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Skeletal System
Framework of bones, cartilage and ligaments
What are major functions of the skeletal System?
Support, Protect, Move, Store mineral salts, Blood cell production
Bone is an
Organ
What is bone composed of?
Bone tissue, cartilage, epithelial tissue, fibrous connective, blood vessels, and nervous tissue
Osteocytes
Large intercellar spaces separating mature cells
Matrix
Hard composite material (calcium phosphate)
Compact bones
Few gaps, 80% of bone mass, thicker, protection and support
Spongy Bone
Open porous network, lightens bone and provide space for marrow, covered by compact bone
Diaphysis
Long, main shaft ( compact bone)
Epiphysis
Expanded ends (spongy Bone)
Epiphyseal plate
Active plate of cartilage where bone growth occurs of lengthen bone
Articular cartilage
Hyaline cartilage covering epiphysis
Periosteum
Dense fibrous tissue covering surface of bone
Medullary cavity
Hollow chamber in shaft of bone filled with yellow marrow (fat)
Osteoblast
Forms bone matrix
Osteocyte
Maintains bone tissue
Osteoclast
Breakdown bone
Suture
Immovable joints between flat bones of the skull
Condyle
Rounded process of a bone; usually forming a joint
Process
Projection from a bone; usually the site of tendon or ligament attachment
Foramen
An opening in a bone ( allows blood vessels and nerves to pass
Complete
Bone is broken all the way through
Incomplete
Bone cracks doesn't break
Open compound
Broken bone pierces through skin
Closed simple
Phone broken doesn't break through skin
Green stick
Bone bends and cracks
Transverse
Bone breaks straight across
Oblique
Bone brakes diagonally
Comminuted
Bone broken into many pieces
Pathologic
Bone breaks because of disease
Impact compression
Bone ends are forced together
Spiral
Break that twist around bone due to rotating force
Stress
Small crack from force or overuse
Hairline
Thin minor break
Avulsion
Bone is pulled off by tendon or ligament
Salter-Hartis
Growth plate fracture
Colles’
Wrist fracture
Pott’s
Ankle fracture
Osteogenesis
Process of bone formation
What are the two types of osteogenesis?
Intramembranous ostification and endochondral ostification
Intramembranous ossification
Forms flat bones
Endochondral ossification
Begins as a model of a hyaline cartilage
Primary ossification
compact bones formed in rings around blood vessels and under under periosteum (Begins before birth)
Secondary ossification
Spongy bone in epiphysis starts in middle works outward (Begins after birth)
Bone remodeling
Replace old bone with new, throughout life in response to stimulus
What are some reasons bone remodeling might happen?
Response to stress
Repair a fracture
Need for calcium
What are metabolic needs for calcium?
Nerve impulse conduction
Muscle contraction
Blood clotting
What percent does bone remodeling in adults happen per year?
10%
What are some bone growth and repair factors?
Having calcium and phosphorus
Vitamins ACD
Balance of hormones
Why are vitamins important for bones?
Important for proper absorption and utilization of CA and P
Growth hormone
Promotes osteoblast activity which affects the length of mass of Bones
Calcitonin
Inhibits osteodast activity
Parathyroid
Stimulates osteoclast activity
Sex hormones
Promote bone growth
What is the bone repair process?
Formation of blood clots
Fibrocartilage callus forms
Bony callus forms (Spongy Bone)
Bone remodeling (Compact Bone)
Rickets
Vitamin D deficiency in children
What does rickets look like?
Bones soften; bend under weight
Osteonecrosis
No blood supply, bone tissue dies
How does osteonecrosis happen?
Trauma to bone that disrupts blood flow, and steroid or alcohol abuse
Osteoporosis
Decrease is bone mass/bone brittle
What cause osteoporosis?
Low CA and vit D, malabsorption, inactivity, smoking, drinking, and caffeine
When does osteoporosis happen?
Middle age to elderly, white females, after menopause
Osteomyelitis
Infection of bone
What does osteomyelitis do?
Reach bone by blood, fracture, sinus infection, and destroys bone and joints
Osteosarcoma
Malignant bone tumor
Where does osteosarcoma happen?
Ends of long bones
How is osteosarcoma treated?
With radiation amputation chemotherapy drugs
Scoliosis
Side to side curb of the spine
What does scoliosis cause?
Imbalance and strain on body
How to treat scoliosis?
Brace or exercise to treat mild cases Metal rot insertion or surgery to treat severe cases
Who is scoliosis most common in?
Girls ages 10 to 15 years
Sinuses
Cavities in skull bones that are lined with mucus membranes
Where do sinuses connects to?
Nasal passage
What are sinuses function?
Reduce weight of skull and increase voice intensity
Sinus infection
Clogging of the sinus opening and bacteria growth within
Joints
Junction where two or more bones come together
Immovable joints ( Fibrous)
Thin layer of dense connective tissue separate bones
Immovable joints example
Sutures of skull
Slightly moveable ( Cartilaginous)
Separated by disc of fibrocartilage or hyaline
Slightly moveable joint example
Between vertebrae and pubic bones
Freely moveable (Synovial)
Joint is held in place and stabilized by ligaments and muscles
Synovial cavity
Encases joint
Articular cartilage
Covers ends of bone
Synovial fluid
Lubricates joint
Bursea
Found in some joints
What does a bursea do?
Assist in movement if tendons over bones
Are the bursea do synovial cavity connected?
Yes
What are the 6 types of freely moveable joints?
Hinge, saddle, gliding, pivot, condyloid, ball and socket
Arthritis
Joint inflammation
Arthritis symptoms?
Pain stiffness and joint swelling
Spetic
Bacterial infection in synovial cavity
Osteoarthritis
cartilage wears out causing bone spurs
Rheumatoid
Immune system destroys cartilage
Gout
Uric acid buildup in joints
What does gout feel like
Needle like crystal in joint
Dislocation
Displacement of bone at joint with tearing or loosening of ligaments tendons or capsile
What are the most common dislocations?
Finger and shoulder
Sprain
Forcible wrenching or twisting of joint
What does a sprain damage?
Blood vessels, muscles and stretches tendons
What is the treatment for a sprain?
M.E.AT.