Lecture - Bone Flashcards
What kind of coverings does a long bone have?
Periosteum (outside) and endosteum (medullary cavity)
Where is red blood marrow found?
- In children: in all bones
- In adults: converted to yellow bone marrow, but some remains in the axial skeleton (skull, vertebrae), and proximal heads of femur and humerus
What are the general features of the epiphyseal plate?
- hyaline cartilage
- separates epiphysis and diaphysis in children and adolescents
- growth zone in long bones
- cartilage expands to create bone length
- disappears when epiphysis and diaphysis join (around 18-20)
- epiphyseal line still visible in some adults
What are the 6 steps of endochondral ossification?
- Mesenchyme develops into a body of hyaline cartilage, covered with fibrous perichondrium
- Chondrocytes inflate and die in the primary ossification center in the middle of the cartilage, they calcify, then thin band of bone forms around the middle
- Vascular invasion, formation of primary marrow cavity, appearance of secondary ossification center
- Bone at birth: has enlarged primary marrow cavity and a secondary marrow cavity in one epiphysis
- Epiphyseal plate at distal end, ends filled with spongy bone, growth zone
- Adult bone: cartilage in the epiphyseal plate is consumed closing growth plate, primary and secondary marrow cavities merge into one
What does mineralization mean?
Mineralization is the processes involved in hardening of bone by deposition of calcium phosphate and other minerals; also called “calcification”
What does calcitonin do to osteoclasts and osteoblasts?
Osteoclasts are inhibited within 15 minutes
Osteoblasts are stimulated within an hour
What is the name for the study of bones?
Osteology
Where are osteogenic cells found?
The endosteum, inner surface of periosteum and in central canals
What does calcium do in the body?
muscle contraction and bone hardening
What causes hyperexcitability and tetany?
Hypocalcemia
What are the 4 types of bone (with example)?
- Long Bones - femur, humerus
- Short Bones - carpals, tarsals
- Flat Bones - sternum, cranium
- Irregular Bones - scapula, ethmoid
What are the 4 steps of fracture healing?
- Hematoma formation - blood clot
- Soft callus formation
- Hard callus formation
- Bone remodeling
What is the epiphysis?
The expanded head of a long bone
What are the 5 functions of the skeleton?
- Support
- Protection
- Movement
- Blood and immune formation
- Electrolyte balance - calcium, phosphorous and magnesium
Describe the organic portion of an osseous tissue
It makes up 1/3 of the dry weight of the bone
Composed of Collagen, Glycosaminoglycans, Proteoglycans, and Glycoproteins
What is a fracture where the skin is broken?
Open/compound
What is a fracture where the bone is in 3+ pieces or shattered?
Comminuted
What is responsible for phosphate and magnesium balance in the blood?
Osteocytes
Which hormone is secreted by the thyroid to lower blood calcium?
Calcitonin
What serves as the body’s storage for Calcium and Phosphorous?
The bones hold 99% of calcium and 90% of Phosphorous
What does the parathyroid gland release to raise blood calcium?
Parathyroid hormone (PTH) - moves calcium from bones to blood, stimulates osteocytes and osteoclasts to dissolve matrix (bone resorption)
How many bones are in the human body?
Around 206
What kind of bone cell has multiple nuclei (from many fused monocytes) and dissolves matrix by acids and enzymes?
Osteoclasts
Describe the general features of the endosteum
Reticular connective tissue that lines the medullary cavity
Describe the general features of perforating fibers
Collagen fibers of periosteum continuous with matrix
Which cells arise from trapped osteoblasts in the lacunae?
Osteocytes - they maintain (but do not make) the matrix (they synthesize the matrix) and manage blood calcium and bone calcium
How are signs and symptoms of leukemia related to a “space issue”?
It is cancer of the red bone marrow caused by out of control division of leukocytes, so there is less room for red blood cells and platelets
What is appositional bone growth?
Adding, matrix to the surface of the bone, occurs throughout life, widens bones, adds osteons to diaphysis of bone
Bone is twisted
Spiral fracture
Which kind of bone growth involves adding matrix to the interior of the bone, involves cartilage, and elongates bones?
Interstitial growth