SKELETAL SYSTEM Flashcards

1
Q

ARTICLUAR CARTILAGE

A

The cartilage covers the articulating surfaces of the bones with a smooth, slippery surface but does not bind them together. Articular cartilage reduces friction between bones in the joint during movement and helps to absorb shock.

The articular cartilage is a thin layer of hyaline cartilage covering the part of the epiphysis where the bone forms an articulation (joint) with another bone. Articular cartilage reduces friction and absorbs shock at freely movable joints. Because articular cartilage lacks a perichondrium and lacks blood vessels, repair of damage is limited.

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2
Q

SYNARTHROSES

A

STILL - joint with no movement

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3
Q

AMPHIARTHROSES

A

A BIT - Joints with some movement.

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4
Q

DIARTHROSES

A

DANCE - Joints that move freely

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5
Q

SIX MAIN FUNCTIONS OF THE SKELETAL SYSTEM

A

Support. The skeleton serves as the structural framework for the body by supporting soft tissues and providing attachment points for the tendons of most skeletal muscles.

Protection. The skeleton protects the most important internal organs from injury. For example, cranial bones protect the brain, and the rib cage protects the heart and lungs.

Assistance in movement. Most skeletal muscles attach to bones; when they contract, they pull on bones to produce movement. This function is discussed in detail in chapter 10.

Mineral homeostasis (storage and release). Bone tissue makes up about 18% of the weight of the human body. It stores several minerals, especially calcium and phosphorus, which contribute to the strength of bone. Bone tissue stores about 99% of the body’s calcium. On demand, bone releases minerals into the blood to maintain critical mineral balances (homeostasis) and to distribute the minerals to other parts of the body.

Blood cell production. Within certain bones, a connective tissue called red bone marrow produces red blood cells, white blood cells, and platelets, a process called haemopoiesis (hēm-ō-poy-ē-sis; haemo- = blood; -poiesis = making). Red bone marrow consists of developing blood cells, adipocytes, fibroblasts, and macrophages within a network of reticular fibres. It is present in developing bones of the foetus and in some adult bones, such as the hip (pelvic) bones, ribs, sternum (breastbone), vertebrae (backbones), skull, and ends of the bones of the humerus (arm bone) and femur (thigh bone). In a newborn, all bone marrow is red and is involved in haemopoiesis. With increasing age, much of the bone marrow changes from red to yellow. Blood cell production is considered in detail in section 19.2.

Triglyceride storage. Yellow bone marrow consists mainly of adipose cells, which store triglycerides. The stored triglycerides are a potential chemical energy reserve.

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6
Q

HAEMOPOISIS

A

Blood cell production. Within certain bones, a connective tissue called red bone marrow produces red blood cells, white blood cells, and platelets, a process called haemopoiesis (hēm-ō-poy-ē-sis; haemo- = blood; -poiesis = making).

Red bone marrow consists of developing blood cells, adipocytes, fibroblasts, and macrophages within a network of reticular fibres. It is present in developing bones of the foetus and in some adult bones, such as the hip (pelvic) bones, ribs, sternum (breastbone), vertebrae (backbones), skull, and ends of the bones of the humerus (arm bone) and femur (thigh bone). In a newborn, all bone marrow is red and is involved in haemopoiesis. With increasing age, much of the bone marrow changes from red to yellow. Blood cell production is considered in detail in section 19.2.

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7
Q

PERIOSTEUM

A

In the long bone

The periosteum (per-ē-OS-tē-um; peri- = around) is a tough connective tissue sheath and its associated blood supply that surrounds the bone surface wherever it is not covered by articular cartilage. It is composed of an outer fibrous layer of dense irregular connective tissue and an inner osteogenic layer that consists of cells. Some of the cells enable bone to grow in thickness, but not in length. The periosteum also protects the bone, assists in fracture repair, helps nourish bone tissue, and serves as an attachment point for ligaments and tendons. The periosteum is attached to the underlying bone by perforating fibres or Sharpey’s fibres, thick bundles of collagen that extend from the periosteum into the bone extracellular matrix.

