locomotor Flashcards

1
Q

bone

A

A mineralized collagen-rich matrix which is very rigid and strong while still retaining some degree of flexibility

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2
Q

bone functions

A
• Resistance to
compression : inorganic
content
• Resistance to tension :
organic matrix
  • Houses bone marrow
  • Calcium homeostasis
  • Protects vital organs
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3
Q

bone cells

A
– Osteoblasts
bone forming
– Osteocytes
a mature osteoblast surrounded by bone matrix
– Bone lining cells
– Osteoclasts
resorption and degradation of existing bone
-osteoprognitor cells
osteoblast precursors
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4
Q

bone structure and function

A
• Bone matrix / mineralisation
• Bone remodelling
• Bone development
– Intramembranous
– Endochondral
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5
Q

long bone anatomy

A
epiphysis
metaphysis
diaphysis
metaphysis
epiphysis
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6
Q

epiphyseal growth plate

A
  • Specialised zone of cartilage
  • Lies between epiphysis and metaphysis
  • Site of longitudinal growth
  • ‘Closes’ at /after puberty
  • Long bone growth stops
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7
Q

bone - composition

A
• Cortical (70%)
– compact
• Trabecular (30%)
– cancellous
– medullary
– spongy bone
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8
Q

bone - macroscopic organisation

A
• Proportion of cortical / cancellous
bone varies in different parts and
types of the bone
• Mid bone / diaphysis – most cortical
little cancellous bone
• End of bone / epiphysis – predominantly cancellous bone
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9
Q

compact/ cortical bone

A
• Provides most structural
support
• Resists bending and torsion
stresses
– Thicker in mid part of bone
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10
Q

microscopic structure of cortical bone

A
• Osteons / Haversian canals
– Main structural unit of cortical bone
– Bone cylinders 2-3mm long
– 8-15 concentric lamellae 0.2mm wide
– Axis parallel to long axis of bone
– Central cavity with blood vessels and
nerve
• Volkmann’s canals
– Carry blood vessels from periosteum
to Haversian system
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11
Q

microscopic structure of cancellous/ trabecular/ spongy bone

A
• Found inside cortices
• Forms interconnecting
network of plates / trabeculae
• Provides large surface area for
metabolic functions
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12
Q

Cancellous / Trabecular Bone

A
• Provides strength without
disadvantage of weight
• Organisation of trabecular plates is
purposeful
• Arranged along lines of maximum
mechanical stress
– Allows transmission of loads
– Support areas of maximum stress
• More metabolically active than cortical
bone
– Larger surface area
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13
Q

osteoid

A
• Unmineralised bone matrix – produced by osteoblasts 
• Type I collagen ( 90%) 
• Non collagenous proteins 
– Osteocalcin 
• Marker of bone formation 
– Osteonectin 
– Osteopontin 
– Growth factors
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14
Q

bone matrix - microscopic organisation

A
• Lamellar bone
– Type I collagen fibres laid down in
parallel sheets / lamellae
– structurally very strong
• Woven bone
– collagen fibres randomly arranged
– Mechanically weak
– Formed when bone is being produced
rapidly e.g. foetus or fracture
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15
Q

whats needed to from osteoblast

A

transcription factors Runx2 and osterix

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16
Q

osteoblast function

A

• Produce and deposit osteoid

• Regulate osteoclast
differentiation / function
– RANKL – RANK interactions
[RANK(L)] = Receptor Activator of
Nuclear Factor κ B [(ligand)]
17
Q

osteoblast fate

A
• Life span 6 months
– Osteoid production
– 10 –15% entombed in bone –
differentiate into osteocytes
– Others die by apoptosis or
differentiate into lining cells
on quiescent bone
18
Q

osteocytes

A
• Most common cell in bone
• Reside in lacunae in cortical
and trabecular bone
– Connect to other osteocytes,
osteoblasts and osteoclasts via
long cytoplasmic processes
19
Q

osteocyte function

A

Regulation of bone remodelling
• in response to local (biomechanical) or systemic
e.g. parathyroid hormone (PTH) signals
• increases osteoclast formation by increased
expression of RANKL = bone resorption
• inhibits osteoblast formation by production of
Sclerostin = decreased bone formation
• Sclerostin production inhibited by PTH and
mechanical loading = increased bone
formation
Calcium homeostasis
• Responds to increasing PTH levels by inducing
rapid calcium release (osteocytic osteolysis)

20
Q

RANK-RANKL interaction

A

– induce precursor cell fusion and increase osteoclast
activity
– Regulated by Osteoprotegerin (OPG) a decoy receptor
that binds RANKL and inhibits osteoclast formation
preventing excessive bone resorption
– OPG secreted by osteoblasts and stromal cells

21
Q

osteoclasts - 1

A

Monocyte / macrophage derived
multinucleate giant cells

Formation regulated by growth factors and
interactions between RANK (expressed by
osteoclast lineage) and RANKL expressed by
stromal cells / osteoblasts /osteocytes

22
Q

osteoclasts 2

A
• Bind to mineralised bone surface
• integrins
• Resorb bone by production of
– Acid to release calcium
– Proteases to breakdown organic matrix
• By-products of bone breakdown and
osteoclast enzymatic activity are used as
markers of bone resorption
– Detected in blood or urine
– Type I collagen fragments
– N- and C-terminal cross-linked telopeptides
– Tartrate-resistant acid phosphatase
– Expressed by osteoclasts
23
Q

mechanisms of bone formation and skeletal development

A
• Intramembranous ossification
– Osteoid laid down by osteoblasts
within loose fibroconnective tissue of
a fibrous membrane
• Endochondral ossification
– Osteoid deposited on cartilage
scaffolds
24
Q

intramembranous ossification

A

• Formation of skull, maxilla
parts of clavicle/mandible
• Subperiosteal bone growth
• Fracture repair

25
Q

endochondrial ossification

A
• Osteoid deposited on preformed
cartilage
– Development of most of the
skeleton
– Growth plates
– Fracture repair
• Programmed changes in
chondrocyte
– Hypertrophy, matrix vesicles,
type X collagen secretion,
chondrocyte death
26
Q

primary centre of ossification

A

Genetically predetermined sites and times of ossification in diaphyses of
cartilage bones in utero

27
Q

secondary centre of ossification

A
Ossification in epiphysis at or after
birth
Similar process to that of primary
centre formation
Line of cartilage between primary
and secondary centres = epiphyseal
(growth) plate
28
Q

growth plate abnormalities - short

A
  • Achondroplasia
  • Achondrogenesis type II
  • Multiple epiphyseal dysplasias
29
Q

growth plate abnormalities - tall

A
Achondroplasia
– mutation in fibroblast growth factor
receptor 3 (FGFR3)
– Receptor constitutively active
– decreased chondrocyte proliferation and
hypertrophy
• Gigantism
– excess growth hormone production
before puberty
– Increased longitudinal bone growth