SKELETAL SYSTEM Flashcards

1
Q

Summarize the functions of the skeletal system.

A

Framework for body - structure and support

Movement at joints

Protects internal organs (brain, heart, lungs, GI tract)

Produce blood cells - red & white cells produced within red bone marrow from hematopoietic stem cells

Store triglycerides - adipocytes stored in yellow bone marrow in medullary cavity

Store & release minerals - calcium and phosphate stored in extracellular matrix

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Distinguish the axial and appendicular skeletons.

A

Axial
- 80 bones
- head and trunk
- encloses and protects body cavities

Appendicular
- 126 bones
- upper and lower limbs
- supports movement and locomotion

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Distinguish compact and spongy bone.

A

Compact bone - external dense layer

Spongy bone - internal porous layer (surrounded by compact bone)

Medullary cavity - hollow space (surrounded by spongy bone

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Categories of bones: Long

A

Found in limbs; Length > width

Upper
- clavicle
- radius
- ulna
- metacarpals
- phalanges

Lower
- femur
- tibia
- fibula
- metatarsals
- phalanges

Parts
- epiphyses: ends of bones
- diaphysis: shaft of bone (with medullary cavity)
- metaphases: in between

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Categories of bones: Short

A

Found in wrists and ankles; length = width

Carpals in hands, tarsals in feet

Layer of compact bones surrounding spongy bone

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Categories of bones: Sesamoid

A

Develop in tendons (with friction) found in knee and in front of thigh

Patella in quadriceps femoris tendon

Pisiform in flexor carpi ulnaris tendon

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Categories of bones: Flat

A

Thin bones that protect body cavities

Including:
Bones of calvaria (skull cap)
Scapulae
Ribs
Sternum
Pelvic girdle

Two plates of compact bone surrounding inner layer of spongy bone

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Categories of bones: Irregular

A

Shapes that do not fall into other categories

Including
- bones of the face
- vertebrae
- sacrum

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Which types of bones make up the axial skeleton? Appendicular?

A

Axial - Flat (skull, ribs, sternum) and irregular (sacrum, vertebrae)

Appendicular - Long, short, sesamoid

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Describe the basic development and functions of the cells in bone tissue.

A
  1. Osteoprogenitor cells - stem cells of bones; divide into osteoblasts
  2. Osteoblast - build up bone; secrete organic bone matrix and begin process of calcification (hydroxyapatite)
  3. Osteocytes - osteoblasts become trapped in mineralized extracellular matrix then transition into osteocytes, which are mature cells that maintain bone and detect forces
  4. Osteoclast - formed by fusion of monocytes (large blood cells from bone marrow); multinuclei; release enzymes and acids to break down bone at *ruffled border (deeply folded plasma membrane)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Describe the contents of the extracellular matrix of bone tissue.

A

Extracellular matrix/ bone matrix

Inorganic
- 55% bone minerals
- calcium phosphate and calcium hydroxide create hydroxyapatite (hardness of bones) called calcification

Organic
- 30% unmineralized
- made up of collagen fibers (flexibility of bone), ground substance and 15% water

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Explain the tensile strength of bone in relation to the extracellular matrix.

A

Only bone minerals - hard and fragile

Only organic matrix - too flexible

Both - hard bone with tensile strength

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Distinguish the periosteum and endosteum.

A

Periosteum (associated w/ compact bone)
- connective tissue layer
- external fibrous

Endosteum (associated w/ spongy bone)
- connective tissue layer that lines the medullary cavity

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Describe the organization of bone tissue.

A

Spongy bone
- oriented along lines of stress
- strength in compression
- spongy/trabecular/cancellous

Compact bone
- oriented longitudinally
- strength in bending
- compact/cortical/dense

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Describe the location of osteocytes within bone tissue.

A

Osteocytes found in between lamallae (circular plates of bone)

Trabeculae in spongy bone, osteon in compact bone

In compact bone
- layers in osteon called concentric lamellae
- space between osteons filled with broken down osteons are interstitial lamellae
- large plates that surround internal and external circumferences are circumferential lamellae

Overall, osteocytes are found between concentric lamellae, within compact bone, and within spongy bone.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Describe the location of blood cell production.

A

BONE MARROW
- found within hollow portions of bone such as extensive spongy bone or within medullary cavity

Red bone barrow
- supports blood cell formation and filters out old blood cells
- * red & white blood cells produced within red bone marrow from hematopoietic stem cells
- typically ends of bones (spongy)

Yellow bone marrow
- supports vasculature within the medullary cavity
- fat cells & storage

17
Q

Describe the major pathways of neurovasculature within a bone.

A

Nutrient vasculature within medullary cavity (big veins)

Periosteal vasculature remains superficial and supplies external surfaces of bones (small veins)

Each individual osteon supplied by capillaries within the central canal

Communicative branches run perpendicular through interosteonic canals (communicate between osteons and connect sources of blood.

Innervation - sensory nerves reach all aspects of bone by following blood vessels
* BUT only periosteum receives SOMATIC info (localized info; pain info)

18
Q

Describe typical bone formation during embryonic development.

A

A mesenchymal (embryonic connective tissue) skeleton is formed by week 6 of development

At birth:
- joints remain between flat bones of skull that will later ossify
- bones forming thru intramembranous ossification are ossified
- diaphyses of long bones are ossified and have developed a medullary cavity

19
Q

Describe intramembranous ossification and identify the bones that form from this process.