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8
Q

MEDULLARY CAVITY

A

In the long bone

MED-ul-er-ē; medulla- = marrow, pith), or marrow cavity, is a hollow, cylindrical space within the diaphysis that contains fatty yellow bone marrow and numerous blood vessels in adults. This cavity minimises the weight of the bone by reducing the dense bony material where it is least needed. The long bones’ tubular design provides maximum strength with minimum weight.

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9
Q

ENDOSTEUM

A

end-OS-tē-um; endo- = within) is a thin membrane that lines the medullary cavity. It contains a single layer of bone-forming cells and a small amount of connective tissue.

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10
Q

DIAPHYSIS

A

in the long bone

dī-AF-i-sis = growing between) is the bone’s shaft or body— the long, cylindrical, main portion of the bone.

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11
Q

EPIPHYSIS

A

(e-PIF-i-sēz = growing over; singular is epiphysis) are the proximal and distal ends of the bone

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12
Q

SKELETAL SYSTEM FUNCTIONS

A
  • Support–formsframeworkofbody
  • Protection – e.g. brain, spinal cord, heart, lungs etc.
  • Movement – with muscular system
  • Mineralhomeostasis–storesmostlycalciumand phosphorus that can be released or removed from blood
  • Bloodcellproduction(Haemopoiesis)–RBCs,WBCs and platelets in red bone marrow within the epiphyses
  • Fatstorage–inyellowbonemarrowwithinthe diaphysis
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13
Q

METAPHYSIS

A

In the long bone

(me-TAF-i-sēz; meta- = between; singular is metaphysis) are the regions between the diaphysis and the epiphyses. In a growing bone, each metaphysis contains an epiphyseal (growth) plate (ep′-i-FIZ-ē-al), a layer of hyaline cartilage that allows the diaphysis of the bone to grow in length (described later in the chapter). When a bone ceases to grow in length at about ages 14–24, the cartilage in the epiphyseal plate is replaced by bone; the resulting bony structure is known as the epiphyseal line.

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14
Q

COMPACT BONE

A

Found in the diaphysis and outer covering of epiphysis

The structural unit of compact bone is an Osteon

The central canal of each osteon contains blood vessels and nerve fibres
Collagen fibres run in the directions along which greatest force is applied.

contains few spaces (figure6.3a) and is the strongest form of bone tissue. It is found beneath the periosteum of all bones and makes up the bulk of the diaphyses of long bones. Compact bone tissue provides protection and support and resists the stresses produced by weight and movement.

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15
Q

SPONGY BONE

A

Found in the interior of the epiphysis

has a honeycomb structure of flat pieces of bone known as Trabeculae

Between the trabeculae is red bone marrow

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16
Q

BONE CELLS

A

Osteoprogenitor(osteogenic) cells form Osteoblasts

Osteoblasts are young bone cells that form new bone (e.g.ingrowth)
Found in the Periosteum & Endosteum

c) Osteocytes are mature bone cells found in lacunae surrounded by matrix
d) Osteoclasts destroy bone matrix using lysosomes and are involved in bone remodelling. Found in the Periosteum & Endosteum

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17
Q

LONG BONE

A

A long bone is one that has greater length than width.

Parts of a long bone. The spongy bone tissue of the epiphyses and metaphyses contains red bone marrow, and the medullary cavity of the diaphysis contains yellow bone marrow (in adults).
A long bone is covered by articular cartilage at the articular surfaces of its proximal and distal epiphyses and by periosteum around all other parts of the bone.

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18
Q

Osteoprogenitor cells

A

os′-tē-ō-prō-JEN-i-tor; -genic = producing) are unspecialised bone stem cells derived from mesenchyme, the tissue from which almost all connective tissues are formed. They are the only bone cells to undergo cell division; the resulting cells develop into osteoblasts. Osteoprogenitor cells are found along the inner portion of the periosteum, in the endosteum, and in the canals within bone that contain blood vessels

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19
Q

intramembranous ossification

A

in′-tra-MEM-bra-nus; intra- = within; -membran- = membrane), bone forms directly within mesenchyme, which is arranged in sheetlike layers that resemble membranes.

