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Skeletal System
Consists of bones, cartilage, tendons, and ligaments; the adult skeleton contains 206 bones.
Major functions of the skeletal system
Supports the body, protects organs, allows movement, stores minerals and lipids, and produces blood cells.
Major bones listed in the module
Skull, clavicle, sternum, ribs, vertebral column, humerus, radius, ulna, pelvis, femur, tibia, and fibula.
Extracellular matrix
Material surrounding cells whose composition helps determine the characteristics of connective tissues.
Components of bone extracellular matrix
Collagen, ground substance, organic molecules, water, and minerals.
Collagen
A tough, ropelike protein that provides flexible strength.
Proteoglycans
Large molecules that attract water and help give tissues their properties.
Tendon and ligament extracellular matrix
Contains large amounts of collagen fibers, making these structures tough like ropes or cables.
Cartilage extracellular matrix
Contains collagen and proteoglycans.
Why is cartilage tough?
Collagen makes cartilage tough.
Why is cartilage resilient?
Water-filled proteoglycans allow cartilage to spring back after being bent or slightly compressed.
Function of cartilage as a shock absorber
Its extracellular matrix makes it smooth and resilient, allowing it to absorb shock.
Bone extracellular matrix
Contains collagen and minerals including calcium and phosphate.
Function of collagen in bone
Provides flexible strength.
Function of minerals in bone
Provide compression or weight-bearing strength.
Hydroxyapatite
Inorganic material consisting primarily of calcium phosphate crystals.
Appositional growth
Addition of new bone to the surface of older bone or cartilage.
How do bones increase in size?
By appositional growth.
Osteoblast
Bone-building cell involved in bone formation, repair, and remodeling.
Ossification
Formation of new bone by osteoblasts.
Osteocyte
A mature bone cell that maintains the bone matrix.
Osteoclast
Cell that removes existing bone during bone repair and remodeling.
Bone resorption
Removal or breakdown of existing bone by osteoclasts.
Woven bone
Bone with collagen fibers oriented in many directions.
What happens to woven bone?
It is remodeled to form lamellar bone.
Lamellar bone
Bone arranged in thin layers called lamellae with collagen fibers oriented parallel to one another.
Four shape classifications of bones
Long, short, flat, and irregular.
Long bone
A bone that is longer than it is wide; found in the upper and lower limbs.
Short bone
A bone approximately as wide as it is long.
Examples of short bones
Bones of the wrists and ankles.
Flat bone
A relatively thin and flattened bone.
Examples of flat bones
Skull bones and sternum.
Irregular bone
A bone with a shape that does not fit into the long, short, or flat categories.
Examples of irregular bones
Vertebrae and facial bones.
Diaphysis
Shaft of a long bone.
Epiphysis
End of a long bone containing spongy bone tissue.
Articular cartilage
Covers the epiphysis and reduces friction.
Epiphyseal plate
Site of bone growth between the diaphysis and epiphysis.
Medullary cavity
Center of the diaphysis containing red or yellow marrow.
Periosteum
Membrane surrounding the outer surface of a bone.
Endosteum
Membrane lining the medullary cavity.
Spongy bone
Bone containing many spaces with lamellae forming trabeculae.
Trabeculae
Interconnected beams of bone forming a lattice-like structure.
What fills the spaces of spongy bone?
Bone marrow and blood vessels.
Function of trabeculae
They are oriented along lines of stress and provide structural strength.
Compact bone
Dense bone containing relatively few spaces.
Lamellae
Thin layers of bone tissue.
Circumferential lamellae
Lamellae that form the outer surface of compact bones.
Concentric lamellae
Lamellae surrounding the central canal and forming osteons.
Interstitial lamellae
Remnants of lamellae left after bone remodeling.
Osteon
Structural unit formed by concentric lamellae surrounding a central canal.
Perforating canals
Carry blood vessels toward the central canals.
Canaliculi
Connect central canals to osteocytes according to the module.
Intramembranous ossification
Bone development from membranes.
Bones formed from membranes in the module
Some skull bones, part of the mandible, and the diaphyses of the clavicles.
Center of ossification
Area within a membrane where osteoblasts begin producing bone.
Fontanels
Areas of membrane that have not ossified at birth.
Cartilage bone development
Process in which cartilage matrix calcifies, chondrocytes die, and osteoblasts form bone on the calcified cartilage matrix.
Primary ossification center
Forms in the diaphysis during fetal development.
Secondary ossification center
Forms in the epiphysis.
Structures that do not ossify in developing long bones
Articular cartilage and the epiphyseal plate.
Bone remodeling
Converts woven bone to lamellar bone and allows bone to change shape, adjust to stress, repair itself, and regulate calcium levels.
How does bone adjust to stress?
By adding new bone and realigning bone through remodeling.
First event in fracture repair
Formation of a hematoma.
Hematoma
A collection formed at the beginning of fracture repair.
Internal callus
Structure consisting of fibers and cartilage that replaces the hematoma.
External callus
Bone-cartilage collar that stabilizes the ends of a broken bone.
What happens to the internal and external calluses?
They ossify and become woven bone.
Final stage described in fracture repair
Woven bone is replaced by compact bone.
Fracture repair sequence
Hematoma → internal and external callus → woven bone → compact bone.
Calcium homeostasis
Regulation of calcium levels in the blood.
PTH effect on blood calcium
Increases blood Ca²⁺ by increasing bone breakdown, intestinal calcium absorption, and calcium reabsorption from urine.
Calcitonin effect on blood calcium
Decreases blood Ca²⁺ by decreasing bone breakdown.
Effects of aging on bone
Bone matrix is lost and becomes more brittle.
Spongy bone loss
Results from thinning and loss of trabeculae.
Compact bone loss
Mainly occurs from the inner surface of bones and involves formation of fewer osteons.
Consequences of bone loss
Increased fracture risk, deformity, loss of height, pain, stiffness, and loss of teeth.
Osteoporosis
Bone disease in which bone mineral density and bone mass decrease or bone structure and strength change.