline cartilage to lose nutrients and disintegrate
step 4 endochondrial in detail
primary ossification extends to the end of bone
osteoclasts digest some of the spongy bone, carving out the medullary cavity
step 5 endochondrial in detail
secondary ossification centre forms at epiphysis
begins at birth
step 6 endochondrial in detail
hyaline cartilage at joints becomes articular cartilage
cartilage remaining at metaphysis remains cartilage until adulthood (epiphyseal plate/line)
interstitial growth zones (4)
zone of resting cartilage
zone of proliferating cartilage
zone of hypertrophic cartilage
zone of calcified cartilage
zone of resting cartilage (3)
proximal to the epiphysis
does not divide
anchors epiphyseal plate to bone
zone of proliferating cartilage (2)
contains actively dividing chondrocytes
contributes to interstitial growth
zone of hypertrophic cartilage
contains mature chondrocytes
large cells arranged in columns
zone of calcified cartilage
contains layers of dead chondrocytes
can be cleared by osteoclasts during bone remodeling
becomes “new diaphysis”
appositional growth steps (4)
- periosteal cells become osteocytes, ridges of ECM form around periosteal vessels
- ridges fuse, old periosteum is now endosteum
- endosteal ostesblasts secrete ECM to create new concentric lamellae
- new circumferential lamellae are made by osteoblasts
nutrient groups that affect bone growth (5)
calcium and phosphorus
vit D
vit C
vit K and B12
vit A
what does calcium and phosphorus do for bone growth?
mineralize bone tissue ECM
what does vit D do for bone growth?
promotes dietary calcium absorption
what does vit C do for bone growth?
required for collagen synthesis
what does vit K and B12 do for bone growth?
important for protein synthesis
what does vit A do for bone growth?
stimulates osteoblast activity
what hormones affect bone growth? (4)
human growth hormone
thyroid hormones (t3 and t4)
estrogen
test
how does human growth hormone affect bone growth?
stimulates osteoblasts at epiphyseal plate and periosteum during childhood and before adulthood
how does thyroid hormones t3 and t4 affect bone growth?
by stimulating osteoblasts
how does estrogen affect bone growth?
it can inhibit or slow bone resorption by promoting apoptosis in osteoclasts
three factors affecting bone growth
nutrition
hormones
exercise
bone remodeling / when is it remodeled?
encompasses both bone resorption and bone deposition
bone is remodeled:
during growth
during and after injury
with changes to exercise and diet
what happens during bone remodeling?
osteoclasts suction to bone and release enzymes and acids to catabolize bone and release minerals via transcytosis. osteoblasts then deposit bone along lines of mechanical stress
calcium homeostasis feedback loop
stimulus - low calcium
sensor - parathyroid gland
control centre - nucleus of parathyroid gland
effector - kidneys and osteoclasts
response - increased calcium
osteoclasts will dissolve bone to release calcium into the blood, kidneys will make calcitriol to increase calcium absorption
types of fractures
stress - can be microscopic and not damage surrounding tissue
compound - can be large and damage surrounding tissue
reduction
the realigning of bones to initiate healing
closed reduction - occurs without surgery
open - skin is broken, occurs with surgical intervention
bone repair phases (3)
reactive phase
reparative phase
remodeling phase
reactive phase of bone repair
first phase
close like structure called fracture hematoma stops bleeding, inflammation bring immune cells to injury
lasts 4-6 weeks
reparative phase of bone repair
second phase
formation of fibrocartilaginous callus made of collagen between fractured ends of bone, new blood vessels form
at the same time, osteoprogenitor cells secrete ECM to create new spongy bone and form bony callus
lasts 3-4 months
bone remodeling phase
third phase
osteoclasts remove dead bone, compact bone replaces spongy tissue around fracture site and thickens at the fracture area
osteoporosis
loss of bone density
higher levels of bone resorption than deposition
increased risk of fracture
affects elderly women more due to lower estrogen levels