module 9 bone formation Flashcards

1
Q

axial skeleton

A

80 bones
skull
vertebral column
thorax

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2
Q

appendicular skeleton

A

126 bones
upper and lower extremities
shoulder girdle
pelvic girdle

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3
Q

bone cells

A

osteoblast
osteocyst
osteoclast

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4
Q

osteoblast

A
derived form mesenchymal cells
produce type 1 collagen
responde to parathyroid hormone
produce osteocalcin
synthesize osteoid (nonminderalized bone matrix)
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5
Q

osteocyte

A

transformed osteoblast surrounded in osteoid as it hardens from deposited minerals

  • maintain bone
  • help regulate Ca and Phos.
  • stimulated by calcitonin
  • inhibited by PTH
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6
Q

osteoclast

A

from hematopoetic tissue (monocyte/macrophage lineage)
major reabsorptive cell of the bone
large, multinucleated cells
contain lysosomes filled with hydrolytic enzymes

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7
Q

bone maxtrix

A
organic part: 25%
- collagen
- proteoglycans
- glycoprotines
inorganic part: 65%
- calcium
- phosphate
-- crystals of these minerals called hydroxyapatite
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8
Q

osteoid

A

organic matrix

- collagen fibers extend along parallel lines of tension: give bone tinsel strength and some flexibility.

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9
Q

proteoglycan

A

part of osteoid
polysaccaride that binds between collagen fibers and surrounds cells.
may transfer mechanical info within matrix

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10
Q

Inorganic matrix

A

mineral content bound and embedded in in matrix gives bone hard, rigid structural strength reservoir for the body calcium and phosphorus

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11
Q

basic unit of bone

A

osteon or the harersian system

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12
Q

haversian canal

A

blood vessels and nerve fibers run through this

-surrounded by mineralized matrix: lamellae

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13
Q

lucunae

A

small cavities bordering the lamellae that contain a bone cell, osteocyte.

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14
Q

canaliculi

A

small channels that connect adjacent lamellae, allows nutrients to move through

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15
Q

2 bone types

A

cancellous/trabecular/spongy

compact/cortical

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16
Q

cancellous/spongy bone

A

network of thin plates and rods: trabeculae

  • found within ends of long bones, vertebral bodies, flat bones (pelvis)
  • trabeculae laid in response to stress and shaped to accommodate loads placed on bone
  • enclosed in shell of compact bone
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17
Q

compact/cortical bone

A

resistant to compression
dense in structure
laid in concentric layers

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18
Q

periosteum

A

tough fibrous memrane that covers all bone

  • highly vascularized
  • provides nutrition via volkmann canals
  • inner layer contains osteoblasts
  • covers entire bone except for the ends which are covered by hyaline (articular) cartilage
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19
Q

long bones

A

medullary cavity: central cavity is present

  • endosteum: thin membrane that lines inside of cavitiy
  • – contains osteogenic cells
  • in children: filled with red marrow
  • in adults: largely yellow marrow
  • – red marrow primarily in flat bones of adults
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20
Q

endochondral ossification

A

longitudinal bone growth, evident in embryonic development, fracture healing, some bone tumor growth.

  • mesenchymal cells differentiate into chondrocytes which produce a carilaginous “model” of bone
  • mineralized starting at center (primary assification)
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21
Q

endochondral secondary ossification

A

centers form near ends of long bones ( epiphyses)

- future site of bone growth into teen years.

22
Q

intramembranous ossification

A

flat bones grow by circumferential growth process

- vascularized fibrous tissue becomes mineralized as the mesenchymal cells present differentiate into osteoblasts.

23
Q

continuous bone growth

A

bones increase in length only through growth within cartilage plate followed by endochondral ossification

24
Q

epiphyseal plate

A

allows for lengthening of diaphysis and metaphysis
- site of continuous growth
growth and thickening of cartilage cells of the plate move the epiphysis away from the metaphysis
- calcification and replacement of cartilage occur on metaphyseal surface

25
metaphysis
between diaphysis and epiphysis
26
zones of epiphyseal plate
calcifying cartilage maturing cartilage proliferating cartilage resting cartilage
27
calcifying cartilage zone
thin line of condrocytes weakest part of plate condrocytes no longer active due to calification of matrix
28
resting cartilage zone
maintain adherence of plate to epiphysis
29
proliferating cartilage zone
young | demonstrates most active cell growth
30
maturing cartilage zone
contains enlarged and mature cartilage cells as they migrate towards the metaphysis
31
osteoblast within periosteium
responsible for growth in width of bones via intramembranous ossification
32
thyroxine hormone
decreased levels lead to dwarfism
33
GH
decreased levels lead to dwarfism | increased levels lead to giantism
34
estradiol hormone
during puberty causes more rapid maturation and fusion of plates - can limit growth spurts of puberty, and early sexual maturity, especially in girls, leading to shorter stature
35
bone remodeling phases
1: activation phase 2: resorption phase 3: formation phase
36
activation phase of remodeling
osteoclasts are responsible for bone breakdown - has receptor for RANK L that stimulate bone reabsorption - stimulated by IL-10 and bisphosphonates
37
reabsorption phase of remodeling
osteoclasts form a cutting cone, resorb bone, and leave behind and elongated cavity - compact bone: resorption cavity follows longitudinal axis - spongy bone: resorption cavity parallels the surface of the trabeculae
38
formation phase of remodeling
new bone laid down by osteoblasts lining the walls of the resorption cavity - successive layers laid down - new trabeculae formed in spongy bone
39
RANKL
secreted by osteoblast receptor on osteoclast - when activated cutting and resorbing of bone continues
40
OPG
secreted by osteoblast receptor antagonist for RANK receptor deactivates osteoclast
41
RANKL expression
``` increased by - IL: 1, 11, 17 - PTH - prostaglandin - glucocorticoids decreased by - IL-4 - estradiol ```
42
OPG production
``` increased by - IL: 1, 13, 18 - estradiol - leptin - mechanical strain Decreased by - PTH - prostaglandin - glucocorticoids - cyclosporin ```
43
calcium homeostasis
- majority of Ca stored in bone - blood concentration tightly controlled - PTH maintains serum Ca levels by increasing bone reabsorption as well as Ca reabsorption in renal tubules - Vit. D increases bone mineralization by increasing Ca absorption in GI tract - - in Ca defeciency can stimulate bone resorption to maintain blood concentration
44
calcitonin
inhibitor to bone resorption
45
5 stages of fracture healing
``` hematoma formation fibrocartilage formation callus formation ossification consolidation/remodeling ```
46
hematoma formation, fx healing
size depends on amount of damage offers some stability to fractured ends inflammation
47
fibrocartilage formation, fx healing
3 days- 2 weeks | granular tissue containing blood vessels, fibroblasts, osteoblasts
48
callus formation, fx healing
2-6 weeks cartilaginous callus formation of bone at periosteal surfaces to unite outer ends if this stage is delayed or interrupted final stages do not occur
49
Ossification, fx healing
3-6 months space in bone bridged and fractured ends united callus slowly replaced by spongy bone
50
consolidation/remodeling, fx healing
6 weeks - 1 year medullary canal established bone resorbed and deposited along stress lines to meet mechanical requirements