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Compact bone
also called dense or cortical bone; relatively dense connective tissue that appears white smooth and solid and makes up about 80 percent of bone mass
Spongy bone
also called cancellous or trabecular bone; located internal to compact bone appears porous and makes up about 20 percent of bone mass
General functions of bone
support and protection movement hemopoiesis and storage of mineral and energy reserves
Classification of bones by shape
bones fall into four classes determined by shape long bones short bones flat bones and irregular bones
Long bones
bones greater in length than width with an elongated cylindrical shaft called the diaphysis; the most common bone shape found in the upper and lower limbs and varying in size; example the femur
Short bones
bones classified by shape such as the tarsal bones that are roughly cube shaped
Flat bones
bones classified by shape that are thin and plate-like such as the frontal bone of the skull
Irregular bones
bones classified by shape with complex shapes such as a vertebra
Epiphysis
the proximal or distal end of a long bone
Metaphysis
the region of a long bone between the epiphysis and diaphysis
Diaphysis
the elongated cylindrical shaft of a long bone
Articular cartilage
layer of cartilage covering the epiphysis of a long bone at a joint
Epiphyseal line
remnant of the epiphyseal plate found within the metaphysis
Medullary cavity
central cavity of the diaphysis that contains yellow bone marrow in an adult
Nutrient artery
blood vessel that passes through the nutrient foramen to supply the diaphysis of a long bone
Perforating fibers
collagen fibers that anchor the periosteum to the underlying bone
Periosteum
connective tissue covering the outer surface of bone composed of an outer fibrous layer and an inner cellular layer containing osteoprogenitor cells that help the bone grow in diameter and assist in repair
Endosteum
thin connective tissue membrane lining the medullary cavity and internal bone surfaces containing osteoprogenitor cells osteoblasts and osteoclasts that assists in bone growth repair and remodeling
Diploe
the layer of spongy bone sandwiched between two layers of compact bone within a flat bone of the skull
Red bone marrow
hemopoietic tissue located within spongy bone that produces blood cells; in the adult it is found in the proximal epiphyses of the humerus and femur the diploe of flat bones such as the skull and in the vertebrae ribs sternum and hip bones
Yellow bone marrow
fatty tissue found in the medullary cavity of adult long bones that was red marrow during childhood
Osseous connective tissue
bone connective tissue; the primary component of bone composed of cells and extracellular matrix
Osteoprogenitor cells
one of the four types of cells found in bone connective tissue that give rise to osteoblasts
Osteoblasts
bone cells that form the bone matrix
Osteocytes
mature bone cells that maintain the bone matrix and are found in lacunae
Osteoclasts
large bone cells that resorb bone matrix
Central canal
cylindrical channel at the center of an osteon and parallel to it through which blood vessels and nerves extend
Concentric lamellae
rings of bone connective tissue that surround the central canal of an osteon with collagen fibers oriented 90 degrees from the previous and next lamellae giving bone strength and resilience
Lacunae (bone)
small spaces found between concentric lamellae that house osteocytes
Canaliculi
tiny interconnecting channels within bone connective tissue that extend from each lacuna travel through the lamellae and connect to other lacunae and the central canal housing osteocyte projections that allow intercellular contact and the exchange of nutrients minerals gases and wastes between blood vessels and osteocytes
Perforating (Volkmann) canals
structures in long bone that resemble central canals and carry blood vessels and nerves perpendicular to central canals connecting central canals within different osteons
Circumferential lamellae
rings of bone that run the entire circumference of the bone with external circumferential lamellae running immediately internal to the periosteum and internal circumferential lamellae running internal to the endosteum
Interstitial lamellae
components of compact bone between osteons or partially resorbed osteons that look like they have a bite taken out of them and are incomplete with no central canal
Trabeculae
open lattice of narrow rods and plates of bone found in spongy bone with bone marrow filling the spaces forming a meshwork of crisscrossing bars that provides resistance to stresses; composed of parallel lamellae of bone matrix with osteocytes between lamellae and canaliculi radiating from lacunae
Structure of hyaline cartilage
