MSK Flashcards
example of a long bone
femur, humerus
example of a irregular bone
maxillary, mandibular
describe primary and secondary bone
primary= trabecular bone, formed from endochondrial ossification, fast process, disorganised structure secondary= lamellar bone, remodelled, organised structure, good strenght to weight ratios
example of a flat bone
skull, sternum
example of a sesmoid bone
patella, hyoid. These are bones within a tendon
describe the 4 stages of fracture healing
- haematoma formation- blood clot forms in bone and periosteal stem cells migrate to fracture site
- inflammation- platelets in clot secrete cytokines which attract macrophages etc to the site. Oseoclasts reabsorb bone. Stem cells differentiate into osteoblasts
- repair- osteoblasts produce osteiod and fibroblasts produce soft callus.
- remodelling. calcified matrix of disorganised woven bone gradually becomes remodelled by the continuous absorption and production of lamella bone.
give 3 reasons for bone remodelling
to obtain more calcium- for example in pregnancy
a response to force- during exercise
to reform the structure after a fracture- reorientate fibrils for mechanical strength
intramembraneous ossification
osteoprogenitor cells form clusters in tissues and with the expression of cbfa-1 gene they differentiate into osteoblasts- secrete osteoid- bone formation
endochondiral ossification
osteoblasts secrete osteoid over a cartilagenous bone model, at the emphyseal plate
requires the invasion of blood vessels in the primary ossification site for development to occur
give 3 purposes of the skeleton
to protect the vital organs
to form joints for movement
to act as a source of minerals- calcium
describe the adult bone matrix composition
50-70% hydroxyapetite
20-40% type one collagen (bone)
5-10% water
type one collagen
bone
type 2 collagen
cartilage
type 3 collagen
forms reticulin, involved in artery formation and wound healing
type 4 collagen
basement membranes
type 5 collagen
fibrils of collagen, also found in the placenta
type 6 collagen
microfibrillar cross linked collagen molecules
extra-articular fracture
does not involve the joint
intra-articular fracture
involves the joint
principles of fracture management
- reduce- put bones back together
- stabilise- hold the bones together- pins, cast, sling
- rehabilitate- physio- enable movement of the joint
name 3 types of fracture fixation
- intramedullary- nails into the bone from top down to secure fracture together.
- external fixation- rings of metal around the bone- pins into the bone to secure it in place
- extramedullary- plates and screws