WEEK ELEVEN - BONE TISSUE, SKELETAL SYSTEM AND JOINTS, MUSCLES Flashcards

1
Q

List & describe 5 functions of the skeleton [spmbe]

A

1.support
framework for body shape

2.protection
hard tissue protects organs it surrounds eg vertebral column for spine

3.movement
muscle attach to bones = bones move body

4.blood cell production
RBW WBC platelets made in bone marrow

5.electrolyte balance
skeleton stores calcium and phosphate ions - released when needed

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2
Q

Describe the 4 different bone shapes with examples for each

A

long - levers for muscles to pull on eg femur

short - limited motion - glide across each other

flat - provide for thin/roughly parallel surfaces eg parietal and frontal bones, scapula, sternum

irregular - complex bones with short/flat/rigid surfaces eg facial bones

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3
Q

Describe the general structure for long and flat bones

A

long [shaft =diaphysis, and enlarged bone ends]
shaft - compact bone surrounds central hollow medullary cavity
- enlarged ends = thin outer layer of compact bone surrounding spongy bone
periosteum - thick CT membrane lines OUTER bone surface
endosteum - thin CT lines INNER bone surface + canals inside bone

flat - external+internal surface = compact bone
middle layer = spongy [diploe]
- has bone marrow between trabeculae

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4
Q

List & describe the cell types and the matrix of bone tissue [1p-4c]

A
  1. osteoprogenitor
    stem cells found in membranous endosteum and periosteum [differentiate into osteoblasts]
  2. osteoblasts
    bone building cells - secrete bone matrix
  3. osteocytes
    = osteoblasts that have become surrounded the bone matrix they secreted
    - communicate with other osteocytes via canaliculi [tentacle projections] to monitor/maintain bone matrix
  4. osteoclasts
    large, multi nucleated cell that dissolves and resorbed bones by secreting acids and proteolytic enzymes
    = they released stored minerals in bones

bone matrix [1/3 organic + 2/3 inorganic]
organic = collagen + proteoglycans
inorganic = 85% hydroxyapatite [calcium phosphate crystal] + 10% calcium carbonate/other minerals

= combination of inorganic/organic –> provides strength and resilience
[minerals = strength] lack = floppy and too flexible –> osteomalacia

[collagen= flexibility] lack = bones too brittle –> osteogenesis imperfecta

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5
Q

Describe the histology of compact and spongy bone

A

compact - closely packed osteons
osteon = central canal [osteonic canal] surrounded by concentric rings [lamellae of matrix]
between matrix = osteocytes found in lacunae spaces

spongy - formed by bone plates [trabeculae]
trabeculae spaces filled with reticular CT = red bone marrow] = site of blood cell production
- lack osteons + central canal but osteocytes are supplied by blood

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6
Q

List & describe the two methods of bone formation

A

intramembranous ossification [in skull and clavicle bones]
- mesenchymal stem cells aggregate and replicate –> begin differentiating into osteoblasts
- osteoblasts release uncalcified osteoid tissue which is then ossified by calcium phosphate
- further differentiates into osteocytes
- osteocytes compact together = osteon = forms compact bone surrounding spongy bone + periosteum on top

endochondral [forms rest of skeleton]
- perforation of hyaline cartilage delivers osteogenic cells –> differentiate into osteoblasts - secrete osteoid
- secreted osteoid encases diaphysis [shaft] in bone collar
- vascular invasion of boney collar = osteoblasts+osteoclasts shape marrow cavity
- killing and replacement of chondrocyte cartilage cells with bone cells [osteocytes+calcified osteoids]
- In the adult, cartilage remains only as articular cartilage at the joint surfaces

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7
Q

Explain how mature bone continues to grow and also explain Wolff’s law

A

interstitial growth - increase in length
- by chondrocytes at epiphyseal plates
- growth continues until 1st ossification centre joints with 2nd = epiphyseal line

appositional growth - increase in width throughout life
1. cartilage osteoblasts beneath periosteum lay down bone = form ridges
2. blood vessel lies in groove between ridges = groove becomes tunnel when ridges meet
3. periosteum of groove becomes endosteum of tunnel
4. osteoblasts lay down bone = forms concentric lamellae
5. more concentric lamellae = new osteons

wolff’s law of bone = architecture of bone determined by mechanical stresses place on it = bones will adapt

