Skeleton Flashcards

1
Q

Bone growth in length is called what? Bone growth in width is called what?

A

longitudinal growth; appositional growth

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2
Q

Where does longitudinal growth start?

A

the epiphyseal plate

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3
Q

What are the 2 sides of the epiphyseal plate?

A

the diaphysis side and the epiphyseal side

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4
Q

What are the 4 steps to longitudinal growth?

A

1.) cells on the diaphysis side of the plate start to replicate and push the epiphyseal plate upwards
2.) as new cells are pushed up, old cells below calcify and die
3.) the dead, calcified cells form the spongy bone
4.) osteoclasts digest the spongy bone to lengthen the medullary cavity and turn it into compact bone

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5
Q

What are the 3 steps to appositional growth?

A

1.) osteoblasts on the bone side of the periosteum deposit bone on the external surface
2.) osteoclasts on the endosteal surface break down bone
3.) the medullary/marrow becomes enlarged

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6
Q

What 2 activities are part of bone remodeling?

A

bone deposition and bone resorption

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7
Q

T/F: bone remodeling only happens after a fracture

A

False; bone remodeling is continuously happening

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8
Q

Describe bone deposition

A

osteocytes produce an empty matrix (osteoid seam) and calcium and phosphate ions soon move into it; the ions accumulate and form the salt, hydroxyapatite; the calcium salts are then crystalized and become a solid

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9
Q

What is hydroxyapatite?

A

a salt formed in the osteoid seam from combination of calcium and phosphate ions

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10
Q

T/F: the osteoid seam is empty

A

True

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11
Q

Describe bone resorption

A

T-lymphocytes activate osteoclasts which release special enzymes contained within the cells; the enzymes digest the matrix; at the same time, osteoclasts secrete HCl (acid) which converts calcium salts to a water-soluble form; the digested matrix (which contains the dissolved calcium salts) is released into interstitial fluid on the outside of the bone; this eventually makes it to the blood stream

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12
Q

What are T-lymphocytes

A

a type of cell that activates osteoclasts - seen in bone resorption

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13
Q

What are 3 factors that affect bone growth? Why is each important?

A

1.) Diet - must have calcium and phosphate in our diet
2.) Vitamins - must have Vitamin D in order for calcium to be absorbed (we get this from the sunlight)
3.) Hormones - PTH and calcitonin

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