Intramembranous ossification is the simpler of the two methods of bone formation. The flat bones of the skull, most of the facial bones, mandible (lower jawbone), and the medial part of the clavicle (collar bone) are formed in this way. Also, the ‘soft spots’ that help the foetal skull pass through the birth canal later harden as they undergo intramembranous ossification, which occurs as follows (figure6.5).

1 Development of the ossification centre. At the site where the bone will develop, specific chemical messages cause the cells of the mesenchyme to cluster together and differentiate, first into osteoprogenitor cells and then into osteoblasts. The site of such a cluster is called an ossification centre. Osteoblasts secrete the organic extracellular matrix of bone until they are surrounded by it.

2 Calcification. Next, the secretion of extracellular matrix stops, and the cells, now called osteocytes, lie in lacunae and extend their narrow cytoplasmic processes into canaliculi that radiate in all directions. Within a few days, calcium and other mineral salts are deposited and the extracellular matrix hardens or calcifies (calcification).

3 Formation of trabeculae. As the bone extracellular matrix forms, it develops into trabeculae that fuse with one another to form spongy bone around the network of blood vessels in the tissue. Connective tissue associated with the blood vessels in the trabeculae differentiates into red bone marrow.

4 Development of the periosteum. In conjunction with the formation of trabeculae, the mesenchyme condenses at the periphery of the bone and develops into the periosteum. Eventually, a thin layer of compact bone replaces the surface layers of the spongy bone, but spongy bone remains in the centre. Much of the newly formed bone is remodelled (destroyed and reformed) as the bone is transformed into its adult size and shape.

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20
Q

endochondral ossification

A

en′-dō-KON-dral; endo- = within; -chondral = cartilage), bone forms within hyaline cartilage that develops from mesenchyme.

The replacement of cartilage by bone is called endochondral ossification. Although most bones of the body are formed in this way, the process is best observed in a long bone.

Development of the cartilage model. At the site where the bone is going to form, specific chemical messages cause the cells in mesenchyme to crowd together in the general shape of the future bone, and then develop into chondroblasts. The chondroblasts secrete cartilage extracellular matrix, producing a cartilage model consisting of hyaline cartilage. A covering called the perichondrium (per′-i-KON-drē-um) develops around the cartilage model.

2 Growth of the cartilage model. Once chondroblasts become deeply buried in the cartilage extracellular matrix, they are called chondrocytes. The cartilage model grows in length by continual cell division of chondrocytes, accompanied by further secretion of the cartilage extracellular matrix. This type of cartilaginous growth, called interstitial (endogenous) growth (growth from within), results in an increase in length. In contrast, growth of the cartilage in thickness is due mainly to the deposition of extracellular matrix material on the cartilage surface of the model by new chondroblasts that develop from the perichondrium. This process is called appositional (exogenous) growth (a-pō-ZISH-o-nal), meaning growth at the outer surface. Interstitial growth and appositional growth of cartilage were described in more detail in section 4.5.

As the cartilage model continues to grow, chondrocytes in its midregion hypertrophy (increase in size) and the surrounding cartilage extracellular matrix begins to calcify. Other chondrocytes within the calcifying cartilage die because nutrients can no longer diffuse quickly enough through the extracellular matrix. As these chondrocytes die, the spaces left behind by dead chondrocytes merge into small cavities called lacunae.