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8
Q

Discuss how the body maintains calcium homeostasis

A

calcitriol + parathyroid hormone [PTH] = INCREASES blood calcium levels
- PTH increases osteoclast activity, decreasing osteoblast activity ++ promotes kidney calcium resorption
- calcitriol increases calcium absorption from gut, bone and kidneys

calcitonin = DECREASES blood calcium levels
- reduced osteoclast activity and increase osteoblast activity

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9
Q

List and identify the bones of the axial and appendicular skeletons

A

axial [central axis]
- skull bones
- vertebral column/sacrum
- ribs/sternum

appendicular [limb bones + pelvic/pectoral girdles

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10
Q

Explain how the structural features of the skull reflect its function

A
  • skull = very thick post. and ant. = protection of brain
  • rigid/non-moveable sutures between bones = protection
  • one movable bone [mabdible] and joint [temporo-mandibular joint] = mastication and speech
  • sinuses = lightens skull + adds resonance to voice
  • outer+inner layer of compact bone sandwich sponngy bone = fracture may leave inner layer of compact bone undamaged
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11
Q

Explain how the structural features of the vertebral column (VC) reflect its function

A
  • 33 individual bony vertebrae = movement + protection at same time
  • Intervertebral discs = shock absorption and increased ROM
  • cervical, thoracic, lumbar, and sacral curvatures = BW distribution over base of support = walking efficiency + shock absorption
  • vertebral neural arch enclosing spinal cord - spinal cord protection
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12
Q

Explain how the structural features of the thoracic cage reflects its function

A

12 pairs of ribs and sternum = Protection of lungs/heart
- attachment points for breathing muscles [intercostals], limb muscles [pectoralis major and minor] and torso muscles [abdominals]

Sternoclavicular joint = Attachment pectoral girdle [clavicle+scapula]

attachment of costal cartilages to sternum = allows rhythmical expansion of rib cage = draws air into lungs

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13
Q

Discuss the similarities & differences between the pelvic & pectoral girdle

A

similarities
- provide articulation with limbs via ball/socked joint
- large area for muscle attachment sites
- fibrocartilaginous rim [glenoid fossa - humerus// acetabulum-femus] = deepens sockets

differences
- pectoral girdle = 2 bones [clavicle+scapula]
- pelvic girdle = 3 bones [ilium + ischium + pubis]
- pelvic girdle (hip joint) = deeper sockets compared to pectoral girdle (shoulder joint) = shallow socket = implications for shoulder dislocation
- pelvic girdle - attached to vertebral column = movement of spine [does not happen with pectoral girdle

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14
Q

Discuss similarities and differences between the upper and lower limb bones

A

similarities
- single bone in upper segment eg humerus and femur
- two bones in lower segment eg arm= radius/ulna, leg= tibia/fibula
- both hand+feet = similar number of bones = 5 metatarsal/metacarpals
- hinge at knee and elbow

differences
- patella at knee joint [reduces friction of quadriceps tendon] , but not at elbow
- greater ROM in forearm bones [radius/ulna] over tibia/fiba for hand range of motion
- larger limbs bones in leg for weight bearing purposes

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15
Q

List & describe the structure of the 3 types of fibrous joint types with examples for each

A
  1. sutures
    immovable fibrous joints that bind skull bones together, short collagen fibres
  2. gomphoses
    attachment of a tooth to its socket.
    - help in place by fibrous periodontal ligament
    - some movement while chewing
    - intermediate length collagen fibres
  3. syndesmoses
    - MOST MOVEABLE fibrous joints
    - two bones bound by ligament only interosseous membrane
    - eg tibia-fibula and radius-ulna
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16
Q

List & describe the structure of the 2 types of cartilaginous joint types with examples for each

A

primary cartilaginous joints
- bones joined by hyaline cartilage
- epiphyseal plate in children binds to epiphysis and diaphysis [not present in adults]
- eg 1st rib attachment to sternum

secondary cartilaginous joints [only slight movements possible]
- bones joined by fibrocartilage
- pubic symphysis and intervertebral joints