cells scattered through a matrix of protein fibers embedded in a gel-like ground substance that includes proteoglycans but not calcium making the tissue resilient and flexible with a high percentage of water highly compressible and a good shock absorber while being avascular and containing no nerves
Chondroblasts
cells that produce cartilage matrix
Chondrocytes
chondroblasts encased within the cartilage matrix that occupy small spaces called lacunae and maintain the matrix
Perichondrium
dense irregular connective tissue that covers cartilage and helps maintain its shape
Comparison of bone and hyaline cartilage
bone connective tissue has osteoblasts as the cells that form matrix osteocytes as mature cells mature cells in lacunae calcium present in the matrix and an extensive blood supply while hyaline cartilage connective tissue has chondroblasts as the cells that form matrix chondrocytes as mature cells mature cells in lacunae no calcium present in the matrix and is avascular
Ossification (osteogenesis)
the formation and development of bone connective tissue that begins in the embryo and continues through childhood and adolescence; by the 8th through 12th weeks of embryonic development the skeleton begins forming from intramembranous ossification or endochondral ossification
Intramembranous ossification
process in which ossification centers form within thickened regions of mesenchyme the osteoid undergoes calcification woven bone and surrounding periosteum form and lamellar bone replaces woven bone as compact and spongy bone form; forms the flat bones of the skull
Endochondral ossification
process in which a fetal hyaline cartilage model develops the cartilage calcifies and a periosteal bone collar forms around the diaphysis a primary ossification center forms in the diaphysis bone replaces cartilage except the articular cartilage and epiphyseal plates and secondary ossification centers form in the epiphyses after which the epiphyseal plates eventually ossify and form epiphyseal lines
Interstitial growth
bone growth in length
Appositional growth
bone growth in diameter or thickness
Interstitial growth process
bone growth in length occurs specifically within zone 2 (proliferating cartilage) and zone 3 (hypertrophic cartilage) of the epiphyseal plate pushing the zone of resting cartilage toward the epiphysis as flexible hyaline cartilage permits growth and new hyaline cartilage is replaced by bone similar to endochondral ossification during bone development
Epiphyseal plate
cartilage plate that maintains its thickness during childhood; at maturity the rate of cartilage production slows osteoblastic activity increases and the plate narrows until it disappears stopping interstitial growth and leaving a remnant called the epiphyseal line
Zones of the epiphyseal plate
zone 1 is the zone of resting cartilage zone 2 is the zone of proliferating cartilage zone 3 is the zone of hypertrophic cartilage zone 4 is the zone of calcified cartilage and zone 5 is the zone of ossification
Appositional growth process
occurs within the periosteum as bone matrix is deposited within layers parallel to the surface called external circumferential lamellae which increase in number and cause the structure to increase in diameter while osteoclasts resorb bone matrix along the medullary cavity transforming infant bone into a larger adult version
Bone remodeling
continues throughout adulthood occurring at periosteal and endosteal surfaces of a bone at different rates for example the distal part of the femur is replaced every 4 to 6 months while the diaphysis of the femur is not completely replaced over a lifetime with about 20 percent of the skeleton replaced yearly dependent upon the coordinated activities of osteoblasts osteocytes and osteoclasts and influenced by hormones and mechanical stress
Mechanical stress and bone
mechanical stress from weight-bearing movement and exercise is required for normal bone remodeling and is detected by osteocytes and communicated to osteoblasts increasing synthesis of osteoid and causing an increase in bone strength resulting from skeletal contraction and gravitational forces
Effects of increased and decreased bone mass
increased bone mass results from weight-bearing activities such as weight lifting walking or running and can increase total bone mass while decreased bone mass results from removal of mechanical stress causing reduced collagen formation and demineralization such as decreased strength of unstressed bone in an immobilized fracture
Hormones and bone
molecules released from one cell into the blood that travel throughout the body to affect other cells by binding to cellular receptors of specific cells and initiating specific cellular changes; some hormones alter rates of chondrocyte osteoblast and osteoclast activity affecting bone composition and growth patterns
