Bones contain specialized cells known as osteocytes that help sense mechanical stresses applied to the bone.
When significant stress is detected, osteocytes signal for increased activity of osteoblasts (bone-forming cells) and osteoclasts (bone-resorbing cells).
Bone has a hard extracellular matrix consisting of two major components:
Mineral Component: Primarily made of calcium phosphate, providing rigidity.
Organic Component: Composed mainly of collagen fibers, which give flexibility to the bone structure.
Soaking Bone in Acid: Soaking a bone in a weak acid (e.g., vinegar) removes the mineral content, demonstrating that the remaining organic component provides flexibility, making the bone malleable (like a pretzel).
When the organic material is removed (e.g., through exposure to heat and sunlight), bones become brittle as proteins denature, leading to a more fragile structure.
Mineralized bone possesses strength comparable to cast iron, making it strong but also vulnerable to fracturing upon excessive force.
Compact Bone
Comprised of functional units called osteons (Haversian systems), which are circular structures made up of concentric layers known as lamellae.
Lamellae contain blood vessels, providing nutrients and oxygen to the osteocytes housed in lacunae within the matrix.
Interstitial Lamellae: Remnants of older osteons found between newer ones, indicating continuous bone remodeling.
Circumferential Lamellae: Layers that surround the entire bone surface, contributing to bone strength.
Spongy Bone
Characterized by trabecular structures (spicules) with spaces that house bone marrow, contributing to lightness without sacrificing strength.
Important for blood cell formation (red bone marrow) and fat storage (yellow bone marrow).
Bone structure adapts based on stress; trabecular patterns align along lines of stress, providing support while minimizing weight.
Loading Response: Increased activity in osteocytes stimulates remodeling, optimizing bone strength without excessive mass.
Red Marrow: Important for blood cell formation; present in various bones and more extensive in children.
Yellow Marrow: Fatty tissue present in adults, found in long bones.
Intramembranous Ossification
Involves the transformation of connective tissue sheets into bone, primarily occurring in flat bones. Osteogenic cells transform into osteoblasts, laying down the bone matrix (osteoid).
Minerals crystallize within the osteoid to form bone.
Endochondral Ossification
Occurs in long bones, starting with a cartilage template that is gradually replaced by bone tissue. This process is favored during development.
Involves the formation of the primary ossification center, with cartilage deteriorating as blood vessels enter and stimulate bone formation.
Continues as growth hormone influences cartilage cell proliferation, enabling elongation until skeletal maturity.
Appositional Growth: Increase in bone diameter from the outside as new bone tissue is deposited by periosteum-derived osteoblasts, while osteoclasts remove bone from the interior to maintain optimal weight.
Osteoporosis and Osteopenia: Conditions arising from insufficient bone density, linked to hormonal changes, nutrient deficiencies, and aging. Preventive measures include exercise and adequate nutrient intake.
Classified as open (bone protrudes through skin) or closed (skin remains intact).
Each type has specific characteristics (e.g., nondisplaced, comminuted, greenstick) affecting treatment approaches.
Open Reduction Internal Fixation: Surgical procedure to stabilize complex fractures using plates and screws.
Bone mass increases during childhood and peaks in early adulthood, followed by gradual declines in density due to age-related changes and hormonal shifts (notably during menopause).
Osteoporosis is characterized by a significant reduction in bone density, increasing fracture risk.
Preventive Strategies: Regular exercise, weight-bearing activities, and proper nutrition (calcium and vitamin D) are vital for maintaining bone health as one ages.