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Axial skeleton
Forms the long axis of the body (ex. skull, vertebrae, ribs)
Appendicular skeleton
Forms the limbs & respective girdles
*Scapula, clavicle, & os coxa are appendicular!
What are the 4 main classifications of bones according to their shape?
Long
Short
Flat
Irregular
What is a long bone?
Provide an example
Bones that are longer than they are wide
Femur
*Phalanges are a long bone
What is a short bone?
Provide an example
Small, cube-shaped bones
Carpals
What is a flat bone?
Provide an example
Bones that look really smooth
Sternum
What is an irregular bone?
Provide an example
Any bone that doesn’t fit into any of the other main categories
Ox coxa
What are the 5 specifications/additional categories of bones based on structure?
Wormian
Pneumatic
Sesamoid
Accessory
Heterotrophic
What is a Wormian bone?
Provide an example
Bones within the skull’s sutures
Bones on the lambdoid suture

What is a pneumatic bone?
Provide an example
What are 2 functions of the pneumatic bone?
Bones that contain air (sinuses)
Frontal bone
Makes your head lighter & amplifies sound when you’re talking or listening
What is an accessory bone?
An extra bone that forms because it failed to fuse during development
What is a sesamoid bone?
Provide an example
A type of short bone that is within a tendon
Patellar
What is a heterotrophic bone?
What causes it?
Bones that form where they shouldn’t (within soft tissue)
Disease or genetic mutation

What are the 3 types of bone cells?
Osteoblasts
Osteocytes
Osteoclasts
What is an osteoblast?
Builder cells that secrete the matrix of the cell; bone forming cell
What is an osteocyte?
Cells that maintain the matrix; mature bone cell
What is an osteoclast?
Cells that break down the bone matrix & releases calcium; demolition crew
What are the 2 main components of the extracellular matrix of bone?
Osteoid (organic)
Hydroxyapatite (inorganic)
What bone cell is the source of the osteoid?
What is an osteoid made up of (3)?
What is its function in the bone?
Osteoblasts
Collagen with some proteoglycans & glycoproteins
Provides tensile strength (allows bone to be flexible)
What is the source of hydroxyapatite?
What is hydroxyapatite made up of (2)?
What is its function in the bone?
Blood plasma
Calcium & phosphate
Provides compressional strength (hardness)
What is an osteon?
Basic structural unit of lamellar bone

What is concentric lamellae?
The individual layers of the osteon
What is the central canal of an osteon?
What does it contain (4)?
The middle hole of the osteon
Nerves, arteries, veins, lymphatics (NAVaLs)

What is interstitial lamellae in an osteon?
The osteons not in circles in between other formed osteons

Label the parts of the microscopic structure of compact bone
Circumferential lamellae
Periosteum
Perforating fibers/Sharpey’s fibers
Perforating canal
Spongy bone (trabeculae)
What are canaliculi?
Eyelash-looking structures on an osteon that allow osteocytes to communicate
What are the 2 types of bone tissue?
Spongy (cancellous) bone
Compact bone
What are the plates of lamellar bone in spongy bone called?
What are those spaces filled with?
Trabeculae
Red bone marrow
What are the 2 functions of red bone marrow in spongy bone?
Produces blood cells (hematopoiesis)
Nourishes the bone cells of the trabeculae
What is the name of the membrane that lines trabeculae?
What are 2 bone cells it contains?
Endosteum
Osteoblasts & osteoclasts
What are 2 characteristics of compact bone that makes it different than spongy bone?
It’s dense, heavier, & more solid
It contains yellow bone marrow (fat)
In a flat bone, what is it called when thin layers of compact bone surround a spongy bone (like a sandwich)?
Diploe


Label the gross anatomy of a long bone
Diaphysis
Epiphysis
Epiphyseal line
Articular cartilage
Medullary cavity
Yellow bone marrow
Endosteum
Periosteum
What are the 2 sublayers of the periosteum?
Outer fibrous layer
Inner osteogenic layer
What does the outer fibrous layer of the periosteum contain (2)?
What is its function?
Dense irregular CT & sensory nerves
Holding & protecting the bone
What does the inner osteogenic layer of the periosteum contain (2)?
Osteoblasts & osteoclasts
What is osteogenesis/ossification?
The process of bone formation that occurs before birth
What are the 2 processes of osteogenesis?
Intramembranous ossification
Endochondral ossification
What is the model used in intramembranous ossification?
What bones are formed from intramembranous ossification?
Fibrous membrane
Flat bones of the skull & clavicles
What is the model used in endochondral ossification?
What bones are formed from endochondral ossification?
Hyaline cartilage
All bones except for flat bones of the skull & clavicles
What is alkaline phosphatase?
Enzyme made by osteoblasts & chondroblasts that makes calcium available to go into the matrix of the bone from the blood
What is woven bone?
Early, disorganized, freshly made, new bone
Similar to spongy bone, but the trabeculae aren’t as organized
Trabeculae are thinner and not as strong
Which one of the 3 primary germ layers does bone come from?
Mesoderm
What are 4 steps in intramembranous ossification?
Membrane model formation
Bone matrix formation
Periosteum develops
Compact bone formation
What happens during Step 1: Membrane model formation in intramembranous ossification?
Begin in fibrous membrane, made up of mesenchyme
Mesenchymal cells cluster & change into osteoblasts
This is now called the ossification center

