The skeletal System Flashcards

1
Q
  • What does the skeletal system include
A
  • Bones of the sksleton
  • Connective tissues of the skeleton:
  • Tendons
  • Ligaments
  • cartilage
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2
Q

Connective tissues of the skselton

  • what are the connective tissues of the skeleton
A
  • Tendons and ligaments = connective tissue proper (dense and regular) as well as fibroblast, colagen fibers and viscous gel matrix
  • Cartilage (Supporting connective tissue) = matrix is a firm gel
  • Bone (Supporting connective tissue = matrix is calcified
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3
Q

Cartilage Histology

Cartilage (Chondro)

A
  • Matrix - firm gel - chondrotin sulfate & collagen ,elastic, and reticular fibers
  • Cells - chondrocytes, located in lacunae
  • Perichondrium - seperated cartilage from surrounding tissues
  • Three types of cartilage:
  • Hyaline - collagen fibers and ground substrate
  • Elastic - collagen and elastic fibers
  • Fibrocartilage - dense collagen, little ground sub
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4
Q

Cartilage

Cartilage Growth and Repair

A
  • Interstitial - enlarges from within so internal chondrocytes devide
  • Appositional - growth at surface so cells in inner layer of perichondrium divider
  • Cartilage has very poor recovery from damage
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5
Q

Bone Histology

Bone (Osteo)

A
  • Cells - osteocytes, located in lacunae interconnected by canaliculi
  • Matrix - Collagen fibers (1/3) and calcium salts (2/3)
  • Highly vascularized
  • Periosteom - covers bone surfaces
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6
Q

Bones

Bone growth and Repair

A
  • Appositional - growth at surface
  • cells in inner layer of periosteium divide
  • Good recovery from damage
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7
Q

Tissues

Osseous Tissue

A
  • Matrix = crystals of hydroxyapatite - composed of calcium phosphate, calcium carbonate, and potassium, sodium, and magnesium
  • Collagen - protein fiber framework
  • By weight = 1/3 collagen and 2/3 calcium salts
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8
Q

Cells

Cells in Bones

A
  • osteoprogenitor cells (stem cells) - differentiatie into osteoblasts
  • osteoblasts - synthesize new matrix - osteogenesis
  • Osteocytes = mature bone cells - in lacunae connected by canaliculi
  • Osteoclasts - disolve bone matrix - osteolysis also multinucleated
  • Osteoprogenitror cells -> Osteoblasts -> Osteocytes
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9
Q

Tissue

Bone (osseus tissue)

A
  • Bones contain two forms of osseus material:
  • Compact Bone - (dense)
  • Spongy Bone - (Cancellous)
  • Marrow cavaties in bone contain connective tissue:
  • Yellow Marrow - Adipose connective tissue
  • Red marrow - Fluid connective tissue - red and white blood cells and blood stem cells
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10
Q

Bone Types

Compact Bone and Spongy Bone

A
  • Basic unit of a copmpact bone is an osteon - Haversian system
  • Osteocytes arranged around a central canal
  • Perforating canals extend between adjacent osteons
  • Spongy bone contains a trabeculae
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11
Q

Bones and Stress

Bones and Stress

A
  • Compact Bone - located where stresses are applied in a focoused drection along the bine axis
  • Spongy Bone - located where stresses are weaker, multi-directional, or spread out over a larger cross-sectional aera
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12
Q

Long Bones

What does a long bone typically include?

A
  • Diaphysis - shaft or central part of a long bone
  • Epiphyses - the end of a long Bone
  • Metaphysis - the wide part of a long bone and where growth occurs
  • Articular cartilage
  • Marrow cavity - filled with red or yellow marrow
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13
Q

Bones

Bone Development and Growth

A
  • Cells invloved in development and growth, as well as remodeling and repair come from:
  • periosteum - covers outter surface of bone made of a fibrous outter layer and inner layer of stem cells
  • Endosteum - lines inner surfaces of bone made of a layer of stem cells, plus osteoblasts and osteoclasts
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14
Q

Bone Development

Bone Development

A
  • Ossification:
  • Converting other tissues to bone
  • Intramembranous ossification (calcification)
  • Endochondral ossification (calcification)
  • Calcification = depositing calcium salts whithin tissues
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14
Q

Bone Development

Bone Development

A
  • Ossification:
  • Converting other tissues to bone
  • Intramembranous ossification (calcification)
  • Endochondral ossification (calcification)
  • Calcification = depositing calcium salts whithin tissues
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15
Q

Ossification

Intramembranous Ossification

A
  • Bone develops within mesenchymal (embryonic) connective tissues
  • Osteoblasts differentiate in embryonic tissue and create ossification centers
  • Mesenchymal cells produce osteoblasts
  • Forms flat bones (dermal bones) consiting of spongy bone with thin layer of compact bone
16
Q

Ossification

Endochondrial Ossification

A
  • During embryogenesis, hyaline cartalige forms first= cartilaginous model
  • Cartilage model gradually replaced by bone
  • Cartilage remains in articular cartilage at ends of bones
  • Cartilage remain in epiphyseal plate (growth plate)until epiphyseal closure
  • Endochondrial ossification contiues until closure
17
Q

Elongation of long bones

Growth at Epiphyseal Plates

A
  • Cartilage growth - eppiphysis side
  • Ossification - diaphysis side
  • Diaphysis gets longer, as epiphyses are pushed further apart
  • Equal rate of cartilage groth and ossification matains epiphyseal plate
  • Higher rate of ossification leads to closure of epiphyseal plate
  • Achondroplasia - slow cartilage growth leading to epiphyseal plate closure at very early age
Open vs. closed epiphyseal plates
18
Q

