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How many bones are there at birth versus in an adults
270 bones at birth; 206 bones in a typical adult.
Three types of cartilage
Hyaline cartilage, elastic cartilage, and fibrocartilage.
Where is hyaline cartilage?
Articular cartilage: Covers joint surfaces where bones move across each other, Costal Cartilage: connects true ribs to sternum, nose
Hyaline cartilage function
Helps reduce friction at joints and provides structural support.
Elastic cartilage locations
External ear and epiglottis.
Elastic cartilage function
Highly flexible due to elastic fibers
Fibrocartilage main function
Shock absorption
Fibrocartilage locations
Intervertebral discs, pubic symphysis, and menisci of knees.
Perichondrium structure
Layer of dense irregular connective tissue surrounding all cartilage.
Compact/Dense/Cortical bone location
External layer of bones surrounding the medullary cavity.
Compact bone appearance
Dense, smooth, solid white osseous tissue.
Spongy/Cancellous/Trabecular bone location
Internal layer of bones surrounded by compact bone and filled with trabeculae
Where is spongy bone found in long bones?
the epiphyses and just outside medullary cavity (thin layer)
What is the architecture of spongy bone?
Appears poorly organized and develops due to stress lines. Has irregular arrangement of lamellae and osteocytes
Spongy bone nutrient delivery
Nutrients diffuse directly through canaliculi from endosteum space.
Structure of short, flat, and irregular bones
Spongy bone sandwich between two outer layers of compact bone.
Structure of Long Bones
Epiphysis, Epiphyseal Line, Metaphysis, Diaphysis, Metaphysis, Epiphyseal line, Epiphysis
Epiphysis
Expanded head at each end of a long bone that strengthens joints, increases surface area, and provides attachment site
Diaphysis
Elongated shaft of a long bone housing the medullary cavity and provides leverage
Epiphyseal line
Remnant of the epiphyseal plate (growth plate) in adult bone.
Long bone examples
Humerus, radius, femur, tibia, metacarpals, metatarsals, phalanges.
Long bone function
Movement
Short bone shape and examples
Roughly cube-shaped; carpals (wrist) and tarsals (ankle).
Flat bones
thin, flattened (usually curved)
Flat bone examples
Sternum, scapulae, ribs, hip bones, most cranial bones.
Flat bone functions
Provides protection
Irregular bone function and examples
Vertebrae for support and protection
Sesamoid bone definition
Bone formed within a tendon in response to strain.
Largest sesamoid bone
Patella (kneecap).
Sutural bones
Extra bone islands that form within skull joints (sutures).
Osteogenic (osteoprogenitor) cells
Stem cells that differentiate into osteoblasts.
Osteogenic cells location
Deep inner layer of periosteum and marrow.
Osteoblasts
Bone-forming cells that synthesize osteoid and promote mineralization in osteogenic layers
Osteoblast locations
Growing portions of bone including periosteum and endosteum
Osteocytes
Mature bone cells trapped in lacunae maintaining matrix mineral density; 90-95% of all bone cells
Osteoclasts
Large, multi-nucleated bone-resorbing cells which ruffled edge for increased surface area
Osteoclast location
Bone surfaces at sites of old, injured, or unneeded bone.
Bones formed by intramembranous ossification
Flat bones of skull, parts of clavicle, scapula, and mandible.
Intramembranous ossifcation Step 1
Mesenchymal cells (stem cells) cluster around a vessel and become osteoblasts. Osteoblasts secrete osteoid and an ossification center forms in fibrous connective tissue
Intramembranous ossifcation Step 2
Osteoblasts grow and continue to secrete osteoid. Trapped osteoblasts now become osteocytes
Intramembranous ossifcation Step 3
Osteoid continues to form around vessels forming an immature spongy bone, mesenchyme adheres to the external surface and becomes the periosteum
Intramembranous ossifcation Step 4
Immature spongy bone near the periosteum is remodeled and replaced with compact bone, central immature spongy bone matures
Endochondal Ossification Step 1
Mesenchymal cells specialize into osteoblasts, perichondrium becomes periosteum, osteoblasts secrete osteoid creating a bone collar, chondrocytes left within hypertrophy and become primary ossification center
Endochondral Ossification Step 2
Chondrocytes from the primary ossification center ossify surrounding cartilage, chondrocytes die and matrix begins to dissolve, cavities are now formed within the model, remaining cartilage (ends) are healthy and growing rapidly to elongate the model
Endochondral Ossification Step 3
Cavities are invaded by the periosteal bud, osteoclasts partially erode the cartilage matrix, osteoprogenitor cells become osteoblasts (spongy bone formation!!)
Endochondral Ossification Step 4
Osteoclasts break down the newly formed spongy bone and open the cavity, the epiphyses stay as cartilage ends through birth (growing rapidly), after birth secondary ossification centers develop at epiphyses
Endochondral Ossification Step 5
Secondary ossification mimics that of primary except the spongy bone remains and no cavity is formed, the space between the diaphysis and epiphysis is the epiphyseal plate and is hyaline cartilage
How many secondary ossification centers are there for different types of bones?
