Skeletal system Flashcards

1
Q

Describe the 6 steps of endochondral ossification

A
  1. Cartilage
    stem cells form chondrocytes -> make cartilage
  2. Growth of cartilage
    cells in centre burst causing pH shift, triggering calcification
  3. primary ossification centre
    nutrient artery penetrates centre of cartilage
  4. medullary cavity
    bone mineral is reshaped + remodelled to form medullary cavity
  5. secondary ossification centre
    blood vessels enter the epiphyses (around time of birth)
  6. formation of cartilage on the joints
    cartilage on ends of bone remain as articular cartilage
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2
Q

Describe how long bones get longer

A
  • growth plate forms new cartilage which becomes bone in the metaphysis, making the bone longer
  • cartilage cells are produced by mitosis on epiphyseal side of plate
  • cartilage cells are destrpoyed and replaced by bone on diphyseal side of plate
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3
Q

State what the growth of flat bones is called and how it occurs

A

Intermembranous ossification

  • occurs when bones form directly from osteoblasts and do not have a growth plate or cartilage stage
    -> fibroblasts differentiate into the osteoblasts and mineralise
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4
Q

State the components of bone

A

Organic collagen matrix (10%) -> flexibility

Mineral (65%) -> hydroxyapatite = insoluble salt of calcium + phosphorus

Water (25%)

Trace amounts of magnesium, sodium + bicarbonate

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5
Q

List the characteristics of osteoblasts

A
  • matrix formation
  • secrete type 1 collagen
  • regulates mineralisation
  • positioned above osteoid matrix

Differentiates to become osteocyte or undergoes apoptosis

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6
Q

List the characteristics of osteoclasts

A
  • digests bone
  • large + multi nucleated
  • high density of golgi stacks, mitochondria + lysosomal vesicles
  • undergo apoptosis once finished
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7
Q

List the characteristics of osteocytes

A
  • born from osteoblasts
  • maintains bone matrix
  • occupies lacunae
  • extends filpodia through canaliculi
    forms gap junctions w/ neighbouring cells
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8
Q

List the characteristics of bone lining cells

A
  • flat, elongated cells
  • generally inactive
  • cover surfaces of inactive bone
  • thought to be precursor cells to osteoblasts
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9
Q

What are the 4 reasons bone remodelling is necessary

A
  • to repair micro fractures
  • to heal major fractures
  • to adapt the skeleton to the demands of the structure
  • to supply mineral as required for maintaining homeostasis
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10
Q

Describe the process and function of calcium homeostasis

A
  • calcium is reabsorbed when kidneys filter blood
    -> enables bone turnover / takes calcium from blood to go to bone

regulated by endocrine system

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11
Q

Describe the function of parathyroid hormone (PTH)

A
  • produced by parathoid glands
  • released in response to low blood calcium levels
    -> increases bone resorption
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12
Q

Describe the function of calcitriol (active vitamin D)

A
  • produced from cholseterol derived precursors + enzymatic steps in liver + kidney
  • synthesised in response to high PTH levels
    ->increases bone resorption
  • regulates osteoblast + osteoclast function
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13
Q

Describe the effects of osteoporosis

A
  • holes in bone become larger + are filled w/ fat or bone marrow
    -> decreases density of bone
  • caused by imbalance of bone resorption + formation

results in fewer or thinner trabeculae
low bone mass
thin cortical bone

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14
Q

State the hormone released when blood calcium levels increase and the effects of this hormone

A

Calcitonin

Increased excretion of calcium by kidneys
increased calcium deposition in bones

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15
Q

Name a drug that inhibits bone resorption

A

Bisphosphonates

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16
Q

Describe the symptoms + causes of osteomalacia

A
  • softening + bending of bones + increased fractures
  • caused by vitamin D deficiency, calcium or phosphate deficiency or overactive parathyroid gland
17
Q

Describe the symptoms + causes of rheumatoid arthritis

A
  • inflammatory condition that damages synovial joints -> swollen joints
  • osteoclasts are activated by autoimmune induced inflammation / osteoclasts inhibited = net bone loss