TOB CL6 Ossification Flashcards

1
Q

Osteoprogenitor Cells (5)

A
  1. derived from mesenchymal stem cells
  2. resting cells
  3. form osteoblasts
  4. lie in innermost layer periosteum and endosteum
  5. found in normal growth & bone remodeling
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Osteoblasts (4)

A
  1. differentiated to become osteocyte
  2. lower columnar cells
  3. secrete collagen & ground substances
  4. involve in calcification of matrix
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Osteocytes (5)

A
  1. mature bones cells, oval
  2. lie in lacuna
  3. surrounded by bone matrix
  4. maintain surrounding matrix
  5. has cytoplasmic process in canaliculi
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Osteoclasts (4)

A
  1. large multinucleated cells
  2. derived from monocytes-macrophages cell line
  3. resorp bones
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Classification of Bones
Shapes ( 4) and explain

A
  1. long
    - length > thickness
    - Tubular shape - marrow cavity
    - long bone except clavicle - endochondral ossification
  2. short
    - cuboidal ( length = thickness )
    - spongy bone & marrow
    - enclosed by thin layer of compact bone
    - e.g. carpal & tarsal
  3. Flat
    - spongy bone & marrow
    - e.g. scapula & skull
  4. Irregular
    - irregular shape ( x fit any of the above )
    - vertebrae, hip bone
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Classification of Bones
Region (2)

A
  1. axial
    - central axis
  2. appendicular
    - appended to the central axis
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Classification of Bones
Structure (2)

A
  1. Compact
    - hard, dense
    - shaft of long bone
  2. Spongy
    - trabecular with intercommunicating spaces
    - end of long bone
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Classification of Bones
Others (3)

A
  1. Sesomoids bones
    - Nodules in tendons
    - expose to friction or pressure
    - e.g. patella
  2. Pneumotic bones
    - with air cavities - light weight
    - evagination of mucous lining of nasal cavities , ear canal
    - maxilla ( mostly facial bones )
  3. Accesory bones
    - x regularly present
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Classification of Bones
development (2)

A
  1. Intramembranous ossification
    - flat bones
  2. Endochondral ossification
    - long and short bones except clavicle
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What is ossification ? (2)

A
  1. site of bone formation
  2. from center to end
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Primary ossification center
1. where
2. when

A
  1. diaphysis, shaft of long bone
  2. prenatal
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Secondary ossification center
When (2)

A
  1. later than primary except lower femur - can determine baby’s age
  2. postnatal ( after birth )
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Intramembranous ossification 3 concept

A
  1. mesenchymal cell > bone
  2. no hyaline cartilage model
  3. forming between high vascularized connective tissue
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Process of intramembranous ossification

A
  1. mesenchymal cells - migrate & aggregate in specific are - differentiate into capillaries, osteogenic cells (osteoprogenitor) - osteoblasts - highly vascularized & undergo hypertrophy - cell more vascularized - larger and rounded - cluster - ossification center
  2. osteoblasts secretes osteoids ( uncalcified bone matrix / contains type I collagen + proteogylcans ) - secrete alkaline phosphatase & Ca containing vacuole - calcify - trapped - osteoids in lacuna
    - newly bone matrix > bony spicules
  3. mesenchymal cell near bony spicules proliferate - osteoblasts - produce new matrix - bony spicules enlarge & combine tgt - form trabecular network - immature bone ( Woven bone ) - rearrange - mature lamellar bone

trabecular network - blood vessels & hematopoietic cells invade into the intercommunicating spaces - red marrow

  1. periosteum secrete compact bone which is superficial to the spongy bone ( trabecular bone )
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Endochondral ossification process

A
  1. mesenchymal cells - differentiate to become chondrocytes - form hyaline cartilage model (type II collagen + ground substances) - interstitial growth & appositional growth - chondrocytes
  2. hydrotrophy - compress surrounding cartilage matrix - alter the content by adding substances into it - calcifies - impermeable to oxygen and nutrients - chondrocytes dies ( apoptosis) - leaving empty spaces - trabeculae-shaped calcified cartilage
  3. osteoclasts form spaces in collar bone - allow osteogenic buds (blood vessels, ostegenic cells & hematopoetic cells) reach the apoptosis area - osteogenitor differentiate - osteoblasts - osteoids - calcify - bone development area - later on producing calcified bone complex ( primary ossification center ) - osteoclasts removes the calcified cartilage plate - medullary / marrow cavity where lacunae combines - osteogenic bud invade - bone marrow
  4. osteoblasts lay down around medulla cavity - thickening of bone - appositional growth - replace cartilage with bone
  5. after birth - secondary ossification center in epiphysis - similar process as primary EXCEPT spongy bones remains - no medullary cavity

completed - hyaline cartilage replaced by bone EXCEPT articular cartilage ( remains on the surface of epiphysis ) & epiphysis plate ( in metaphyseal region )

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

Epiphyseal plate
1. where
2. why it is important

A
  1. growth zone end of diphysis
    • for longitudinal growth
    • x grow if epiphyseal plate cease and from epiphyseal lines
17
Q

Factors affecting bone remodeling (4)

A
  1. Nutrient
    - protein
    - Vit A, B12, C & K
    - Ca & P
  2. Physical and mental stress
  3. Hormone
    - parathyroid & calcitronin - involve Ca homeostasis by controlling osteoblasts
    - thyroid & pituitary GH - control osteoblasts
18
Q

Clinical
Deficiency in Vit C

A
  1. rickets
  2. lack of producing steroid vit D, less absorption from intestines
  3. less calcification
  4. Osteoporosis ( low bone mass ) & osteomalacia ( lass calcify )
19
Q

Clinical
Hormonal defect (2)

A
  1. Dwarfism
    - def in production of GH
    - less epiphyseal cartilage
  2. Gigantism
    - more GH
    - overproduction
    - acromegaly
20
Q

Clinical
Osteoporosis

A
  1. decrease in bone mass
  2. fracture easily
    - less oestrogen - inhibit differentiation of osteoclasts
21
Q

Why women runners are more likely to have stress-fractures ?

A
  1. high stress
  2. low gonadotropins
  3. lower oestrogen levels
  4. more CA reabsorption from bone
22
Q

Clinical
Glucorticoids

A
  • promote resorption
  • inhibit collagen synth in osteoblasts
23
Q

Clinical
Fracture healing

A

process
fracture > clot formation > cartilagenous callus (a soft tissue that forms at the site of a bone fracture to stabilize the break) > woven bone > lamellar bone

bone grafts - bridge large fracture / as a temporary transplant aid in replacement of real bone