A

Bone formation within Mesenchyme (most direct way of bone formation)

  1. Differentiation of osteoprogenitor cells
  2. Turn into osteoblasts due to blood supply, which build bone and initiate calcification
  3. Osteoblasts become trapped and turn into osteocytes
  4. Osteoclasts remove parts of bone and result in internal spaces around trobeculae of spongy bone
  5. Periosteum forms (both outer protective fibrous layer and inner cellular layer); dormant osteoprogenitor cells lie deep in periosteum

Bones formed:
- most bones of the skull (facial bones and flat bones of calvaria)
- Majority of the clavicle

20
Q

Describe endochondral ossification and identify the bones that form from this process.

A

First cartilage model forms within mesenchyme, then bone forms within cartilage model

  1. Chondroblasts replace mesenchymal model with hyaline cartilage, which then grows in length and width
  2. Blood vessels bring osteoprogenital cells which transition into osteoblasts, which initiate calcification (bone collar/periosteal collar is formed at diaphysis)
  3. Formation of bone collar leads to formation of primary ossification center made by osteoblasts
  4. Osteoclasts enter to remove debris and begin formation of trobeculae and intermedullary cavity
  5. Blood vessels infiltrate epiphyses at secondary ossification center (spongy bone forms)
  6. Interstitial growth
  7. Eventually epiphyseal plates are replaced by bone and called epiphyseal lines (growth in length stops)
  8. Hyaline cartilage remains on ends of bones as articular cartilage (periosteum attaches everywhere but where hyaline cartilage is)

Bones formed:
- base of the skull (sphenoid, occipital, and ethmoid)
- most bones of the body

21
Q

Differentiate interstitial and appositional growth.

A

Interstitial growth
- growth in bone length
- occurs through endochondral ossification at epiphyseal plates (growth plate)
- adds bone on diaphysis side

Appositional growth
- growth in bone width (due to pull of skeletal muscles)
- occurs on surface of bone or superficial to medullary cavity (near periosteum)

22
Q

Define bone remodeling. Which type of bone typically remodels at a faster rate?

A

Old bone replaced by new bone

5-10% of bone remodeled per year

Spongy bone (20% per year) remodels faster than compact bone (4% per year)

Resorption - osteoclasts break down bone matrix and release minerals into blood

Deposition - osteoblasts lay down new bone; addition of minerals and collagen

Cells involved in remodeling - osteoprogenitors, osteoblasts, and osteoclasts (distributed in periosteum, endosteum, and intersteonic canals); osteocytes recruit either osteoblasts (build new area) or osteoclasts (remove weak area)

23
Q

Describe the minerals stored in high quantities in bone.

A

Bone contains 99% of calcium and 85% of phosphorus in the body

24
Q

Explain why minerals would be released from bone.

A

Bone contains minerals such as calcium and phosphate. Resorption is how these minerals are freed into the blood.

24
Describe risk factors and potential ways to treat osteoporosis.
25
Describe how different factors affect bone deposition and resorption.
Mechanical loading leads to increase of bone deposition (osteoblasts) (zero gravity = bone becomes less dense) Growth & sex hormones - increase of bone deposition Calcitonin - stores calcium; increase of deposition and decrease in resorption (to remove less calcium) *Parathyroid hormone - DECREASED deposition, increased resorption (stimulates osteoclasts to remove minerals from bone to use elsewhere BLOODSTREAM) Vit D, calcium, and phosphate are needed for bone deposition
25
Compare and contrast bone marrow quantities between juveniles and adults.
Childhood - red bone marrow establishes immune system and populated the blood (hematopoiesis) Adulthood (>25 yrs) - red bone marrow becomes inactive and is replaced by yellow bone marrow (adipose tissue)
25
Describe the two main effects on bone with aging.
1. Demineralization/loss of bone mass 2. Collagen production slows - smaller and more brittle
25
Differentiate between osteopenia and osteoporosis.
Osteopenia - first stage loss of bone mass Osteoporosis - more severe loss of bone mass with enlarged spaces in bone
25
Describe treatments for fracture.
25
Describe the terminology associated with bone surface markings to apply when learning the bones.
26
Describe risk factors and potential ways to treat osteoporosis.
Risk factors for low bone mass: - age - decreased sex hormones w age - family history - smaller build - inactivity What to target in treatment: - stimulate osteoblasts and inhibit osteoclasts - hormone replacement therapy - exercise/diet
27
Describe the differences between the main categories of fractures: Type of break
Type of break - oblique: a diagonal break across the bone - transverse: horizontal break across the bone - comminuted: bone shatters into three or more fragments - greenstick/incomplete (*specific to juveniles): incomplete fracture where one side of the bone bends and the other breaks
28
Describe the differences between the main categories of fractures: Penetration of skin
Penetration of skin - closed/simple: The bone breaks but does not penetrate the skin - open/compound: The bone breaks and protrudes through the skin
29
Describe the differences between the main categories of fractures: Displacement of fragments
Displacement of fragments - nondisplaced: the bone remains aligned despite the break - displaced: the bone fragments shift out of alignment and may require realignment (reduction) - impacted: broken bone ends are forced into each other due to compression
30
Describe the process of bone fracture repair.
Repair of bone fractures 1. formation of fracture hematoma 2. formation of fibrocartilaginous callus 3. formation of bony callus 4. remodeling of bone (resorption)
31
Describe treatments for fracture.
Closed reduction - fractured ends aligned by manual manipulation with skin intact (cast) Open reduction - fractured ends aligned by surgical intervention
32
Describe the terminology associated with bone surface markings to apply when learning the bones.
Articular surfaces (joints) Projections - head - neck - condyle Depressions - facet - fossa (divot) Attachment points Projections - process (stick out) - protuberance (blunt sticking out) - epicondyle (above condyles) - tubercle - trochanter - tuberosity - ridge (spine, line, or crest) Bony passages - foramen - meatus - canal - fissure Bony depressions - fossa - sulcus (groove)