Chapter 6: Bones

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109 Terms

1
Number of bones in human body
206 named bones in the human body
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Divisions of the skeleton
Human skeleton is divided into axial skeleton (80 bones) and appendicular skeleton (126 bones)
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Shapes of bones
Bones can have various shapes.
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Structural Categories of Bones
Long bones, Short bones, Flat bones, Irregular bones
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Types of Bone
Compact or cortical bone and Spongy or cancellous bone
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Short, Flat, and Irregular Bone Structure
The 'Bread' is compact bone and the 'Filling' is spongy bone, called diploë
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Long Bones
Long bones have an epiphysis (the ends), diaphysis (the shaft), and contain a medullary cavity with bone marrow.
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Epiphyseal Plate/Line
The area between the epiphysis and diaphysis.
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Hyaline Cartilage
Lines the ends of long bones where bone articulates with another bone.
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Periosteum
Periosteum surrounds bone, with an outer layer of dense irregular connective tissue and an inner osteogenic layer.
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Sharpey's Fibers
Connect periosteum to bone.
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Endosteum
Thinner than periosteum, lines the interior of long bones and inside of cortical layers in short, flat, and irregular bones.
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Bone Tissue
Bone is connective tissue with cells and an extracellular matrix.
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Bone Cells
Includes osteogenic cells, osteoblasts, osteocytes, and osteoclasts.
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Osteogenic Cells
Also called osteoprogenitor cells, they are mitotically active stem cells in periosteum and endosteum.
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Osteoblasts
Bone-forming cells that secrete unmineralized bone matrix called osteoid.
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Osteoid Composition
Osteoid is made up of collagen and calcium-binding proteins, with collagen making up 90% of bone protein.
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Osteocytes
Mature bone cells in lacunae that maintain bone matrix and act as stress or strain sensors.
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Osteoclasts
Giant, multinucleate cells that function in bone resorption (breakdown of bone).
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Ruffled Borders of Osteoclasts
Increase surface area for enzyme degradation of bone and help seal off area from surrounding matrix.
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Extracellular Matrix of Bone
Composed of collagen protein fibers, proteoglycans, and calcium-binding proteins.
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Ground Substance of Bone
Mineralized with hydroxyapatite (mostly calcium salts), which makes bone hard.
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Bone Organization
Bones are organized in a specific manner.
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Compact bone
Also called lamellar bone.
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Osteon (Haversian system)
An osteon is the structural unit of compact bone.
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Osteon structure
Consists of an elongated cylinder that runs parallel to long axis of bone.
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Weight-bearing pillars
Acts as tiny weight-bearing pillars.
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Lamellae
Several rings of bone matrix that consist of collagen fibers running in different directions in adjacent rings.
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Bone salts
Found between collagen fibers.
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Central (Haversian) canal
Runs through core of osteon and contains blood vessels and nerve fibers.
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Perforating (Volkmann's) canals
Canals lined with endosteum that occur at right angles to central canal, connecting blood vessels and nerves of periosteum, medullary cavity, and central canal.
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Interstitial lamellae
Lamellae that are not part of osteon, some fill gaps between forming osteons; others are remnants of osteons cut by bone remodeling.
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Circumferential lamellae
Layers of lamellae that extend around entire surface of diaphysis, just deep to periosteum but superficial to endosteum.
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Spongy bone
Appears poorly organized but is actually organized along lines of stress to help bone resist any stress.
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Trabeculae
Like cables on a suspension bridge, confer strength to bone.
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Nutrient supply
Capillaries in endosteum supply nutrients.
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Support
One of the functions of bones.
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Protection
One of the functions of bones.
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Movement
One of the functions of bones.
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Mineral reservoir
One of the functions of bones.
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Blood cell formation
One of the functions of bones.
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Fat storage
One of the functions of bones.
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Calcium
Functions in many processes, such as nerve transmission, muscle contraction, blood coagulation, gland and nerve secretions, as well as cell division.
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Calcium in Bone
99% of 1200-1400 g of calcium are found in bone.
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Intestinal absorption of Ca2+
Requires vitamin D.
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Calcitonin
Produced by parafollicular cells of thyroid gland in response to high levels of blood calcium levels.
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Parathyroid hormone
Produced by parathyroid glands in response to low blood calcium levels.
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Hematopoiesis
Blood cells form in red bone marrow.
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Location of Red Bone Marrow in Adults
Located in heads of femur and humerus, but most active areas of hematopoiesis are flat bone diploë and some irregular bones (such as the hip bone).
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Yellow Bone Marrow
Stores fat.
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Endochondral Ossification
Most bones form this way; cartilaginous skeleton of fetus begins to ossify in 3rd month in utero, replacing hyaline cartilage with bone.
