Skeletal System and Bone Anatomy Flashcards

Bone Structural Classifications

  • Long Bone: Named for its shape; longer than it is wide.

  • Short Bone: Cube-shaped bone structure; roughly equal in length and width.

  • Flat Bone: Characterized by a broad and thin structure.

  • Irregular Bones: Defined by having an irregular, complex shape that does not fit other structural categories.

  • Sesamoid Bone: Specialized, small, flat, and oval-shaped bones located directly within tendons. These bones provide a distinct mechanical advantage by improving muscle leverage.

Bone Histology and Internal Organization

  • Compact Bone:

    • Hard and dense osseous tissue forming the outer layer of a bone.

    • Specialized to resist linear compression forces applied straight down, as well as twisting forces.

  • Spongy Bone:

    • Internal bone structure located deep to compact bone.

    • Allows long bones to effectively resist compression applied from multiple directions.

    • Formed by a network that provides a central cavity for housing bone marrow.

Structural Anatomy of Bones

Long Bone Structure

  • Periosteum: A dense membrane covering long bones that is rich with blood vessels and nerves. It provides approximately 13\frac{1}{3} of the overall blood supply to the bone.

  • Perforating Fibers: Structural fibers that anchor the periosteum firmly to the underlying bone matrix.

  • Diaphysis: The central shaft of a long bone.

    • Houses an inner hollow space known as the marrow cavity, which contains red or yellow bone marrow.

  • Epiphysis: The expanded region at each end of a long bone.

    • Covered externally by articular cartilage composed of hyaline cartilage.

  • Endosteum: A thin internal membrane lining spongy bone that plays an active role in maintaining bone homeostasis.

  • Epiphyseal Lines: Remnants of childhood growth plates (epiphyseal plates) that separate each epiphysis from the diaphysis.

Structure of Short, Flat, Irregular, and Sesamoid Bones

  • These bones lack a diaphysis, epiphyses, marrow cavity, epiphyseal lines, or epiphyseal plates.

  • Structural Composition: Consists of a periosteum covering two outer layers of compact bone with a single inner layer of spongy bone (termed diploe) situated between them.

  • Diploe contains bone marrow.

  • Certain flat and irregular bones contain hollow, air-filled internal spaces designated as sinuses.

Vascularization and Bone Marrow

Blood and Nerve Supply

  • Nutrient Arteries: Key blood vessels supplying approximately 23\frac{2}{3} of the blood supply to the internal bone tissue. The epiphysis receives a portion of its blood from nutrient arteries as well.

Bone Marrow Types

  • Red Bone Marrow:

    • Formed of loose connective tissue supporting blood-forming hematopoietic stem cells.

    • The relative quantity of red bone marrow decreases progressively with age.

    • In adult skeletons, red bone marrow is restricted to specific sites: pelvis, femur, humerus, vertebrae, ribs, sternum, clavicle, scapula, and select skull bones.

  • Yellow Bone Marrow:

    • Composed mainly of triglycerides, adipocytes, and blood vessels.

Osteogenesis and Ossification Pathways

  • Ossification (Osteogenesis): The biological process of bone tissue formation.

Intramembranous Ossification

  • Converts embryonic mesenchymal tissue directly into osteoblasts.

  • Commences at a primary ossification center.

  • Key characteristics:

    • Spongy bone forms first.

    • Compact bone forms second.

Endochondral Ossification

  • Process of bone formation built upon a pre-existing hyaline cartilage model.

  • Initiates at a primary ossification center.

  • Gives rise to all bones of the body except for the skull and the clavicles.

  • Converts chondroblasts into functional osteoblasts.

Key Bone Cells

  • Osteoblasts: Cells responsible for secreting an organic matrix that subsequently calcifies to generate new bone tissue.

  • Osteocytes: Mature bone cells formed when osteoblasts become trapped inside small spaces called lacunae.

Bone Growth Mechanisms

Longitudinal Growth

  • Involves the continuous division of chondrocytes within the epiphyseal plate.

  • The epiphyseal plate is organized into 5 functional zones, ordered from top to bottom:

    1. Zone of Reserve Cartilage: Contains inactive cells not involved directly in bone growth, which can be recruited if necessary.

    2. Zone of Proliferation: Contains actively dividing chondrocytes.

    3. Zone of Hypertrophy and Maturation: Houses mature, enlarged chondrocytes.

    4. Zone of Calcification: Region where dead chondrocytes undergo matrix calcification.

    5. Zone of Ossification: Contains calcified chondrocytes alongside active osteoblasts building matrix.

Appositional Growth

  • Growth resulting in an increase in both bone length and width.

  • Osteoblasts located between the bone surface and periosteum continually lay down new bone matrix.

  • Appositional growth in width can persist even after the epiphyseal plates have fully closed.

Hormonal Regulation of Bone

  • Hormones: Chemical messengers secreted by endocrine glands directly into the bloodstream to regulate physiology.

  • Growth Hormone:

    • Synthesized and released by the pituitary gland.

    • Present in highest concentrations during infancy and childhood, though secreted continuously throughout life.

  • Testosterone:

    • Primary male sex hormone secreted throughout life.

    • Promotes bone deposition and increases appositional growth.

    • Accelerates epiphyseal plate closure, causing growth plates to close completely by age 16 to 17.

  • Estrogen:

    • Primary female sex hormone, whose production ceases following menopause.

    • Induces complete epiphyseal plate closure by age 14 to 15.

    • Inhibits osteoclast activity to preserve bone mass.

  • Parathyroid Hormone (PTH): Functions directly to increase blood calcium concentrations.

