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what is bone tissue made up of?
(5 main ones)
cartilage
dense connective tissue
epithelium
adipose tissue
blood forming tissue
what is bone tissue?
a continual flex of breaking down old bone and building new bone
functions of bone tissue include:
support
protection
assistance with movement
mineral homeostasis
red bone marrow producing RBC, WBC, and platelets
yellow bone marrow storing triglycerides
what does mineral homeostasis release?
Ca(2+) = calcium
PO4(2-) = phosphate
structure of bone include:
diaphysis
metaphysis
epiphysis
articular cartilage
periosteum
medullary cavity
endosteum
what are the bone cells?
osteogenic (progenitor) cells
osteblasts
osteocytes
osteoclasts
what is the function of osteogenic cells?
produce daughter cells through miotic division that will become osteoblasts
osteoblasts
helps build new bone tissue and matrix
osteocytes
mature cells of osteoblasts and exchanges waste and nutrients with blood
how do osteoblasts turn into osteocytes?
osteoblasts secret a matrix and entrap themselves in the collagen they make which become osteoblasts
osteoclasts
50 or more fused monocytes
releases powerful enzymes that breaks down bone in a process called resorption
compact bone characteristics
provides protection and support
80% of skeleton
contains osteons
osteonic canal
concentric lamellae
lacuna
canaliculi
spongy bone characteristics
makes up majority of flat, short, and irregular bones
20% of skeleton
protects red bone marrow
arranged at lines or stress to reduce stress and forces
where does spongy and compact bone get its nourishment from?
the medullary blood supply
true or false : bone grows away from blood supply
false, bone grows around its blood supply
what is osteogenesis and what are the 2 types?
process where bone forms
intramembraneous ossification
endochondral ossification
what is intramembraneous ossification?
bone formed through the differentiation of mesenchymal cells in fibrous connective tissue
steps of intramembraneous ossification
mesenchymal cells differentiate (mesenchymeosteogenic cells become osteoblasts and secretes matrix of osteoid)
osteoblasts turn into osteocytes matrix calcifies
matrix develops into trabeculae to form spongy bone
outer mesenchyme condenses forming the periosteum
what is the endrochondral ossification?
bone is formed from a cartilaginous model (eventually ossified)
what are the steps of endochondral ossification?
mesenchymal cells turn into chondroblasts which produces a model of future bone out of hyaline cartilage (including perichondrium surrounding it)
chondroblasts turn into chondrocytes interstitial and apositional growth continues
chondrocytes in the mid region hypertrophy (increase in size) leading to some bursting and their content lowers pH leading to calcification
nutrient artery stimulates osteogenic cells of the perichondrium to increase into osteoblasts which secretes a periosteal bone color and the region grows into a primary ossification center with the remnants of cartilage being transformed into trabeculae
primary ossification proceeds inward from the outside of the bone
as blood vessels enter the epiphysis a secondary ossification center is formed and ossification here proceeds outward from the center
this leaves an articulating surface of cartilage as well as an epiphyseal plate
4 zones of bone growth
bone grows along the epiphyseal lining in 4 zones
zone of resting cartilage
zone of proliferating cartilage
zone of hypertrophic cartilage
zone of calcified cartilage
zone of resting cartilage
anchors epiphyses
zone of proliferating cartilage
divides chondrocytes
zone of hypertrophic cartilage
chondrocytes increase in size
zone of calcified cartilage
dead calcified chondrocytes
osteoclasts move in dissolving matrix
osteoblasts beging creating new matrix
Insulin growth factors
Promotes cell division at the epiphyseal plate
Human growth factor
Stimulates insulin growth factor
Thyroid (T3&T4)
Contains thyroxine and helps promote bone growth by stimulating osteoblasts
Low thyroxine
Cretinism
High thyroxine
Microcephaly
Insulin
From pancreas affects growth and promotes bone growth by increasing synthesis of bone proteins
Sex steroids
Estrogen and androgens cause growth spurts and causes the epiphyseal to seal
Bone resorption
Removal of minerals and collagen fibers from bone by osteoclasts
Bone deposition
Addition of minerals and collagen fibers to bone by osteoblasts
What is the process of bone resorption?
Osteoclasts attach to endosteum and periosteum to form a leak proof seal at edges of ruffled border → releases lysosomal enzymes and acids into sealed pockets → enzymes digest fibers or organic substances while acids dissolve bone mineral → interstitial fluid and products of bone resorption diffuse into nearby capillaries and can be used for new bone formation
How do bones grow (appositional or interstitial)?
Appositional
Periosteal cellosteoblasts
Forms a matrix and ridges of matrix forms a groove for periosteal blood vessels
Ridges meet to form central canal
Osteoblasts form new concentric lamellae to periosteal BV
Osteomyelitis
Bone infection
Compound fracture
Bone pierces through the skin
Simple fracture
Bone doesn’t break the skin
Comminuted fracture
Bone breaks into 2 or more pieces (fragments)
Green stick fracture
Partial fracture on one side where the bone bends (mostly in young kids)
Impacted fracture
One end of the bone is forcefully driven into the other
Potts fracture
Fracture at distal end of the fibula
Colles fracture
Fracture at distal end of radius
Stress fracture
Tiny fissures caused by strenuous exercise
Fracture repair
Fracture hematoma forms (clot)
Phagocytes clean up area of cellular debris
Granular tissues (procallus eventually turns into fibrocartilage callus) which holds the ends of broken bone together
Conversion of fibrocartilagenous callus into spongy bone of bony callus to its nearly original form
Why is calcium important?
Neural functions
Enzymatic reactions
Blood clotting
Muscle contractions
Calcium level range
9-11
What does high Ca result in and what does low Ca result in?
High - cardiac arrest
Low - respiratory arrest
What is calcium regulated by?
Hormones, specifically parathyroid hormone (secreted by parathyroid gland)
Calcium homeostasis process
Low calcium is detected by parathyroid glands → gene in parathyroid cell detects intracellular increase → PTH synthesis increases and more PTH is released in blood
Presence of higher PTH levels increases number and activity of osteoclasts which increases bone resorption → PTH stimulates formation of calcitrol (promotes absorption from GI → blood)
Calcitonin
Hormone acts when calcium levels rise
How is calcitonin secreted?
By the parafollicular cell of thyroid gland
What is the role and function of calcitonin?
Inhibits activity of osteoclasts and speeds up deposition of calcium in bone formation to decrease blood calcium levels
Osteoporosis
Decreased bone mass and increased risk of fracture
Osteomalacia
Vitamin D deficiency (leads to weak bones)