Remodeling

Dynamic nature of bone - Remodeling

A
  • Organic and mineral components continually recycled and renewed
  • Aproximatley 20% or 1/5 of adult bone replaced per year
  • Osteocytes - monitor and mantain surrounding bone matrix
  • Osteoblasts - form new bone matrix
  • Osteoclasts - Remove bone matrix
Osteogenic cells -> Osteoblasts and Osteoclasts -> osteocytes
19
Q

Dynamiuc Nature of Bone

Dynamic nature of bone (effects of exercise)

A
  • Bone is stronger and thicker in aeras that are stressed
  • Stress may generate small electrical fields in crystal matrix,stimulating osteoblasts
  • Bones not subject to normal stress become thinner and weakwer
20
Q

Bone growth and maintenance

Hormones Regulation of Bone Growth and Maintenance

A
20
Q

Bone growth and maintenance

Hormones Regulation of Bone Growth and Maintenance

A
21
Q

Development and Maintenance of Bone

Hormonal and Nutritional effects on development and maintenance of bone

A
  • Dieatary intake of Ca and Phosphate salts
  • Calcitriol (derived from cholecalciferol) - hormone synthesized in kidney needed for calcium and phosphate absorption from digestive tract
  • Viatamin D (Cholecalciferol) - required for calcitriol synthesis and deficiency causes osteomalacia (rickets) due to insufficent minerelization of bone
  • Vitamin Cneeded for collagen synthesis - defficency causes scurvy
Rickets
22
Q

Homeostatis for calcium and phosphate

Homeostatic regulation of calcium and Phosphate in body fluids

A
  • 99 percent of bodys calcium is in bone
  • Blood calcium Ion concentration - must be maintained within a narrow range. Homeostatic mechanisms control bones, GI tract, and kidneys
  • Parathyroid Hromone and Calcitriol - from the parathyroid gland and PTH increases blood calcium levels
  • Calcitonin- from the thyroid gland decreases blood calcium levles
23
Q

Blood Calcium levels

Blood Calcium level increase pathway

A
  1. low calcium ion level in blood (below 8.5mg/dL)
  2. Low calcium level causes the parathyroid gland to secrete PTH
  3. Osteoclasts are triggerd to release stored calcium ions. Intestional absorption of calcium increases. Kidneys absorb more calcium and send more calcitriol to the intestines.
    4.Calcetriol Aids in every step of the process
24
Q

Blood Calcium Levels

Decresing calcium ion concentration in blood

A
  1. High calcium ion level in blood (above 11mg/dL)
  2. C cells in the tyroid gland secretecalcitonin
  3. Osteoclast activity decreases. Intestinal absorption of calcium decreases. Kidneys excrete calcium ion and less calcitriol is sent to the intestiens.
25
Q

Hormonal/Nutritional Effects

Hormonal and Nutritonal Effects

A
  • Growth Hormone - from putituitary gland. Stimulates protien synthesis and cell growth through out the body. disorders include: **Putuitary dwarfism, Gigantism, and Acromeglay **
  • Thyroxine- from the thyroid gland. Increases bone mass by stimulating osteoblast activity.
  • Sex Hormones (estrogens and androgens) - epiphyseal plate closure due to increased osteoblast activity
26
Q

Skeletal System

Functions of the Skeletal System

A
  1. Support - Framework for attachment of soft tissues, organs, muscles
  2. Storage of mineral and lipids
    * Mineral reserce for Ca and P, helping to maintain normal levels in blood
    * Store lipids in yellow marrow
    3.Blood cell production - red bone marrow
  3. Protection - surrounds many soft tissues
  4. Leverage for movement - muscles generate force
27
Q

Aging

Effects of Aging on Skeletal System

A
  • Osteopenia - osteoblast activity declines with declining levels of sex hormones resulting with a reduction in bone mass
  • Vertebrae, maxillary and mandible, epiphyses of long bones
  • more rapid in females than males
  • Osteoporosis - Loss of bone mass sufficent to compromise normal functions
28
Q

Bone Damage

Fracture Repair

A
  • Fracture hematome - blood clot
  • External Callus - enlarged collar of bone and cartilage
  • Internal Callus - forms within marrow cavity
  • Ossification occurs in callus cartilage and broken edges become united by spongy bone
  • Osteoclasts and osteoblasts remodel bone until nomral compact and/or spongy bone is in place
29
Q

Arthritis

Arthritis

A
  • Osteoarthritis - normal wear and tear
  • Rheumatoid arthritis - autoimmune disorder
  • Gouty arthritis - uric acid crystals
30
Q

Skeletal disorders

Skeletal Disorders affecting Bone Mass

A
  • Excessive bone growth - Heterotopic (ectopic) bone formation often resulting in bone spurs from excessive mechanical stress
  • Acromegaly (Hormonal) - GH post puberty
  • Gigantism (Hormonal) - GH Prepuberty
31
Q

Skeletal Disorders

Skeletal disorders affecting bone mass

A
  • Bone mass may decrease due to:
  • Inactivity
  • Osteopenia and osteoperosis - hormonal
  • Osteomalacia (rickets) - Vitamin D Deficency
  • Osteogenesis Imprerfectia - Genetic gene mutation related to collagen formation
  • Achondroplasia - genetic
  • Pituitary Dwarfism - hormonal
32
Q

What is Spina Bifida linked to?

A

Low folic acid levels in the mother during the preganacy