  • Calcitonin: Functions directly to decrease blood calcium concentrations.

Bone Remodeling Dynamics

  • Bone Remodeling Process: A dynamic cycle where new bone is synthesized via bone deposition, and existing bone is broken down via bone resorption.

  • Bone formation and loss take place simultaneously, but deposition proceeds at a substantially faster rate than resorption.

  • Physical responses to force:

    • Compression: Temporary mechanical force that stimulates bone deposition.

    • Tension: Stretching forces applied to bone trigger bone deposition.

    • Pressure: Continuous, sustained pressure induces bone resorption.

  • Key influencing factors: Hormonal regulation and age (as systemic protein synthesis declines over time).

  • Cellular mechanisms:

    • Osteoclasts: Secrete hydrogen ions (H+\text{H}^+) to chemically break down bone matrix.

    • Osteoblasts: Secrete specific enzymes to construct and deposit bone matrix.

Division of the Skeleton

Axial Skeleton

  • Primary function is to protect the body core and internal vital organs.

  • Skull: Composed of 22 bones that encase the brain and establish the facial framework.

  • Vertebral Column: Composed of 33 individual bones forming the spine, sacrum, and coccyx.

  • Thoracic Cage: Formed by 12 pairs of ribs, the sternum, and the thoracic vertebrae.

Appendicular Skeleton

  • Primary function is to enable body movement.

  • Pectoral Girdle: Consists of the scapulae and clavicles; serves to support and anchor the bones of the upper limb.

  • Four Regions of the Upper Limb:

    • Brachium: The humerus, which is the largest and strongest bone in the upper body.

    • Antebrachium (Forearm): Consists of two bones—the lateral radius and the medial ulna.

    • Carpus (Wrist): Composed of 8 carpal bones organized into 4 distinct rows.

    • Manus (Hand): Composed of 5 metacarpals and 14 phalanges.

  • Pelvic Girdle: Composed of the os coxae (coxal or hip bones), formed by the fusion of the ilium, ischium, and pubis.

  • Four Regions of the Lower Limb:

    • Femoral: Contains the femur—the longest and strongest bone in the human body—and the triangular patella (kneecap).

    • Crural: Consists of two bones—the lateral fibula and the medial tibia.

    • Tarsal: Composed of 7 short bones forming the ankle structure.

    • Pedal: Composed of 5 metatarsals and 14 phalanges.

Bone Surface Features

Depressions

  • Openings or spaces of varying depths located within a bone structure.

  • Facet: A shallow, flattened or near-flat surface where two adjacent bones articulate.

  • Fossa: An indentation or groove in a bone into which another anatomical structure fits.

  • Fovea: A shallow pit.

  • Groove (Sulcus): A elongated indentation through which a narrow vessel or structure travels.

Openings

  • Passageways or holes that permit blood vessels and nerves to traverse through a bone.

  • Canal (Meatus): A tunnel-like passage extending through a bone.

  • Fissure: A narrow slit-like opening in a bone.

  • Foramen: A shallow or flat hole through a bone.

Projections

  • Bony extensions that serve as joint connection sites or attachment points for muscles, tendons, and ligaments.

  • Condyle: A smooth, rounded articular surface at the end of a bone.

  • Crest: A prominent ridge along a bone.

  • Head: A distinct, rounded projection located on the epiphysis of a bone.

  • Tubercle: A small, rounded bony projection.

  • Tuberosity: A large, rough tubercle projection.

  • Epicondyle: A small projection situated adjacent or superior to a condyle.

  • Spine: A sharp, slender bony process.

  • Process: Any distinct bony projection (a broad anatomical term).

  • Protuberance: An outgrowth or swelling on a bone surface.

  • Trochanter: A massive, unique projection found exclusively on the femur.

  • Line: A long, narrow ridge that is less prominent than a crest.

Cranial, Facial, and Axial Anatomy

Skull Bones

  • Cranial Bones: 8 total bones that form the protective cranium.

    • 4 Single Bones: Frontal bone, Occipital bone, Ethmoid bone, Sphenoid bone.

    • 2 Paired Bones: 2 Temporal bones, 2 Parietal bones.

  • Facial Bones: 14 total bones that construct the facial framework.

    • 6 Paired Bones: Maxillary bones, Zygomatic bones, Nasal bones, Lacrimal bones, Palatine bones, Inferior nasal conchal bones.

    • 2 Single Bones: Mandible, Vomer.

  • Sutures: Fibrous joints that tightly fuse the individual bones of the skull together.

  • Sinuses: Air-filled, membrane-lined cavities situated within specific cranial and facial bones.

  • Hyoid Bone: A distinct bone that serves as an attachment point for various muscles vital to swallowing and speech.

Vertebral Column Structure

  • Composed of 33 individual bones (vertebrae).

  • Intervertebral Foramen: Openings between adjacent vertebrae that allow spinal nerves to exit the spinal cord.

  • Vertebral Classifications:

    • Cervical vertebrae: 7 bones.

    • Thoracic vertebrae: 12 bones.

    • Lumbar vertebrae: 5 bones.

    • Sacral vertebrae: 5 fused bones forming the sacrum.

    • Coccygeal bones: 3 to 5 fused bones forming the coccyx.

  • Intervertebral Discs: 23 fibrocartilaginous pads positioned between adjacent vertebral bodies that absorb mechanical shock and bind the column together.

    • Nucleus Pulposus: A central, jelly-like structure functioning as a shock absorber.

    • Annulus Fibrosus: An outer ring composed of fibrocartilage that encapsulates the nucleus pulposus and unites adjacent vertebrae.