Growth hormone (somatotropin)
hormone produced by the anterior pituitary gland that stimulates the liver to produce the hormone somatomedin both of which directly stimulate growth of cartilage in the epiphyseal plate
Thyroid hormone
hormone secreted by the thyroid gland that influences the basal metabolic rate of bone cells and regulates normal activity at epiphyseal plates
Sex hormones and bone growth
estrogen and testosterone are secreted in large amounts at puberty and dramatically accelerate bone growth increasing the rate of cartilage growth and bone formation in the epiphyseal plate with bone formation rate greater than cartilage growth until cartilage is eventually replaced with bone and growth stops
Glucocorticoids
a group of steroid hormones released from the adrenal cortex that regulate blood glucose level; high amounts increase bone loss and impair growth at the epiphyseal plate in children requiring monitoring if a child receives high doses such as for asthma
Serotonin (bone remodeling)
a neurotransmitter and hormone for which most bones have receptors that plays a role in the rate and regulation of normal bone remodeling; if levels are too high osteoprogenitor cells are prevented from differentiating into osteoblasts which could be linked to low bone density disorders
Calcium requirements
calcium is required for initiation of muscle contraction exocytosis of molecules from cells including neurons stimulation of the heart by pacemaker cells and blood clotting; two primary hormones regulate blood calcium calcitriol and parathyroid hormone
Calcitriol
the active form of vitamin D produced when the precursor molecule 7-dehydrocholesterol is converted to vitamin D3 (cholecalciferol) in the skin upon UV exposure or obtained from dietary intake then converted to calcidiol in the liver and finally to calcitriol in the kidney; calcitriol stimulates absorption of calcium ions from the small intestine into the blood
Parathyroid hormone (PTH)
hormone secreted and released by the parathyroid glands in response to reduced blood calcium levels that accelerates conversion to calcitriol by the kidney; PTH and calcitriol interact with major organs and act synergistically on bone connective tissue to increase release of calcium from bone into the blood by increasing osteoclast activity
Regulation of blood calcium by PTH and calcitriol
low blood calcium levels are detected by the parathyroid glands which release parathyroid hormone; PTH and calcitriol act synergistically to increase osteoclast activity in bone and decrease calcium excretion in urine at the kidneys while calcitriol increases calcium absorption from the small intestine restoring blood calcium levels to the normal homeostatic range
Calcitonin
hormone that aids in regulating blood calcium levels with a less significant role than PTH or calcitriol; released from the thyroid gland in response to high blood calcium levels and also secreted in response to exercise it inhibits osteoclast activity and stimulates the kidneys to increase loss of calcium in the urine reducing blood calcium levels; it has its greatest effect during periods of greatest bone turnover such as in growing children and its entire function remains unclear
Effects of aging on bone (decreased tensile strength)
aging reduces the rate of protein synthesis by osteoblasts so the relative amount of inorganic material increases making bones become brittle and susceptible to fracture; bone loss of calcium and other minerals makes bones thinner and weaker a condition of insufficient ossification called osteopenia
Osteopenia
condition of insufficient ossification that occurs slightly in all people with age beginning around age 35 to 40 as osteoblast activity declines while osteoclast activity remains at previous levels; the vertebrae jaw bones and epiphyses lose a large amount of mass and women lose more skeletal mass every decade than men
Osteoporosis
reduced bone mass sufficient to compromise normal function occurring in a significant percentage of older women and a smaller percentage of older men contributed to by reduced hormones with age including vitamin D growth hormone estrogen and testosterone
Fracture healing
simple fractures take 2 to 3 months to heal while compound fractures take longer to heal; healing slows with age and some fractures require surgical intervention to heal correctly
Stages of fracture repair
(1) a fracture hematoma forms at the break (2) a fibrocartilaginous (soft) callus forms as blood vessels regenerate (3) a hard (bony) callus forms as primary bone replaces the soft callus (4) the bone is remodeled resulting in compact bone at the fracture site