3 Development of the primary ossification centre. Primary ossification proceeds inward from the external surface of the bone. A nutrient artery penetrates the perichondrium and the calcifying cartilage model through a nutrient foramen in the midregion of the cartilage model, stimulating osteoprogenitor cells in the perichondrium to differentiate into osteoblasts. Once the perichondrium starts to form bone, it is known as the periosteum. Near the middle of the model, periosteal capillaries grow into the disintegrating calcified cartilage, inducing growth of a primary ossification centre, a region where bone tissue will replace most of the cartilage. Osteoblasts then begin to deposit bone extracellular matrix over the remnants of calcified cartilage, forming spongy bone trabeculae. Primary ossification spreads from this central location towards both ends of the cartilage model.

4 Development of the medullary (marrow) cavity. As the primary ossification centre grows towards the ends of the bone, osteoclasts break down some of the newly formed spongy bone trabeculae. This activity leaves a cavity, the medullary (marrow) cavity, in the diaphysis (shaft). Eventually, most of the wall of the diaphysis is replaced by compact bone.

5 Development of the secondary ossification centres. When branches of the epiphyseal artery enter the epiphyses, secondary ossification centres develop, usually around the time of birth. Bone formation is similar to what occurs in primary ossification centres. However, in the secondary ossification centres spongy bone remains in the interior of the epiphyses (no medullary cavities are formed here). In contrast to primary ossification, secondary ossification proceeds outward from the centre of the epiphysis towards the outer surface of the bone.

6 Formation of articular cartilage and the epiphyseal (growth) plate. The hyaline cartilage that covers the epiphyses becomes the articular cartilage. Prior to adulthood, hyaline cartilage remains between the diaphysis and epiphysis as the epiphyseal (growth) plate, the region responsible for the lengthwise growth of long bones that you will learn about next.

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21
Q

Chemical Composition of Bone

A

Bone is made up of both organicand inorganic materials
• Organic materials include carbohydrates, proteins and fats. Their molecules have C-H bonds e.g. C6H12O6
• Inorganic molecules include the minerals such as calcium, magnesium, phosphate, bicarbonate etc.
• Ingeneral:
- organic materials give flexibility and strength to bone - inorganic materials give hardness

  • In younger people, the percentage of organic materials is relatively high and bones are flexible
  • In older people, the percentage of inorganic materials is relatively high and bones become brittle and are more liable to fracture
  • Increased risk of fracture in the elderly is amplified by the changes in osteoblast and osteoclast activity resulting in thinner bones
22
Q

SESAMOID BONE

A

Sesamoid bones (SES-a-moyd = shaped like a sesame seed) develop in certain tendons where there is considerable friction, tension, and physical stress, such as the palms and soles. They may vary in number from person to person, are not always completely ossified, and typically measure only a few millimetres in diameter. Notable exceptions are the two patellae (kneecaps), large sesamoid bones located in the quadriceps femoris tendon (see figure 11.20a) that are normally present in everyone. Functionally, sesamoid bones protect tendons from excessive wear and tear, and they often change the direction of pull of a tendon, which improves the mechanical advantage at a joint.

23
Q

SHORT BONE

A

Short bones are somewhat cube-shaped and are nearly equal in length and width. They consist of spongy bone tissue except at the surface, which has a thin layer of compact bone tissue. Examples of short bones are most carpal (wrist) bones and most tarsal (ankle) bones.

24
Q

FLAT BONE

A

Flat bones are generally thin and composed of two nearly parallel plates of compact bone tissue enclosing a layer of spongy bone tissue. Flat bones afford considerable protection and provide extensive areas for muscle attachment. Flat bones include the cranial bones, which protect the brain; the sternum (breastbone) and ribs, which protect organs in the thorax; and the scapulae (shoulder blades).

25
Q

IRREGULAR BONE

A

Irregular bones have complex shapes and cannot be grouped into any of the previous categories. They vary in the amount of spongy and compact bone present. Such bones include the vertebrae (backbones), hip bones, certain facial bones, and the calcaneus.

26
Q

RED BONE MARROW LOCATION

A

Recall from chapter 6 that in adults, red bone marrow is restricted to flat bones such as the ribs, sternum (breastbone), and skull; irregular bones such as vertebrae (backbones) and hip bones; long bones such as the proximal epiphyses of the femur (thigh bone) and humerus (arm bone); and some short bones.