17
Q

List & describe the anatomical components of a typical synovial joint

A

when two bones separated by joint cavity [space with synovial fluid] , most are freely moveablw

components
1. fibrous capsule - encloses joint cavity/continuous with periosteum

  1. synovial membrane - thin membrane lining inside of joint capsule - secretes synovial fluid
  2. synovial fluid- nourishes cartilage
  3. articular cartilage - hyaline cartilage covering joint surfaces
  4. joint cavity - cavity around two bones surrounded by joint capsule and filled with synovial fluid
18
Q

Discuss factors that affect a joint’s range of motion

A
  • shape of articular surfaces = determines deg. freedom at joint eg monoaxial, biaxial, multiaxial joint
  • type of joint eg fibrous, cartilaginous, synovial
  • strength and tautness of tendon/ligament/capsules = stretching = increasing ROM
  • structural limitations –> ball and joint sockets = large ROM, hinge joints –> one plane of movement
19
Q

State the 6 classes of synovial joint types with examples for each

A
  1. ball and socket joint eg humeroscapula joint
  2. pivot joint ed radioulna [radius-ulna]
  3. saddle joint eg trapeziometacarpal [trapezium of wrist to metacarpal bone
  4. hinge joint eg humeroulna
  5. gliding joint eg intercarpal [carpal bones]
  6. condyloid joint eg metacarpophalangeal
20
Q

Exemplify correct anatomical terminology for all synovial joint movements

A

flexion - at elbow, knee, hip, shoulder, head
Flexion = ANTERIOR movement from hip joint/above
Flexion = POSTERIOR movement from knee joint/below

abduction/adduction+circumduction - shoulder and hip

elevation/depression/protraction/retraction/medial + lateral rotation - at shoulder girdle

ankle joint - dorsiflexion [toes towards body] , plantarflexion [toes away from body]

sole inversion = medial rotation [inside of foot up]
sole eversion = lateral rotation [outside of foot up]

21
Q

Describe the varied functions of muscles [mpcoh]

A

movement
- of joints by attachment to skeleton
- of food in oral cavity, stomach, intestines
- of uterine/faeces

posture
- stabilisiation of joints

communication
- speech, writing

openings and passageways
- anus, pupils, stomach intestines, urethra, blood vessels

heat production
- muscle contraction + shivering = heat

22
Q

List & describe the connective tissue coverings of a muscle

A

epimysium
- blends into CT between muscles
- covers WHOLE muscle belly

perimysium
- slightly thicker CT layer
- surrounds muscle fascicle [bundle of cells]

endomysium
- thin sleeve of loose CT - surrounds muscle fibre

23
Q

List & describe the various shapes of skeletal muscles with examples for each and relate to function

A

fusiform [thick middle, tapered ends ]
eg biceps brachii
great degree of shortening = quick and wide ROM

parallel [parallel fasicles]
eg abdominis
long muscle length = increased ROM [skeletal muscle shortens to 30% of resting length

convergent [broad at origin - tapers to narrow insertion]
eg latissmus dorsi, pectoralis major, deltoids
covers broad surface + different actions to be produced by same muscle due to different fibre directions within mass

pennate [different types]
eg unipennate = extensor digitorum on forearm, bipennate = rectus femoris, multipennate= deltoid, circumpennate = tibialis anterior
- unipennate = fibres insert on one side of tendon
- bipennate = fibres insert on tendon on opposite sides
[like feather]
- multipennate = similar to bipennate but multiple
‘feathers’ side by side

circular [rings around body openings like mouth, eyes]
eg iris, anal sphincter

24
Q

Explain the terms origin, insertion, belly and action of a muscle

A

origin - attachment to stationary end of bone [usually proximal]

insertion - attachment to mobile end of bone [usually distal]

belly - thicker, middle region of muscle

action - joint muscle crosses + produced movement eg biceps brachii = elbow joint flexor// triceps brachii = elbow joint extensor

25
Q

Explain the different functional roles of muscles (e.g. prime mover, agonists, synergist, antagonist & fixator) using elbow joint flexion as an example

A

prime mover- muscles that play MAJOR role in movement eg brachialis

agonist - general term for muscles that produce desired joint movement
eg biceps brachii, pronator teres, brachioradialis

synergist - helps prime mover perform movement [either by assisting movement directly or neutralising antagonists]
eg brachialis

antagonist - action opposite to agonist
eg triceps brachii

fixator - stabilises a bone/body part, located more at proximal joints
eg muscle holding scapula in place eg rhomboids