What happens during Step 2: Bone matrix formation in intramembranous ossification?
Osteoblasts secrete osteoid (thin-layer of matrix)
Osteoid hardens (calcifies)
Osteoblasts become osteocytes

What happens during Step 3: Periosteum develops in intramembranous ossification?
Trabeculae form as more osteoids fuse together
Mesenchyme flattens to form the periosteum, which contains osteoblasts

What happens during Step 4: Compact bone formation in intramembranous ossification?
Osteoblasts in the periosteum create compact bone for the external surface
Spongy bone is filled with red bone marrow on the inside

What are the 5 steps in endochondral ossification?
Cartilage model formation
Formation of bone collar & loss of cartilage matrix
Periosteal bud begins ossification inside the developing bone
Formation of spongy bone & medullary cavity
Ossification os the epiphyses
What happens during Step 1: Cartilage model formation in endochondral ossification?
Starting from hyaline cartilage
Has the shape of the future bone & will enlarge via interstitial growth

What happens during Step 2: Formation of bone collar & loss of cartilage in matrix in endochondral ossification?
Osteoprogenitor cells (precursor to osteoblasts) form in the diaphysis & turn into osteoblasts
These osteoblasts deposit a thin layer of bone on the outside of the cartilage. This is called the bone collar
Chondrocytes inside diaphysis get bigger (hypertrophy)
Big chondrocytes release alkaline phosphatase to calcify cartilage in the bone
Chondrocytes die

What happens during Step 3: Periosteal bug begins ossification inside the developing bone in endochondral ossification?
Blood vessel enters (periosteal bud)
Periosteal bud contains NAVaLs, osteoclasts, osteoblasts, & red bone marrow elements
Osteoblasts from periosteal bud begin to build spongy bone over dead cartilage cells (primary center of ossification)

What happens during Step 4: Formation of spongy bone and medullary cavity in endochondral ossification?
Spongy bone forms in center of diaphysis
Osteoclasts eat away at the spongy bone to make the medullary cavity
2 more periosteal buds come in at the epiphyses to form them (secondary ossification center)

What happens during Step 5: Ossification of the epiphyses in endochondral ossification?
Lots of spongy bones form in epiphyses and it stays spongy bone
There’s a small stripe of cartilage left between the epiphysis and the diaphysis. This is the epiphyseal plate

What are 2 disorders related to osteogenesis?
Osteogenesis imperfecta
Hypophosphatasia
What is osteogenesis imperfecta?
Production of defective or inadequate collagen (no osteoid)
What is hypophosphatasia?
Low levels of alkaline phosphatase, so less calcium into bone (no hydroxyapatite)
Where does post-natal longitudinal bone growth occur?
At the epiphyseal plate (before it turns into epiphyseal line)
What are the 4 zones in the epiphyseal plate that deal with post-natal bone growth?
Growth (proliferation) zone
Hypertrophic zone
Calcification zone
Ossification zone
What happens at the growth (proliferation) zone of the epiphyseal plate?
Mitosis of cartilage cells (growing more cells)
What happens at the hypertrophic zone of the epiphyseal plate?
Cartilage cells are going through hypertrophy (getting big) & are starting to secret alkaline phosphatase
What happens at the calcification zone of the epiphyseal plate?
Matrix is becoming calcified so cartilage cells are dying
What happens at the ossification zone of the epiphyseal plate?
Bone formation
What direction does longitudinal bone growth at the epiphyseal plate happen?
Bone grows outwards from the diaphysis

What is achondroplastic dwarfism?
When the cartilage cells in the growth zone of the epiphyseal plate don’t undergo mitosis
The long bones don’t grow very long
What is appositional both growth?
Adding tissue to the outside of the bone to make it grow thicker as it grows longer
What 3 hormones regulate post-nasal bone growth?
Growth hormone
Thyroid hormone
Estrogen & testosterone
What’s the growth hormone pathway (3)?
Growth hormone is released by the pituitary gland via liver
Liver makes insulin-like growth factor (IGF)
IFG makes chondroblasts & osteoblasts undergo mitosis (aka bones get longer)
What is the thyroid hormone pathway (3)?
Pituitary gland releases thyroid-stimulating hormone (TSH)
Thyroid releases thyroid hormone (T3 or T4)
Regulates by a negative feedback system
What are the 2 effects thyroid hormone has on growth?
Maintains growth hormone activity
Stimulates osteoblasts
What is the estrogen/testosterone pathway (3)?
Osteoblasts are stimulated during puberty
Hormones make the bones grow a lot until you reach the end of puberty
Estrogen causes epiphyseal plate to turn into bone (epiphyseal line)
What is Wolff’s law?
Putting more stress on the bones makes them thicker; the more you use the bones with muscle, the stronger they become