27
Q

BONE GROWTH

A

Bone growth occurs in length and in diameter (appositional growth)
Bone growth requires new bone and remodelling:
• New bone is formed by osteoblasts
• Remodelling is carried out by osteoclasts

28
Q

OSTEONS

A

The central canal of each osteon contains blood vessels and nerve fibres
Collagen fibres run in the directions along which greatest force is applied.

Compact bone tissue is composed of repeating structural units called osteons, or haversian systems (ha-VER-shan). Each osteon consists of concentric lamellae arranged around a central canal or haversian canal. Resembling the growth rings of a tree, the concentric lamellae (la-MEL-ē) are circular plates of mineralised extracellular matrix of increasing diameter, surrounding a small network of blood vessels and nerves located in the central canal (figure6.3a). These tubelike units of bone generally form a series of parallel cylinders that, in long bones, tend to run parallel to the long axis of the bone.

29
Q

PARATHYROID HORMONE (PTH)

A

Produced by the parathyroid gland in response to low blood calcium.

Stimulates osteoclasts to resorb bone

Calcium is released into blood, raising levels

PTH secretion stops when homeostatic calcium levels are reached

Note: Intestinal absorption of Ca2+ requires vitamin

30
Q

EPIPHYSEAL PLATE

A

Growth in length of a long bone occurs at the cartilage growth zone or Epiphyseal plate

If the growth zone is made of cartilage, the cartilage cells will need to divide to lengthen bone

Newly formed cartilage matrix will become calcified, the cells will die and be replaced by bone. This will involve osteoclasts and osteoblasts

31
Q

APPOSITIONIAL BONE GROWTH

A

Growth of bone in length as well as diameter.

32
Q

BONE REMODELLING

A

Consists of both bone deposition and bone resorption

Remodelling involves the activity of osteoblasts and osteoclasts

33
Q

FACTORS AFFECTING BONE GROWTH

A

Hormones:
Growth Hormone, thyroxine, parathyroid hormone, etc.

• Minerals:
Calcium, phosphorus, magnesium, iron, etc.

• Vitamins:
Vitamin C for collagen, vitamin K and B for protein synthesis, vitamin A for osteoblast activity, vitamin D forcalcium uptake

• Adequate Diet:
For production of new cells and energy for growth

• Exercise:
Can lead to increased bone growth

34
Q

CALCITONIN

A

produced by Para follicular cells of thyroid gland in response to high blood calcium levels

Effects are negligible but at high pharmacological doses it can lower blood calcium levels temporarily

35
Q

OETEOPOROSIS

A

Age-related disorder characterised by decreased bone mass and increased susceptibility to fractures, often as a result of decreased levels of oestrogens.

This is caused by osteoclast activity (bone reabsorption) becoming greater than osteoblasts activity (bone formation) resulting in “thinning of bones).

36
Q

SYNOVIAL JOINT STRUCTURE

A

Structure of Synovial Joints
• The joint is surrounded by an articular or joint capsule
• The capsule is lined with a synovial membrane that produces synovial fluid
• Synovial fluid fills the space between the articulating bones called a synovial cavity
• Synovial fluid reduces friction and nourishes the cells of the articulating cartilage
• The articulating bones are covered with an articular cartilage to keep the bone ends from being crushed

Structure of Synovial Joints
• Ligaments join bone to bone and stabilise the joint

  • Most ligaments are extrinsic, some are intrinsic
  • Tendons attach muscle to bone
  • Muscle is important in joint stability and movement
  • Menisci (cartilage) improve the fit between bone ends, stabilise the joint and minimise wear and tear on the joint surfaces
37
Q

BURSA

A

Sacs of synovial fluid or bursa between these tissues reduces friction.

