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5 functions of the skeleton system
- support
- protection
- allow movement / lever system
- storage deposit for Calcium & Phosphate
- hematopoiesis
How do muscles and bones move
- muscles form a lever system with 2 different points of a bone
- when it contracts it forms a pully which moves the bone
Hematopoiesis
formation of blood cells
hemopoietic stem cells
Cells found in the bone marrow that produce the cellular components (ex: RBC, WBC)
what 7 cells do hematopoietic stem cells differentiate to
hematopoietic stem cell -> myeloid stem cell -> proerythroblast -> basophilic erythroblast -> orthochromatic erythroblast (nucleolus ejection) -> reticulocyte -> mature erythrocyte
5 classes of bones
- long bones
- short bones
- flat bones
- irregular bones
- sesamoid bones
Long bones
longer than they are wide
(ex: femur, humerus)
Short bones
square shape - as wide as they are long
(ex: wrist (carpals) and ankle (tarsals))
Flat bones
not perfectly flat but flatter than they are round
(ex: bones around the brain)
Irregular bones
hard to describe
(ex: vertebrae)
Sesamoid bones
classified on how they form (form inside a tendon)
- typically, only one in the body (patella)
Where do some people have an additional sesamoid bone?
in the elbow (rare)
4 gross structures of a long bone
- diaphysis
- metaphysis
- epiphysis
- marrow cavity
Different names for red marrow and yellow marrow
red = active
yellow = inactive
What is in the center of the diaphysis
medullary cavity (marrow cavity)
What is the medullary cavity filled with
yellow bone marrow (fat reservoir)
Where can red bone marrow be found
- in the epiphysis
- hollow bubbles of spongey bone filled with RBM
Where are hemopoietic stem cells found
red bone marrow
What do compact bone contain
- osteons with concentric layers of lamellae with a central canal in the middle with vessels and nerves
What does Spongey bone contain
- lattice like network of trabeculae
Why is trabeculae important in bones
- lightens their weight
Periosteum (and 2 layers)
- wraps around the outside of the long bone
(fibrous layer and cellular layer)
Fibrous later of periosteum
very outside (most superficial)
- consists of dense irregular connective tissue which weaves around and provides framework
- helps weave bones into tendons that attach to muscles or ligaments
Cellular layer of periosteum
contains cells that can deposit calcium salts or take them away depending on needs
Endosteum
- inside the medullary cavity
- similar to cellular layer of periosteum
- active layer with osteoblasts and osteoclasts
Metaphysis has either ___ or _____
- epiphyseal plate
-epiphyseal line
epiphyseal plate
growth plate (where bone formation occurs)
what happens to the epiphyseal line as a person gets older
by age of 25 the plate will go away and leave a line
why does the X ray of children give the impression of extra bones
- there are breaks in the bone from the growth plate
- in adult it looks like a continuous 1 bone
what layer of cartilage is found outside of the epiphysis and what is its function
- layer of hyaline cartilage (articular cartilage)
- lines the location of articulation where bones meet to form a joint
- needed for cushion and reducing friction between bones
bone is ___ tissue which means it is ______
- dynamic, always changing
bones are vascular, but how vascular?
VERY VASCULARIZED
What is found in the middle of osteons
- central canals
- tiny blood vessels perforating from it
what are central canals supplied by
volkmann canals that enter via periosteum perpendicularly, then run up and down
what is the fetal skeleton initially formed by
connective tissue called mesenchyme
(also contains hyaline cartilage)
what is mesenchyme
very vascular connective tissue and large amount of collagen fibers for structure
Intramembranous ossification
bone forms from mesenchyme
where does intramembranous ossification mostly occur
in flat bones
what is osteoid
early formation of bones
- not hard and not calcified
process of intramembranous ossification
1) mesenchymal cells differentiate into osteoprogenitor cells which become osteoblasts
2)osteoblasts lay down osteoid
3) calcium salts are added to osteoid to begin hardening process
4) a few osteoid will get trapped in new calcified matrix (lacunae) and then mature into osteocytes
5) the non-trapped osteoblasts will continue around the perimeter and lay down osteoid
6) bone forms around the blood vessels to create spongey bone
7) remodeling areas that need compact bone - fill in extra space
where can intramembranous ossification happen after birth
in the skull
fontanels
large area of dense connective tissue
- gap in babies' skull
why aren't babies skulls fused at birth
- gaps create flexibility during birth and growth
when do fontanelles undergo ossification completely
- before 2 years of age and form sutures
sutures
special type of joints between bones of the skull
endochondral ossification
bones replace hyaline cartilage
- forms most bones of the body
6 steps of endochondral ossification
1) fetal hyaline model develops
2) cartilage calcifies & a periosteal bone collar forms around the diaphysis
3) primary ossification center forms in the diaphysis
4) secondary ossification centers form in epiphysis
5) bone replaces cartilage, except the articular cartilage and epiphyseal plate
6) epiphyseal plate ossifies and forms epiphyseal lines
what is the outside layer of fetal hyaline cartilage
perichondrium
step 2 of endochondral ossification in detail
- chondrocytes mature & enlarge then die which leaves spaces within cartilage matrix
- perichondrium is replaced by bone through the process of blood vessel formation & osteoprogenitor cells maturing into osteoblasts which lays down bone on the outside
step 3 of endochondral ossification in detail
- blood vessels continue to invade the diaphysis filling in the spaces where chondrocytes created spaces
- osteoprogenitor cells come in and lay down osteoid
step 4 of endochondral ossification in detail
- secondary ossification center forms when blood vessels invade on either end
- remodeling of diaphysis sponge bone that's formed around the edges -> compact bone forms
step 5 of endochondral ossification in detail
babies to teens have spongey ends that never get remodeled
step 6 of endochondral ossification in detail
- bone in a person's 20s
- plate becomes line
- bone is set in length
as long as hyaline cartilage remains at the epiphyseal plate ...