Long bones of arms/legs have at least 2 secondary ossification centers, Shorter long bones + short bones have 1, Irregular have multiple
Interstitial growth (Postnatal Growth)
Postnatal growth in bone length occurring at epiphyseal plate.
Interstitial growth zone 1: Proliferation
Chondrocytes rapidly divide and older chondrocytes get pushed down
Interstitial growth zone 2: Hypertrophic
Older chondrocytes enlarge lacunal implode leaving empty spaces
Interstitial growth zone 3: Calcification
Surrounding matrix calcifies, chondrocytes die
Interstitial growth zone 4: Ossification
Chondrocytes die, Osteoblasts promote ossification and deposit concentric lamellae
Appositional growth Postnatal growth) definition
Postnatal growth in bone diameter (thickness/width) that occurs through deposition of new tissue at the surface
Appositional growth process
Osteoblasts under periosteum build bone while osteoclasts in endosteum resorb bone.
Appositional growth balance
Osteoblast activity slightly exceeds osteoclast activity, expanding bone width.
Organic components of bone matrix
Cells and osteoid (unmineralized matrix from osteoblasts)
Organic components of bone matrix function
-gives bone tensile strength by resisting stretching
-contributes to bone flexibility
inorganic components of the bone matrix
Mineral salts (Calcium, phosphate)
Inorganic bone matrix function
Provides hardness and compressional strength.
Endosteum definition
Delicate membrane lining internal bone cavities and canals and contains same cells as inner periosteum (osteogenic)
Endosteum locations
Marrow cavity, surfaces of spongy bone, canal system
Periosteum Function
Attachment site for tendons
Periosteum outer layer structure
Dense irregular connective tissue with irregular collagen fibers.
Periosteum outer layer function
Withstands multi-directional pulling forces
Periosteum inner layer contents
Contains bone-forming cells that add to the surface of bone
Where periosteum is ABSENT
Over articular cartilage surfaces at joints.
Which bony landmarks are articulations?
Condyle, Facet, Head
Condyle
Rounded knob that articulates with another bone (e.g., occipital condyle).
Facet
Smooth, flat, slightly concave or convex articular surface (e.g., articular facets of vertebrae).
Head
Prominent expanded end of a bone (e.g., head of femur).
Crest
Narrow ridge of bone (e.g., iliac crest).
Epicondyle
Expanded region proximal to a condyle (e.g., medial epicondyle of femur).
Line
Slightly raised, elongated ridge (e.g., nuchal line of skull).
Process
Any prominent bony projection (e.g., mastoid process).
Protuberance
Bony outgrowth or protruding part (e.g., mental protuberance).
Ramus
Branching arm or extension of a bone (e.g., ramus of mandible).
Spine
Sharp, slender, or narrow process (e.g., mental spine of mandible).
Trochanter
Two massive processes unique to the femur.
Tubercle
Small, rounded projection (e.g., greater tubercle of humerus).
Tuberosity
Rough, elevated surface (e.g., tibial tuberosity).
Alveolus
Deep pit or socket (e.g., tooth socket).
Fossa
Shallow, broad, or elongated basin (e.g., mandibular fossa).
Fovea
Small, distinct pit (e.g., fovea capitis of femur).
Sulcus
Groove for a tendon, nerve, or blood vessel (e.g., intertubercular sulcus).
Canal
Tubular passage or tunnel through bone (e.g., auditory canal).
Fissure
Slit-like opening through a bone (e.g., orbital fissure).
Foramen
Round or oval hole through a bone (e.g., foramen magnum).
Sinus
Air-filled cavity within a bone (e.g., frontal sinus).
Percentage of body's calcium stored in bone
99% of total calcium.
Hypocalcemia definition & symptom
Low blood calcium level; causes increased neuronal excitability and muscle tremors.
Hormone released during hypocalcemia
Parathyroid Hormone (PTH).
Parathyroid Hormone effects on osteoclasts/osteoblasts
Increases osteoclast activity (bone absorption); decreases osteoblast activity
Parathyroid Hormone effect on kidney excretion
Increases urinary phosphate excretion which prevents hydroxyapatite which causes decreased bone deposition; decreases urinary calcium excretion.
Hypercalcemia definition & symptoms
High blood calcium level; causes decreased neuronal excitability, fatigue, sluggish reflexes, rare cardiac arrest
Hormone released during hypercalcemia
Calcitonin (secreted by thyroid gland).
Calcitonin action mechanism hypercalemia
Causes decreased osteoclast activity which causes decreased bone resorption, Causes increased osteoblast activity which causes more bone deposition
Parathyroid Hormone
Stimulates the osteoclasts to promote bone resorption, Promotes calcium reabsorption by the kidneys, Promotes final step of calcitriol(vitamin D) synthesis in the kidneys, Inhibits collagen synthesis by inhibiting osteoblasts
Calcitriol (Active Vitamin D) functions
Promotes intestinal absorption of Ca2+ and phosphate; reduces urinary excretion of both; promotes both resorption and mineralization; stimulates osteoclast activity
Cortisol effect on bone
Inhibits osteoblasts; excess (Cushing's) stimulates osteoclasts causing osteoporosis.