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What are the functions of bones?
Support and protection of soft tissue structures
Mineral reservoir and homeostasis
Hematopoiesis and lymphopoiesis
What is the epiphysis?
The cap on top of a bony structure
What is the metaphysis?
More spongey bone, between the epiphysis and diaphysis
What is the diaphysis?
In between physis
What is woven bone?
Immature bone
What is lamellar bone?
Mature bone
What are the types of lamellar bone?
Cortical or cancellous
What are the characteristics of cortical bone?
Thick at diaphysis and thin near bone ends
Compact or Osteonal bone
What are the characteristics of cancellous bone?
Trabecular or Spongy
What is an osteon also known as?
Haversion system
What is the purpose of a Volkmann’s or perforating canal?
Connection of Haversion systems
What type of material is the majority of bone made of?
Inorganic material (minerals)
What is the majority of bones’ organic component?
Type I Collagen
What regulates bone formation?
IGF, BMP, osteocalcin, osteonectin, bone sialoprotein, alkaline phosphate
What does collagen and EMC proteins provide?
Tensile strength to bone
What are components of ground substance?
Proteoglycans and glycosaminoglycans
What are the functions of osteoblasts?
Deposit osteoid
Initiate mineralization
Mediate osteoclast activity
What are the functions of osteocytes?
Communicate with neighboring cells
Regulate osteoblast and osteoclast actvity
Mechanosensors
What is the function of osteoclasts?
Bone resorption
What is the periosteum?
Membrane that surrounds bone
What is the component of the outer layer of the periosteum?
connective tissue
What is the inner layer of the periosteum?
Cambrium (blood vessels supply outer 1/3)
What does hydroxyapatite contribute to?
Strength in compression
What is intramembranous ossification?
Osteocytes get entrapped and osteoblasts stay on top
What is an example of intramembranous ossification?
flat bones
What is endochondral ossification?
Hyaline cartilage template is resorbed and replaced with bone
What are examples of endochondral ossification?
Long bones, secondary fracture healing
During what zone do chondrocytes mature/enlarge?
Hypertrophic zone
What occurs after apoptosis of chondrocytes?
Angiogenesis
When does apoptoses of chondrocytes occur?
Calcification
What happens during ossification?
osteoblasts form woven bone
What is bone modeling?
changes in bone size and shape during normal development
formation and resorption occur at different sites
What is bone remodeling?
Resorption then formation on same surface
What is a cutting cone?
Osteoclasts tunnel through bone followed by osteoblasts which lay down osteoid
What is the difference between cancellous and cortical remodeling?
No need for blood vessels in cancellous remodeling
What drive remodeling?
Wolff’s law
What does decreased activation of remodeling and increased formation lead to?
Increased bone mass
What does increased activation of remodeling lead to?
Decreased bone mass
What is primary healing?
Contact or gap healing, no callus
What is secondary healing?
Heals with callous formation
What are the 5 phases of secondary healing?
Inflammation
Intramembranous ossification
Soft callus
Hard callus
Remodeling phase is long
Which type of healing results in stronger bone?
Secondary healing