Reduction of friction by a bursa between a ligament and a bone Bursa may become inflamed (bursitis) through overuse
E.g. tennis elbow, housemaids knee

38
Q

FLEXION AND EXTENSION

A
  • Usually in the sagittal plane
  • Flexion is a decrease in the angle of the joint
  • Extension is an increase in the angle of the joint
39
Q

ABDUCTION AND ADDUCTION

A
  • Usually occurs in the frontal (coronal) plane
  • Abduction is the movement away from the midline
  • Adduction is the movement towards the midline
40
Q

TENDON

A

Attaches muscle to bone. Dense fibrous connective tissue made up of collagen.

41
Q

LIGAMENT

A

Join bone to bone and are made up of fibrous connective tissue.

42
Q

LATERAL ROTATION

A

Along its longitudinal axis, move outwards away from body.

43
Q

MEDIAL ROTATION

A

Along its longitudinal axis, move inwards towards the body.

44
Q

CIRCUMDUCTION

A
  • Is the circular movement of the distal end of a body part

* It is a sequence of flexion, abduction, extension, adduction and rotation (or opposite order

45
Q

SPECIAL MOVEMENTS

A

• Plantar flexion & Dorsiflexion – bending at ankle
– Plantar flexion = towards plantar (inferior) surface
– Dorsiflexion = towards dorsal (superior) surface
• Inversion & Eversion – movement of the sole of the foot
– Medial movement = inversion – Lateral movement = eversion

46
Q

SUTURE

A

Fibrous immovable (synarthroses) joint. Eg. Between bones of the skull.

47
Q

CARTILAGINOUS JOINTS

A

Cartilaginous joints may be immoveable (synarthroses) or slightly moveable (amphiarthroses).
I.e. epiphysis grown plate or pubic symphysis.

48
Q

FONTANEL

A
  • the skull bones are incomplete at birth
  • Connected by Fontanel (unossified remnants of fibrous membrane)
  • To allow the infant’s head to be compressed slightly during birth
  • To allow later brain growth
  • Most are closed by the end of the first year
49
Q

SYNOVIAL JOINT EXAMPLES

A

Plane
Articulated surfaces flat or slightly curved.
Many biaxial diarthroses (freely movable): back-and-forth and side-to-side movements. Some triaxial diarthroses: back-and-forth, side-to-side, rotation.
Intercarpal, intertarsal, sternocostal (between sternum and second to seventh pairs of ribs), and vertebrocostal joints.

Hinge
Convex surface fits into concave surface.
Uniaxial diarthrosis: flexion–extension.
Knee (modified hinge), elbow, ankle, and interphalangeal joints.

Pivot
Rounded or pointed surface fits into ring formed partly by bone and partly by ligament.
Uniaxial diarthrosis: rotation.
Atlanto-axial and radioulnar joints.

Condylar
Oval-shaped projection fits into oval-shaped depression.
Biaxial diarthrosis: flexion–extension, abduction–adduction.
Radiocarpal and metacarpophalangeal joints.

Saddle
Articular surface of one bone is saddle-shaped; articular surface of other bone ‘sits’ in saddle.
Biaxial diarthrosis: flexion–extension, abduction–adduction.
Carpometacarpal joint between trapezium and metacarpal of thumb.

Ball-and-socket
Ball-like surface fits into cuplike depression.
Triaxial diarthrosis: flexion–extension, abduction–adduction, rotation.
Shoulder and hip joints.

50
Q

AXIAL SKELETON

A

The axial skeleton is the part of the skeleton that consists of the bones of the head and trunk of a vertebrate. In the human skeleton, it consists of 80 bones and is composed of six parts; the skull (22 bones), also the ossicles of the middle ear, the hyoid bone, the rib cage, sternum and the vertebral column.

51
Q

APPENDICULAR SKELETON

A

The appendicular skeleton is the portion of the skeleton of vertebrates consisting of the bones that support the appendages. There are 126 bones. The appendicular skeleton includes the skeletal elements within the limbs, as well as supporting shoulder girdle pectoral and pelvic girdle.