the long bone is capable of increasing in length
bone growth in length (simplified)
- cartilage proliferation on epiphyseal side of epiphyseal plate
- ossification occurs on the diaphyseal side of epiphyseal plate
- process continues until chondrocytes stop proliferating and the entire growth plate ossifies
5 zones of epiphyseal plate
1) resting cartilage
2) proliferating cartilage
3) hypertrophic cartilage
4) calcified cartilage
5) zone of ossification
appositional growth is growth in ...
width
- increase in width of bone
appositional growth
adding layers (& remodeling marrow cavities)
- compact bone thickens & strengthens long bone with layers of circumferential lamellae
ex: weight trainors gain stronger bones
steps of appositional growth
- osteoblasts in cellular layer of periosteum lay down calcium and create osteoid that calcifies
- osteoclasts in the endosteum are going to resorb some of the calcified bone matrix
- creates wider medullary cavity (lighter but bigger/stronger)
bone remodeling occurs when ...
occurs in response to changes in demand on bones (force or load)
ex: weight training / prolonged bed rest
Wolff's law
bones remodel in response to compressive force
(ex: can be seen in astronauts as they lose bone density rapidly as spongey bone loses its strucutre)
can bones grow in width throughout life
yes
what happens if calcium plasma level is too high
- thyroid gland releases calcitonin
- calcitonin stimulates calcium and salt uptake and bone deposition
- back to normal calcium concentration range
what happens if calcium plasma is too low
- parathyroid gland releases PTH
- PTH stimulates osteoclast activity and resorption of calcium by kidneys & intestine
- back to normal calcium concentration range
PTH causes ___ in blood calcium
Calcitonin causes ___ in blood calcium
- increase
- decrease
is calcium just used in bones
- not it is also vital for other systems
ex: muscles need for contractions
bones are _____ reservoir that can be _______
- calcium reservoir
- used in times of low calcium availability
(calcium here can be stored and used for later)
what are the two hormones used for regulating calcium through negative feedback looks
- PTH and calcitonin
Do PTH and calcitonin use a positive or negative feedback loop
negative feedback loop
Osteoporosis
- less bone density overall
- as we get older osteoclast activity outpaces osteoblast activity
with osteoporosis the inorganic/organic ratio in matrix is
normal
what can osteoperosis cause
kyphosis
what is kyphosis and what can it cause
compression fractures in vertebrae
- exaggerated curvature of the spine
can cause decrease in lung capacity (not breathing as much air as efficiently)
- can cause a decrease in optimal circulation and compresses nerves
osteoporosis is common in ..
- post menopausal women due to their lack of estrogen
- in ovulating females estrogen is secreted in higher amounts
why is estrogen important to bones
it contributes to the regulation of bone metabolism
what happens in a bad case of osteoporosis
weight of body can cause compressive fractures within vertebrae
- tiny fractures can be painful
- causes shrinkage and change in posture (kyphosis)
does kyphosis only occur cause of osteoporosis
no it can occur due to other reasons
bone repair 3 simple steps
fracture:
1) hematoma
2) soft callus
3) remodeling
step 1 of bone repair
Hematoma
- when bones fracture blood vessels burst
- 1st we need to contain the blood and form a blood clot/ hematoma
step 2 of bone repair
soft callus
- cells from endosteum will start to form from fibrocartilage around the break aka internal soft callus
- simultaneously will have cells from the periosteum forming a hyaline cartilage callus around the bone (looks like a lump)
step 3 of bone repair
remodeling
- osteoclasts are going to start to resorb the dead fragments and osteoblasts are going to start remodeling the two calluses into bony calluses
- get spongey bone in the appropriate places and compact in the more superficial part
8 types of fractures
- closed
- open
- transverse
- spiral
- comminuted
- impacted
- greenstick
- oblique
closed fracture
break contained within the skin
open fracture
- compound
-bone breaks through the skin -> much higher risk of infection
greenstick fracture
bone doesn't break through all the way
- happens in children because bones aren't fully ossified and have more spongey bone than adults
(called because breaking a living stick doesn't break it all the way and just cracks)
what is an articulation
joint - site where two or more bones meet
ex: should joint connects humorous and scapula
range of motion
(ROM) normal extent of mobility for a specific joint movement
ex: ROM for wrist flexion is 70-80 degree and extension is 65-80 degrees
degrees of freedom
(DOF) the number of axes at which movement of a joint occurs
ex: wrist is biaxial with 2 DOF, which means 2 planes of motion (can move side to side and back and forth)
does every human have the same ROM and DOF?
- ROM has a healthy range while DOF should be the same for everyone
mobility comes at the cost of ...
stability
the type of connections of bones in a joint .....
determine the function of that joint
mobility and stability have an ...
inverse relationship
main issue with being more mobile
less stability = more prone to injury
order these from most stable to least stable:
- hip joint, intervertebral joints, sutures, shoulder joint, elbow joint
- sutures
- intervertebral joints
- elbow joint
- hip joint
- shoulder joint
what is an important factor about stable joints
- provide protection
ex: joints in the skull (sutures) have limited mobility but are super stable and protect the brain from injury
ball and socket are mobile because
- not a lot of contact between bones
- connected by ligaments instead which allows for much more movement but less stability
3 joint classification by structure
what is between bones
- fibrous
- cartilaginous
- synovial
3 joint classifications by function
how movable they are
- synarthrosis
- amphiarthrosis
- diarthrosis
synarthrosis
immovable (ex: skull)
amphiarthritis
slightly movable (ex: public synthesis)