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How does the skeletal system support and protect the body
supports soft tissues and shields organs like brain and heart
how does the skeletal system support movement in the body
skeletal muscles contract to move at joints
how does the skeletal system provide mineral storage in the body
bone stores calcium and phosphate; mineral homeostasis
how does the skeletal system facilitate bone marrow functions
red marrow → produce RBC; yellow marrow → stores triglycerides
what are the 5 types of bone shapes
long short irregular flat and seismoid
what is the diaphysis of a long bone
shaft around medullary cavity
what are the epiphyses of a long bone
expanded proximal and distal ends
what are the metaphyses of a long bone
transition reigons between diaphysis and epiphyses; contains growth plate or adult epiphyseal line
what is the periosteum
covers outside of bone except articular surfaces
what is in the inner layer of the periosteum
osteogenic cells
articular cartilage
hyaline cartilage at joint surfaces and reduces friction and distributes load
what does red marrow support and what is it called
supports production of RBC or hemopoiesis
what does yellow marrow contain and store
contains adipocytes and stores energy
what does the adult long bone shaft typically contain
yellow marrow
where is adult red marrow concentrated
axial skeleton and the proximal humerus and femur
what makes up the organic matrix of bones and what does it do
collagen and other organic components that resist pulling and adds flexibility
what makes up the mineral component of the bones and what does it do
hydroxyapatite crystals rich in calcium and phosphate that provide hardness and resistance to compression
what do osteoprogenitor cells do
they divide and provide osteoblast precursors
what do osteoblasts do
they secrete osteoid and support mineralization
what do osteocytes do and what do they detect and facilitate
they occupy lacunae and monitor and maintain the matrix; detect mechanical conditions and facilitate remodeling
what do osteoclasts do
they reabsorb bone using acid and enzymes
what is the general rule of thumb between osteoblasts and osteoclasts
osteoblasts build and osteoclasts reabsorb
what happens when the organic matrix is damaged
the bone becomes more brittle
what happens when the mineral component is damaged
the bone becomes more flexible
where is compact bone especially thick
in the diaphysis
what does spongy bone form and why
forms internal trabeculae with spaces for marrow
what is inside one osteon
lacunae, canaliculi and the central canal
where do central canals run
they run throguh the middle of each osteon
what do performating canals connect
they connect central canals with other vascular routes
what type of lamellaw surround central canals
concentric lamellae
where are interstitial lamellae located
they occupy gaps between osteons
where are circumferential lamellae located
they encircle the cortex
what are trabeculae and what do they do
they are branching plates and beams of lamellar bone and they help carry loads with less mass
what occupies the space in between the branching plates and beams inside trabeculae
marrow
where do nutrient vessels enter from and what do they supply
enter through a nutrient foramen and supply internal reigons
what does the periosteal vessels supply and what supplies the ends
supplies outer cortex and epiphyseal and metaphyseal vessels supply the ends
what accompanies the vessels and why is this important for the periosteum
nerves accompany the vessels and the periosteum is particularly sensitive to injury
what is intramembranous ossification and what are examples of it
when bone develops in mesenchymal connective tissue (skull bones and clavicle)
what is endochondral ossification and what is formed by this route
when bone replaces hyaline cartilage model and most bones are formed via this route (including long bones)
what are the steps of intramembranous ossification
osteoblasts develop
matrix mineralizes
trabeculae
bone remodels
Endochondral ossification
cartilage model
collar and calcification
primary center ossification
secondary center ossification
growing bone
what are the steps for growth at the epiphyseal plate
resting cartilage will proliferate then chondrocytes will enlarge and then those chondrocytes will calcify before osteoblasts deposit bone there
what happens when cartilage growth ends
bone replaces the plate and leaves and epiphyseal line
what is appositional growth and how does it happen
when the shaft becomes wider
osteoblasts beneath the periosteum add matrix to the outer surface and osteoclasts reabsorb bone along the internal surface to allow the medullary cavity to enlarge
what helps maintain bone and what can happen to reduce bone mass
regular loading helps maintian bone and prolonged unloading can reduce bone mass
osteocytes can sense what
osteocytes can sense mechanical conditions and influence other bone cells
what happens as a result of osteocyte remodeling and where do we see this applied in real life
loading pattern influences where bone is changed or maintained for example orthodontic forces remodel bones around tooth sockets via coordinated resorption and formation
what is an open fracture
a wound communicates with the fracture (there is no such thing as a closed wound)
what is a comminuted fracture
the bone breaks into multiple fragments
what is an impacted fracture
fragments drive into one another
what is a greenstick fracture
an incomplete break with bending (happens in children)
how is a fracture repair
hematoma and inflammation follow vessel injury
fibrocartilaginous callus helps bridge break
bony callus of woven adn spongy bone replace soft callus
remodeling restores organized bone structure and adapts it to loading
what does calcium support in the body
muscle contraction, nerve signaling, and blood clotting
what is the pathway associated with low blood calcium
parathyroid glands increase PTH secretion when blood calcium falls
PTH promotes bone resorption indirectly and increases kidney calcium retention
PTH stimulates calcitriol formation and calcitriol increases intestinal calcium resorption
as the blood calcium recovers adn the stimulus for additional PTH secretion decreases
what cooperates in the calcium negative feedback loop
bone kidneys and intestine cooperate
what is the cacitronin feedback loop
thyroid C cells release calcitonin in response to elevated blood calcium
calcitonin can inhibit osteoclast mediated bone resorption
*less of a role in adult humans is smaller than the roles of PTH and Vitamin D
what is the role of calcium and phosphate in bone maintenance
calcium and phosphate support minrealization
what is the role of protein and vitamin C in bone maintenance
protein and vitamic C support collagen
what is the role of Vitamin D in bone maintenance
Vitamin D supports calcium absorption
what is the role of growth hormone (GH) and Insulin-like Growth Factor (IGF) in bone maintenance
GH and IGF promote growth
what is the role of sex hormones in bone maintenance
sex hormones influence the growth spurt and plate closure
what can happen post menopause after lower estrogen levels
lower estrogen can accelerate bone loss
what is osteoporosis and what can happen as a result of it
when bone mass is reduced and disrupts microarchitecture increasing fracture risk
what is osteomalacia
is the defective mineralization of osteoid in adults where bone loses the normal material stiffness