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Intramembranous Ossification
Bone forms from fibrous membrane; only for flat bones of cranium and clavicles.
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Epiphyseal Plate
A growing line of cartilage that ossifies, allowing long bones to increase in length via interstitial (longitudinal) growth.
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Appositional Growth
Bones increase thickness through osteoblasts beneath periosteum secreting bone matrix on external bone.
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Growth Hormone
Most important hormone in stimulating epiphyseal plate activity in infancy and childhood.
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Thyroid Hormone
Modulates activity of growth hormone, ensuring proper proportions.
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Testosterone and Estrogens
Promote adolescent growth spurts and induce epiphyseal plate closure.
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Hormonal Imbalances
Excesses or deficits of any hormones cause abnormal skeletal growth (e.g. excess GH can cause gigantism or acromegaly).
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Bone Remodeling
The process consisting of both bone deposit and bone resorption.
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Bone Resorption
A function of osteoclasts that involves breaking down bone matrix.
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Osteoclasts
Cells that dig depressions or grooves as they break down the bone matrix.
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Wolff's Law
States that bones grow or remodel in response to demands placed on them.
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Diaphysis
The thickest part of a bone where bending stresses are greatest.
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Bone Matrix
The intercellular substance of bone tissue, which is broken down by osteoclasts.
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Apoptosis
The process by which osteoclasts undergo programmed cell death after resorption is complete.
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Bone Remodeling Units
Packets of adjacent osteoblasts and osteoclasts that coordinate the remodeling process.
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Fractures
Breaks in bones that can occur due to trauma or weakness.
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Nondisplaced Fracture
A fracture where the ends retain normal position.
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Displaced Fracture
A fracture where the ends are out of normal alignment.
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Complete Fracture
A fracture that is broken all the way through.
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Incomplete Fracture
A fracture that is not broken all the way through.
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Open Fracture
A fracture where the skin is penetrated.
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Closed Fracture
A fracture where the skin is not penetrated.
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Reduction
The realignment of broken bone ends.
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Closed Reduction
A method where a physician manipulates to correct the position of a fracture.
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Open Reduction
A surgical method where pins or wires secure the ends of a fracture.
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Immobilization
The process of keeping a bone still by using a cast or traction to aid healing.
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Bone Repair Stages
The four major stages involved in the healing of a fracture.
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Bone Thinning
A condition that leads to weakness of bone, commonly seen in old age.
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Trabeculae
Structural elements that form trusses along lines of stress in bone.
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Bony Projections
Large bone formations that occur where heavy, active muscles attach.
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Weight Lifters
Individuals who develop enormous thickenings at muscle attachment sites due to heavy use.
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Featureless Bones
Bones of fetuses and bedridden individuals that lack stress and thus have no distinct features.
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Bone Mass Recycling
About 5-7% of bone mass is recycled each week.
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Spongy Bone Replacement
Occurs approximately every 3-4 years.
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Compact Bone Replacement
Occurs approximately every 10 years.
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Osteomalacia
Bones are poorly mineralized, osteoid is produced, but calcium salts are not adequately deposited, resulting in soft, weak bones and pain upon bearing weight.
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Rickets
Osteomalacia of children, resulting in bowed legs and other bone deformities because bone ends are enlarged and abnormally long.
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Cause of Rickets
Vitamin D deficiency or insufficient dietary calcium.
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Osteoporosis
A group of diseases in which bone resorption exceeds deposit, leading to normal matrix but declining bone mass.
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Susceptible areas in Osteoporosis
Spongy bone of spine and neck of femur.
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Common fractures in Osteoporosis
Vertebral and hip fractures.
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Risk factors for Osteoporosis
Most often aged, postmenopausal women, affecting 30% of women aged 60-70 years and 70% by age 80.
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Estrogen's role in Osteoporosis
Estrogen plays a role in bone density, so when levels drop at menopause, women run a higher risk.
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Men's risk for Osteoporosis
Men are less prone due to protection by the effects of testosterone.
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Lifestyle factors for Osteoporosis
Insufficient exercise to stress bones, diet poor in calcium and protein, smoking, and genetics.
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Hormone-related conditions affecting Osteoporosis
Hyperthyroidism and diabetes mellitus.
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Medications and Osteoporosis
Consumption of alcohol or certain medications can increase risk.
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Traditional treatments for Osteoporosis
Calcium, vitamin D supplements, weight-bearing exercise, and hormone replacement therapy for perimenopausal women.
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Hormone replacement therapy for Osteoporosis
Slows bone loss but does not reverse it, controversial due to increased risk of heart attack, stroke, and breast cancer.
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